If you follow this blog, you know that I’ve written many times about the tragedy of Mark Rippee of Vacaville, CA. Here is a powerful essay by one of his two indefatigable sisters, written in May 2020 and reposted by her today, that says it all, and better than I have: https://www.catsvisions.org/post/no-apologies-by-catherine-j-rippee-hanson
Yes: I did.
I cited this barbaric penalty in my previous blog post, which was a plea for Ashley Biden to join her father’s Administration and co-ordinate federal policy regarding mental healthcare reform. Solitary confinement in our jails is one of the scourges that most needs reforming–obliterating, actually–if we are to call ourselves civilized. Solitary works horrors on the human brain. It drives mentally ill prisoners deeper into madness, and can afflict the sanity of those who have not shown symptoms of brain disease. And it does no good whatsoever–corrective, societal, or moral. That is the widespread theory. Here is the latest glimpse of the widespread practice.
Will you step up as the standard-bearer for the mentally ill?
Full disclosure: I have struggled with this blog post for days: post it or throw it away? Revise it one more time so that it reads as Beltway-savvy, or put on my Mister Smith hat and hope it will ignite a 1939 Hollywood moment? Decide to not intrude into the life-choices of an honorable private woman who made it clear recently that she wants to remain private, or say the hell with it and make the intrusion anyway?
Hell with it. Here goes:
On August 23rd of last year, America lost one of the two or three greatest champions of mental healthcare reform since Dorothea Dix. The vast sub-nation of the afflicted, their families, and their ardent yet scattered and over-burdened advocates is seeking a replacement: someone who can help unify this nationwide archipelago of sufferers into a single movement with a coherent voice.
I believe that Ashley Biden, the new President’s daughter, is the person most graced by fate to advance our mission. And I will tell you why: in addition to her experience and expertise in mental health issues, Ms. Biden would embody an influential link to policymakers that the afflicted and their caretakers have yearned for roughly since the founding of the Bedlam Asylum in 1377.
I can already hear the screams of “nepotism!” from the President’s political foes. (At the same time, I’m mindful that some of the most stalwart friends of the mentally ill have been Republicans.)
As Elizabeth Warren used to say, I have a plan for that: make Ms. Biden an unpaid White House staff advisor specializing in the interests of the mentally ill.
(Ashley, is there anything else I can do to enhance your life before I sign off??)
Let me give a thumbnail sketch of the man whose death has created such a vacuum:
Dj Jaffe was 65 when cancer took him from us. Most Americans had never heard of him. Yet within the archipelago, he was a superhero. He’d walked away from a cushy career in advertising to take up the cause when his sister-in-law developed schizophrenia. He understood and worked with Congress, the courts, community health centers, and the county jail, having mastered the complexities of schizophrenia and its related chronic predators upon the human brain. In 2011 he founded the indispensable Mental Illness Policy Org., a colossus of links to data, information, helpful sources, and policymakers. He was a co-founder of the Treatment Advocacy Center along with his own personal hero, the pioneering E. Fuller Torrey. His nonprofit book, Insane Consequences: How the Mental Health Industry Fails the Mentally Ill, is the single most comprehensive manual on the subject in our time.
Dj Jaffe’s passing has left an unacceptable void of wisdom, energy, and passion at the center of our efforts to reclaim the grievously broken systems of mental healthcare in America. There are dozens of men and women who would do credit to my late friend’s legacy. And then there is Ashley Biden.
As I say, Ms. Biden has made it clear that she dislikes “the spotlight,” and bravo for that. Yet her role as an advisor to her father, or perhaps as director of a new foundation, need not entail being in the spotlight so much as seizing the spotlight. And turning it around upon a shadow-enshrouded system that to this day abuses insane people with barbaric neglect and cruelty reminiscent of the Middle Ages.
With scattered exceptions, the mental-illness archipelago historically has been starved of government access. And when any level of government intervenes, it usually leaves things worse than they were. (I write this as a believer in active government.)
Think of “deinstitutionalization,” the sixty-year-old policy disaster that set off the national homeless calamity that expands to this day. Think of county jails as our new, dysfunctional mental hospitals. Think of mind-destroying solitary confinement, a useless torture practice that too often serves as a convenient storage-box for possibly prodromal juveniles. Think of un-convicted juveniles, untreated afflicted kids among them, waiting behind bars, often for weeks and months, for their trials. Think of untrained or uncaring police killing psychotic victims on the streets.
The crises and atrocities cited above are known to most people with a passing interest in the squalid fate of “crazy people” in America. The wish-list below will seem arcane to lay readers; yet it is packed with urgent, unaddressed problems that stunt and shorten the lives of the chronically mental ill, spread a widening cone of misery through their families and communities, and diminish the financial—and moral—health of the nation.
