Saturday, December 29, 2012

This is Why

U.S. mentally ill and their families face barriers to care

This article makes my head screech at several different frequencies.  The author is concerned about the lack of available treatment.   It's a problem, but until the Quality of that care is drastically altered, it doesn't really matter if those people get treated or not.
Dr. Paul Appelbaum, professor of psychiatry, medicine and law at Columbia University, disagrees, however. "Gun violence is overwhelmingly not about mental illness," he said. "The best estimate is that about 95 percent of gun violence is committed by people who do not have a diagnosis of mental illness."
Yeah, so?   That doesn't mean they don't have one.   That is some pretty strong evidence your system fails to recognize their symptoms.
One lesson of such tragedies, experts say, is that psychiatrists' ability to predict who will be violent "is better than chance, but not much better," said Dr. Marvin Swartz, professor of psychiatry at Duke University.
There you go.   There's some truth.   They add no value whatsoever.
No recall. No precision.

This is not about availability of care or the ability to predict violence.   This is about widespread, systemic malpractice. And a culture of plausible deniability.