Table of Contents
Foreword E. Fuller Torrey, MD 11
Authors Notes 13
Preface: How I Got Involved 15
Introduction: Overview of Everything 19
Infamous Mentally Ill Adults Who Went Off Treatment 25
Section 1 The Insane Consequences
Chapter 1 Human Consequences of Ignoring the Seriously Mentally Ill 31
Chapter 2 Criminal Justice Consequences of Ignoring the Seriously Mentally Ill 43
Chapter 3 Financial Consequences 53
Section 2 Mental Health vs. Mental Illness: What's the Difference and Why Does it Matter?
Chapter 4 What Serious Mental Illness is Not 61
Chapter 5 What Serious Mental Illness Is and How That Should Drive Policy 65
Chapter 6 What Science Tells Us about Treatment That Should Be Reflected in Policy 77
Section 3 The Mental Health Industry
Chapter 7 Substance Abuse and Mental Health Services Administration (SAMHSA) 97
Chapter 8 The Mental Health Nonprofit Complex and Its Critics 111
Section 4 The Industry Is In Denial
Chapter 9 The Industry Fights Efforts to Reduce Violence 113
Chapter 10 The Industry Fights Life-Saving Involuntary Interventions 141
Chapter 11 The Industry Fights Access to Hospitals, Medications, and Electroconvulsive Therapy 147
Section 5 Diverting Funds to What Doesn't Work
Chapter 12 The Industry Diverts Funds to Programs That Lack Evidence and Don't Help 157
Chapter 13 The Industry Diverts Funds to Irrelevant Stigma Programs 175
Section 6 Failing the Seriously Mentally Ill
Chapter 14 Federal Policies That Fail the Seriously Ill 183
Chapter 15 Court Decisions That Failed the Seriously Ill 205
Section 7 Where Do We Go?
Chapter 16 Solutions 221
Chapter 17 The Future 239
Appendix A Serious Mental Illness Defined 243
Appendix B Studies on Violence and Mental Illness 247
Appendix C Studies Correlating Anosognosia with Violence 253
Appendix D Studies on Assisted Outpatient Treatment (AOT) in New York and Elsewhere 257
Appendix E HIPAA Reforms 267
Acknowledgments 269
Notes 273
Index 353