I’m indebted for this list to Leslie Carpenter of Iowa City, who with her husband Scott forms a tireless advocacy duo in America. Here it is:
–End the outdated, discriminatory federal rule known as the IMD Exclusion. This will increase the number of acute-care and long-term beds.
–Increase reimbursement rates for mental health professionals, direct care staff and facilities. This will help with recruitment, retention and quality of staff caring for people with serious mental illness (SMI).
–Modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to allow for more reasonable communication with families who are all too often the unpaid caregivers for loved ones with SMI.
–Increase funds for continued research for schizophrenia and related brain disorders.
–Fund and expand Assisted Outpatient Treatment Programs, along with Civil and Criminal Mental Health Courts.
–Expand funding for Certified Community Behavioral Health Centers in every state in the country.
–Stop wasting money on unproductive anti-stigma campaigns and. Use those funds to pay for the treatment of the most seriously ill, and the stigma will go away.
–Stop funding just more housing. Allow HUD subsidized funding for residential care facilities, group homes and facilities all along the continuum of care for people living with SMI and substance use disorders. Funded housing, tied with assisted outpatient treatment (AOT) programs, will allow the housing of people who don’t know they are sick, and keep them in treatment via outpatient civil commitments for treatment.
–Stop shutting down Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) if someone has to be hospitalized for 30 days or more. Shutting down the ability to pay rent is a major cause of homelessness among the chronic mentally ill.
–Create loan forgiveness incentives for mental health professionals practicing in rural locations.
–Fund medical schools to increase enrollment for psychiatrists and other mental health professional programs including nurse practitioners, physician assistants and psychologists.
Every one of these proposals requires intense, coordinated governmental action. As of today, there is no governmental coordinator. Not even Dj Jaffe had such power. This thin and secretly failing hero drew upon his extraordinary passion, his vast self-education in this complex cluster of subjects, and his gift for eloquence in the media, in testimony, and in his book.
The dispossessed mentally ill people among us cry out for a figure to replace Jaffe, and perhaps even surpass his legacy. Given Ashley Biden’s training, intelligence, commitment to the cause of mental health, and principled access to the (recently besmirched) corridors of congressional power, I believe that she could be this figure—a catalyst for reclamation.
We live in a fragile national moment, a moment saturated with promise and with menace. On the hopeful side, I marvel at the brisk accomplishments of President Biden’s first weeks in office, and I hear an old trumpet sounding, and I can almost envision a second New Frontier. On the dark side linger the shock-images and aural bedlam of the Capitol insurrection and the miasma of the impeachment trial, with portents of worse to come. And I wonder whether collective psychosis—madness—is our new pandemic.
It will take every person of good will to steer our future toward the light. Mental illness is just one item in a crushing agenda; yet it looms over us all, a scourge of mostly unfathomed proportions. (How far have some of us drifted into collective psychosis? Is there momentum in this direction?) A voice of informed influence near the apex of our government would be a godsend. The archipelago needs you, Ashley Biden.
Ashley Diamond Is Black, transgender, bipolar, and nonviolent. And the Georgia prison system has illegally consigned her to Hell on earth.
Just read. And petition. https://www.nytimes.com/2020/11/23/us/ashley-diamond-transgender-prison.html
. . . again. And now the real work of his loved ones, the work of keeping him alive on the Vacaville streets through the Covid-thick winter, commences. Again. Because no city or county or stage agency cares. Still.
Mark Rippee of Vacaville, California, has entered what may be the final struggle for his catastrophic life. His survival prospects are not good.
Most readers of this blog know about Mark’s grotesque misfortunes that span thirty-three years. And about the shocking indifference to them among the social services and the members of the Solano County Board of Supervisors. To refresh your memory, click on this blog link to read my previous posts.
Mark was released from a Vacaville hospital on October 26. He had spent two hundred fifty-eight days there, the longest respite of his tortured life since June 1987, when a motorcycle crash left him blinded, his body shattered, parts of his brain exposed, and his mind vulnerable to the schizophrenia that soon struck him. He’d been hospitalized after being struck by a car for a second time while wandering sightlessly around the town.
No agency in the city, the county, or the state of California cares about Mark Rippee. The attached links detail how his sisters Linda Privatte and Catherine Hanson, both women in their 60s with major illnesses themselves, have tried in vain to obtain conservatorship over him and to find a secure place for him to live. The care agencies and political bodies enfold themselves in narrow interpretations of law and policy. The sisters believe that in fact some laws meant to protect people such as Mark have been violated, with no one inclined to enforce them.
