I recently was at a large public gathering at the finish
line of a relay race. There were thousands
of people milling around….runners who had finished, family and friends who were
cheering runners on, officials, and vendors.
The scene was pretty chaotic.
I wonder how many people were aware of a young man in a rust
colored jacket, purple scarf and dark-colored ball cap. He walked hurriedly through the crowd all
over the venue. Sometimes he walked away
from the group on a raised sidewalk along the lakefront. More than once, he hurried toward the lake
front as though he might jump in, but stopped at the very edge. The constant activity of the group seemed to
agitate him.
From a distance, I could see him talking, and I thought it
might be on a cell phone. However, I was
close enough on multiple occasions to realize that he wasn’t on a cell
phone. He would say something in a high
squeaky voice, and then answer himself in a low growling voice.
Once I had noticed him, I couldn’t help but look for him and
check on what he was doing. I saw
absolutely no security at this event. I
suspect that the majority of the time a schizophrenic off his meds is harmful
only to himself. But, we have all read
of other cases when a psychotic episode has resulted in harm to others. Maybe he is one of the “public characters” in
that small city and was known to the officials and viewed as harmless. But, his frantic activity made me
ill-at-ease.
I do not know what the solution is to the mental health
crisis that is obvious in our society.
Closing institutions and supposedly integrating the mentally ill into
society has not worked very well. It has
increased homelessness, and jails are full of psychiatric cases which guards
are not properly trained to handle.
Having spent 3 months of my time in nursing school at a truly dreadful
psychiatric institution, I can attest that institutionalization is a nightmare
too. One of the wards we were assigned
to as students had no head nurse. The
aides were so sadistic and unmanageable that they could not get a nurse to stay
there.
Having a family member with mental health issues has made me
aware that the mental health care system is difficult to access and that once
accessed there are barriers to receiving continuity of care.
The young man in the rust colored jacket may have been off
his meds, but he appeared clean and neat, so someone must be watching out for
him. There are many for whom that is not
the case.