Tragic Endings as the Current Behavioral Health Systems and Mental Health Community Believes that the Status Quo is Ok

Cheryl Roberts of the Greenburger Center for Social and Criminal Justice has been working for many years to provide an alternative to incarceration for individuals that are treatment resistant.  “For those who refuse treatment, like Santos, the default is often the streets. Yet undeterred by this reality, the public fails to fund robust supportive housing […]

Can Trieste Model Work in Los Angeles?

We mentioned Trieste Italy in an earlier blog. How are People with Serious mental Illness Faring in our Jails? Trieste is a city and a seaport in northeastern Italy. The metropolitan population of Trieste is 410,000, with the town comprising about 240,000 inhabitants. Trieste has a culture that embraces its most vulnerable people and, as a community, […]

Dr. Torrey emphasizes Five Key Issues American Psychiatry got Wrong

ACMI’s Mission We work with stakeholders to improve care for persons suffering from chronic serious mental illness through cost-effective network enhancements: (a) a person-centered culture (instead of program-centered), (b) financial & other incentives, based on performance & outcomes, for providers to better serve this population; (c) more Lighthouse- like homes, i.e. community living properties with 24-hours […]

Homelessness- When the Cause is Untreated Serious Mental Illness….

There are tent cities under freeway structures and along various streets. People that self-organized in the popup tent compounds are most likely not individuals suffering from untreated serious mental illness. I believe that persons in the tent communities are far more likely to be homeless due to affordability, addiction, or past felony convictions (which make […]

In What Way is the Head Not as Important as the Body?

As we wrote about in our August 2019 blog, “What are the consequences of an inadequate number of long term public psychiatric inpatient beds?“; we seem to have no shortage of short term stay private pay psychiatric hospitals, but we still lack the long-term public beds. Until we repeal the IMD exclusion, there will be […]

The jail rethink we really need: Other places have a saner way to handle the mentally ill cycling in and out of lockup

Chuck and I had an opportunity to meet with Cheryl Roberts and Francis J. Greenberger while in New York City this past fall.  We discussed their pilot program to develop an alternative to incarceration pilot facility to provide a secure “locked” therapeutic environment for those with serious and or chronic mental illness or personality disorders. […]

How are People with Serious Mental Illness Faring in our Jails?

While attending a global mental health conference last fall, ACMI Vice President and Founding Director, Laurie Goldstein asked a psychiatrist from Trieste, Italy, “About how many persons with serious mental illness are in your jails?” The psychiatrist looked startled and replied, “We do not send our persons with mental illness to jail.” He went on […]

Filling Gaps in Continuum of Care: Swinging Bridges, Provider Culture, and Why Families’ Voices are Important

Dr. Michael Franczak, noted psychologist and population health scientist, sagely noted, “The continuum of care is really a series of swinging bridges over a very large canyon.”   Dr. Franczak’s language is poignant for families who long assist loved ones to navigate the particularly deep and wide “canyon” of chronic serious mental illness.  These families know […]

Does Involuntary Treatment Work?

There is often debate about whether involuntary treatment works if the individual is not ready to engage in their own recovery. Individual choice of treatment is always preferable, but not always safe for the patient or others.” SUMMARY: Patients with psychiatric disorders refuse medications for a variety of reasons, including experience with, or fear of, […]

What are the consequences of an inadequate number of long term public psychiatric inpatient beds?

How many beds are enough? According to the Treatment Advocacy Center, “The United States is in the midst of a psychiatric bed shortage that worsens every year. By early 2016, the practice of closing state mental hospitals, often called “deinstitutionalization,” had eliminated more than 96% of the last-resort in-patient psychiatric beds that existed in the […]