Friday, March 8, 2013

The NRA and Mental Health


The crazy NRA aside, the issues surrounding gun safety are many and varied.  In my mind, however, the issue of mental health programs is paramount.  When I was first was sworn in as a County Supervisor on the first Monday of 1999, the Mental Health Board of the county was where the Chairmen, and I use that term advisedly, always assigned the newest Board members who hadn’t a clue what they were doing to that Mental Health (MH) Board.  In California, there is a state law that requires that a certain number of members of the MH Board be made up of clients of the services the county offered.  At that time, the clients were referred to as “consumers”, a term to which I heartily objected.  Turning people into economic ciphers really upset me.  One of our County Board members made the comment one day that these people should just pull themselves together and get on with their lives.  This did not sit well with me since we have members on both sides of our families who suffered from mental illness.  One is schizophrenic and the other bi-polar.  Obviously this was an area of county government over which I had a great interest.
A few years before I was elected one of our daughters and her husband adopted three little girls.  The girls were half-sisters.  They were from Santa Ana in Orange County, California, and had lived in a city all of their lives.  The first morning they were here on a visit, one of them got up early with my husband, stared out our window for a long time, looking at about the 1,000 acres of watershed owned by various ranchers which could be seen from that window and commented, “Boy, do you have a big backyard!”  We knew the girls had problems, but assumed that these problems could just be overcome by love from us.  But we learned soon that love was not enough.
To make a very long story short, the youngest girl, who had wormed her way into our hearts in a very special way, on the first day that her parents had left her alone for about 20 minutes, went out into their garage, took a bungee cord, and committed suicide.  She was 11 ½ years old.
Not too long after that, our Public Health Director started fussing at me that I should attend a workshop with other county staff at the Children’s Research Triangle in Chicago, operated by Drs. Ira Chasnoff and Richard McGourty.  After some nagging by our Director, I agreed to go.  During that workshop I realized that what the girls underlying problems were, other than their horrific first years, was that their birth mother was an alcoholic and substance abuser, and had been that way through all three pregnancies.  The eldest daughter was not as impacted as the younger girls, and of course, Martha, the youngest suffered the most from Fetal Alcohol Spectrum Disorder, or FASD, as a result.
After many years of organizing, finding funding, and all of the many, many things that were required, with the county’s help, we opened Martha’s Place on 1/7/2007.  Martha’s Place is now the portal where any child between the ages of 0-5 exhibiting at-risk behaviors or obvious FASD, is admitted for both physical and emotional evaluations, and then either referred out into the community for treatment, or if there is nothing, receives treatment in-house.  I am still on the coordinating committee for Martha’s Place, and it is through my contacts there that I have come to realize that very small children can suffer from emotional trauma and mental health problems.  Consequently, when we all became concerned for the younger surviving daughter’s son because he seemed to be almost at times out of control, we brought him down to Martha’s Place for an evaluation.  His mother, the younger surviving daughter, has both emotional and mental health issues.  Sure enough, our boy had some real anger problems, at the age of three years.  With appropriate therapy he is progressing nicely and getting his anger under control.
But what if we didn’t know what to look for and what to do about what we saw?  We shudder to think what he could have become in ten to fifteen years with all of that anger lurking inside of him.  Would he have taken a gun and taken his anger out on anyone in his chosen location of mayhem?  Maybe not, but then again, maybe yes.  My point in talking about something we know very well, and have experienced very well, is that in all of the talk about mental health issues, the major problem is funding.
There should be a concerted effort to educate women and the men with whom they live, that drinking during pregnancy is a big no-no.  Some women might be able to metabolize the alcohol without too much damage to the developing brain, but the horrible part is that the effect on the developing fetus will not be known until well after birth.  This educational effort should be intense and ongoing, and be on a national scale. 
And there should be enough funding so that every community could have its own, geared to its own needs, center for the evaluation and treatment of children from 0-5 who exhibit at-risk behaviors.  We tailored Martha’s Place to our county.  With organizing help, every county in this United States should have their very own Martha’s Place.  After all, there was a concerted effort to educate people on the dangers of smoking cigarettes, and also of second-hand smoke from those doing the smoking.  Can we do any less for our children?
That we need to regulate the sale of weapons, the sale of magazine clips that hold over 6 bullets, and ban completely the sale of military style weapons is a given.  We also need to revise our tax code so that on a national level we can have the educational program concerning pre-natal alcohol and substance abuse and its effect on the developing brain, and on the local level, in every county in this nation, an evaluation and treatment center for children 0-5 exhibiting these at-risk behaviors.
After all, an ounce of prevention is worth a pound of cure.

 

 

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