The family has been helped, materially and spiritually, by a growing army of concerned friends and Vacaville citizens. The sisters have posted a call for blankets, food, medium-sized long-johns and lined sweatpants, beanies, deodorant, lotion, hand sanitizer, baby wipes, a coat, gloves, socks. And water. Always water.
To simply read this sad list is to recoil at the scale of difference between Mark Rippee’s plight and the stony disdain—the contempt—of the agencies and the political structure designed to help him.
The charity now arriving is a godsend, and a tribute to the humanity of Vacaville’s private citizens. Yet it is not enough to assure this broken man’s survival. Mark, now 57, remains vulnerable to winter’s ravages, to further collisions with cars and trucks, and—most threateningly—to his environment’s rising Coronavirus rate. Solano County has entered tier 2, the “red” tier, which signals a “substantial” level of infection.
No one tells Mark’s story with more passion and clarity than Linda and Catherine, who have told it to deaf ears for three decades. Their stories and updated reports are linked below.
Today is a dark day. Mark was discharged from the Acute Care hospital after 258 days of healing from his injuries after being struck by a car for the second time in the last year. He was taken by the facility’s van back to the streets of Vacaville. He left with only a cane, duffle bag, boots, and 2 sets of clothes. They gave him 1-2 months worth of medications but would not confirm what they were. I don’t know how he will know what he is taking or when it is time. He has been on increased Anti-psychotic meds recently and I do not know if he will be on the streets. His new Social Worker is with Solano APS and is the same one who did the “Snapshot Assessment” of Mark and declared him “Not Conservable.” He was planning to meet Mark on the streets of Vacaville to “Receive” him back to town. When we called the facility this morning to check on when he was to be released and how… he was already gone. The nurse claimed, “Oh he is not going back to the streets, but is going to the Vacaville county building!” I started explaining that he is going back to the streets! That is where he has lived on the streets for years! I have 2 people trying to help with getting him a new ID. The facility could not confirm if he even had a blanket. He was supposed to get a flu shot before leaving – he didn’t. We have already put together many things he will need, but with a bad leg and a shoulder that doesn’t work, it will be even more difficult to carry much. He is supposed to still be using a walker – but chose a cane. He will have difficulty social distancing and not touching everything he comes in contact with. They said they gave him a few masks. His discharge was scheduled for 11 am this morning. I tried calling all morning and couldn’t reach him or the Social Worker. It turns out they released him earlier than 11 am, so he was already gone before I could even talk to him. I did not even go to bed last night thinking that tonight Mark will be sleeping on the streets. CJ has been up for two nights bracing herself for his release. His drastic improvement over the last 8 months was not enough proof for the county to comprehend that housing, treatment, and care was exactly what was needed in his case. I am back to taking it day by day to keep him alive. How long before another traffic accident or injury? We know it won’t be long… and we will go back to jumping every time the phone rings.I just received verification from one of our members that he arrived at the Carroll Building in Vacaville and the APS Social Worker was not there! He is now alone and darkness comes.Linda Rippee
The Road Ahead… by Linda (Rippee) Privatte Updated June 1.
The ravages of mental illness continue to flood every corner of society. Coverage of this atrocity has improved in quantity and sophistication in the last quarter-century–but to what end? Policy-makers, law enforcement and public opinion remain largely indifferent to meaningful education and reform. Mis-diagnoses, non-diagnoses, incarceration, hospital indifference, and violent deaths of people in psychosis surge on, gathering speed. And no one is at the wheel.
This strongly observed and written story by Hannah Dreier of The Washington Post throws light into an especially neglected precinct: Poor black families, and the mentally afflicted children within those families. It provides a glimpse of the day-to-day crises of a divorced Black mother, Kelli, and her two sons–one of whom, the 11-year-old Ahav, is diagnosed with schizophrenia.
You may read Dreier’s piece as simply a searing journey into the wilderness of one family’s mental-illness misery, and of the heroic efforts of Kelli to keep Ahav safe. A closer reading reveals a miasma of bureaucratic obstacles, therapeutic failure, option-choking poverty, and the constant dread of trigger-happy law enforcement that imprison tens of thousands of families such as Kelli’s in the rusted chains of our failed mental healthcare system.
Not really. It has quietly infiltrated and normalized aberrant public behavior in our deranged national landscape.
It is now front and center in the streets.
And in the ravings of pre-eminent news personalities.
