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It's worth pointing out that a) The gunman's dead and b) He was a lunatic who thought that the US Government was behind the 9/11 attacks. His direct motive for this seems to have been a desire for 'justice' over the death of Marine Col James Sabow in 1991, something that's been the source of other conspiracy theories. BBC Link

Bitter Thorn |

It's worth pointing out that a) The gunman's dead and b) He was a lunatic who thought that the US Government was behind the 9/11 attacks. His direct motive for this seems to have been a desire for 'justice' over the death of Marine Col James Sabow in 1991, something that's been the source of other conspiracy theories. BBC Link
It's also being reported that he was severely bipolar.

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Bitter Thorn wrote:Which begs the question, why were mental-health services not involved and ensuring he was medicated (through an assertive outreach programme or similar)
It's also being reported that he was severely bipolar.
Well as someone in the psychopharmalogical field I may be able to answer this one. In America it usually takes a lot to commit someone to an institution unless the voluntarily do so. And frankly we have gotten a lot of doctors who believe in the magic pill theory as in give them the pills and they'll recover, however one does not recover from mental illness without the medication, close follow up, and psychotherapy. But unfortunately these things aren't made widely available psychotherapy isn't usually covered by medical plans and if it is covered it's only to a limited extent, therefore most patients only get half what they need. Another unfortunate side effect we see with most patients is distrust of the medication. Because mental health issues get so highly stigmatized in society (people just think your crazy) a lot of people try to hide the medication and treatment or just try and deal with it themselves. You find it quite often among bipolur and schizophrenic patients that they distrust the medication and stop taking it, but because of the state of the mental health facilities in this country there isn't much to be done about it at current.

Treppa |

In America it usually takes a lot to commit someone to an institution unless they voluntarily do so.
Sounds true in this case. It is being reported that his parents attempted to obtain help for him but were unable to do so because he was an adult. They also warned authorities that he'd bought a gun, but had no idea where he went when he disappeared for the last time. It's tremendously sad for everyone affected.

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Jeremy Mcgillan wrote:In America it usually takes a lot to commit someone to an institution unless they voluntarily do so.Sounds true in this case. It is being reported that his parents attempted to obtain help for him but were unable to do so because he was an adult. They also warned authorities that he'd bought a gun, but had no idea where he went when he disappeared for the last time. It's tremendously sad for everyone affected.
Ok to be institutionalized in America one either has to be deemed a danger to yourself or a danger to society. To be deemed a danger to yourself you have to have committed a suicide attempt or likely multiple atttempts, to be considered a danger to society usually you will have to have committed a violent crime. We usually only commit people after something has already occured.

Bitter Thorn |

Treppa wrote:Ok to be institutionalized in America one either has to be deemed a danger to yourself or a danger to society. To be deemed a danger to yourself you have to have committed a suicide attempt or likely multiple atttempts, to be considered a danger to society usually you will have to have committed a violent crime. We usually only commit people after something has already occured.Jeremy Mcgillan wrote:In America it usually takes a lot to commit someone to an institution unless they voluntarily do so.Sounds true in this case. It is being reported that his parents attempted to obtain help for him but were unable to do so because he was an adult. They also warned authorities that he'd bought a gun, but had no idea where he went when he disappeared for the last time. It's tremendously sad for everyone affected.
I don't think I agree with how difficult it is to commit someone against their will in the US. It may be different for vets, but I know of 72 hours holds for the mere mention of suicidal ideation. Various adjudications of mental state can have a severe impact on careers and civil liberties as well as issues like custody and visitation etc. A lot of guys don't dare mention symptoms of PTSD while they are still on active duty.

Disenchanter |

I don't think I agree with how difficult it is to commit someone against their will in the US. It may be different for vets, but I know of 72 hours holds for the mere mention of suicidal ideation. Various adjudications of mental state can have a severe impact on careers and civil liberties as well as issues like custody and visitation etc. A lot of guys don't dare mention symptoms of PTSD while they are still on active duty.
I'm guessing it is different.
I am aware that it is nearly impossible to get a civilian committed against their will despite heavy drug and alcohol abuse - even with documented threats of suicide.
If you can't provide physical evidence of the attempt, you are not likely to get an institution to walk into that legal minefield without the patients consent.

Bitter Thorn |

Bitter Thorn wrote:I don't think I agree with how difficult it is to commit someone against their will in the US. It may be different for vets, but I know of 72 hours holds for the mere mention of suicidal ideation. Various adjudications of mental state can have a severe impact on careers and civil liberties as well as issues like custody and visitation etc. A lot of guys don't dare mention symptoms of PTSD while they are still on active duty.I'm guessing it is different.
I am aware that it is nearly impossible to get a civilian committed against their will despite heavy drug and alcohol abuse - even with documented threats of suicide.
If you can't provide physical evidence of the attempt, you are not likely to get an institution to walk into that legal minefield without the patients consent.
I've had 3 civilian friends compulsorily institutionalized here in Colorado. 2 were actively suicidal. 1 was the result of a bad joke after a near fatal trauma.
I'm not sure how much is dictated by state statute and how much rests on federal case law. Is this something that varies widely from state to state?

Loztastic |
There is a big difference between committing someone and Assertive Outreach
said programme is, in essence, a Psych Nurse, Psych Social Worker and occasionally a Psych Doctor just keep turning up at your house once a report has been made about a potential mental health problem with someone who isn't engaging with treatment. meds are issues in their house, depot injections given if needed, and most importantly, someone professional checks up on the person on a regular basis, to the point that, if danger signs are present, they can be seen and acted on.
it works really well.

Urizen |

I'm guessing it is different.
I am aware that it is nearly impossible to get a civilian committed against their will despite heavy drug and alcohol abuse - even with documented threats of suicide.
If you can't provide physical evidence of the attempt, you are not likely to get an institution to walk into that legal minefield without the patients consent.
It is nearly impossible. Haven't seen my younger brother for almost two years and he suffers from schizophrenia. The fact that he's a major toker of the wacky weed doesn't improve his issues with paranoia either. Like most, he's in denial that he has any issues. He's cut himself off from the family and changed the locks on the condo that belongs to my (deceased) mother's estate (even though he has no right to do so). In the meantime, all my father and I simply do is just make sure those monthly expenses for it are paid and as long as he continues to remain gainfully employed and stay out of trouble, it is about all we can do at this point.

Bitter Thorn |

Disenchanter wrote:It is nearly impossible. Haven't seen my younger brother for almost two years and he suffers from schizophrenia. The fact that he's a major toker of the wacky weed doesn't improve his issues with paranoia either. Like most, he's in denial that he has any issues. He's cut himself off from the family and changed the locks on the condo that belongs to my (deceased) mother's estate (even though he has no right to do so). In the meantime, all my father and I simply do is just make sure those monthly expenses for it are paid and as long as he continues to remain gainfully employed and stay out of trouble, it is about all we can do at this point.I'm guessing it is different.
I am aware that it is nearly impossible to get a civilian committed against their will despite heavy drug and alcohol abuse - even with documented threats of suicide.
If you can't provide physical evidence of the attempt, you are not likely to get an institution to walk into that legal minefield without the patients consent.
I don't recall civil commitment for Alzheimer's being this difficult in Texas. You're in Ohio right?

Urizen |

I don't recall civil commitment for Alzheimer's being this difficult in Texas. You're in Ohio right?
Yes. Ohio is where all the people begin at when they're leaving to head to the big city to gain fame & fortune or smack and hoores. :P Just watch about any show or movie, I swear....!