In the 1960s the breakaway Scottish mystic/psychiatrist R. D. Laing was prominent among many emerging voices proclaiming that mental illness does not exist. His aphorisms such as “Insanity [is] a perfectly rational adjustment to an insane world” and “Madness need not be all breakdown. It may also be break-through . . . ” made him a charismatic figure among the counter-culture. His work placed him in the company of the greatest denier of them all, Thomas Szasz, whose 1961 book, The Myth of Mental Illness, crippled the status of psychiatry for generations.
In that time, neuroscientists and psychiatrists worked patiently to rebuild the legitimate acceptance of mental illness and its destructive properties. Breakthrough advances in microcomputer technology established, for instance, that schizophrenia is a genuine disease of the human brain, and not just a synonym for “nut job”: it leaves lesions–tiny traces–in the brain; its clusters of flawed genes are genetically inherited and, to date, incurable.
Yet even as science (that fake mumbo-jumbo!) has steadily clarified the properties of mental illness at the top levels of discourse on the subject, its work is being rapidly undermined again where it counts: in the chaotic maw of popular culture, where malign ideology, semi-literacy, and poisonous cynicism threaten to nullify reason. Including reasoning about unreason.
Thus when the ineffable birdbrain Ann Coulter tweet-tweets, as she did on August 27, that she wants the deranged teenaged lethal shooter Kyle Rittenhouse to be her president (above), we may think of her as the hideous drum majorette at the head of a long malign parade, marching directly toward a new Dark Age.
. . . And perhaps more than a year before reviews of the Linden Cameron shooting by Salt Lake City police are completed. (Linden, a 13-year-old victim of Asperger’s syndrome, absorbed eleven bullets from a policeman’s service pistol on the night of Sept. 4, yet survived and remains in serious condition.)
The link below, to the latest update on Linden’s story, discusses this likelihood. The story was reported and written by Heidi Hatch and Mackenzie Ryan of KJZZ television in Salt Lake City.
Months. Perhaps more than a year.
Months? Why months?!
Mundane reasons. Case backlogs. Scant resources to investigate them. That sort of thing. Since January of 2011, the Salt Lake City area has seen one hundred four shootings by police. Of these, only eight have been ruled “unjustified”–a fair microcosm of the national picture. Charges were filed in just three of the eight “unjustified” shootings, Hatch and Ryan report.
All three of those cases were dismissed.
Nine other unreviewed cases are piled on top of Linden Cameron’s.
And so Linden and his mother Golda Barton will wait. And wait. And wait. The state of waiting and its attendant stress, for one bureaucratic reason or another, is familiar to thousands of families trying to safeguard a mentally ill loved one, or to seek justice for that victim.
Below my September 22 blog on Linden’s case, a reader posted: “I will wait to see all the evidence.” I respect this reader’s sense of fairness. Yet we may never “see all the evidence.” That blog included a murky 36-second excerpt of body-cam recording released by the Salt Lake City police department. It shows a wandering pool of harsh light (presumably the camera light) surrounded by darkness. Linden can be glimpsed walking away from the camera before he disappears into the dark. We hear gunshots when the pool of light finds him again, he is writhing on the sidewalk. Then he turns over onto his left side and stops moving. We can hear him say,
“I don’t feel good. Tell Mom I love her.”
The body-cam footage below apparently covers the full length of the police video. It lasts 1 minute 40 seconds, some of the extra length showing police leaving their patrol car and yelling at Linden before the gunfire. It was posted on YouTube by the website RAW.
This footage also shows that Linden broke into a run after walking a few paces. The police pursue him in a 45-second footrace, yelling for him to “Get on the ground.” Then the shots and the boy’s moaning voice as he lies wounded on the sidewalk.
And that’s about it.
So: Linden Cameron and his mother, not to mention the police officers involved, probably will have to wait for up to a year, and maybe longer, before the investigative bureaucracy gets around to this case.
The great 19th-century British prime minister William Gladstone is credited with the maxim, “Justice delayed is justice denied.” Gladstone should have stuck around.
In a year’s time, pending investigations often lose their initial urgency. Public opinion and news coverage dissipate. The indignation of civic leaders cools. The cop shooting of a mentally ill boy, which initially drew international attention, grows stale in the files. The investigative bodies–in this case, they include an outside police department and the Salt Lake City department as well–tend to lose whatever incentive they may have had to render judgment against their own. The Linden Cameron case becomes something of an abstraction. Besides, it was dark. The camera dances around. Who, really, can say what happened? (Who, really, by this time, cares?)
“I will wait to see all the evidence.” A reasonable and honorable suspension of judgment.
Bring a book of crossword puzzles or something.
Below is a link to a body-cam video of the Salt Lake City police shooting of the autistic 13-year-old Linden Cameron on the night of September 4. The footage was released on Monday, Sept. 21.
Linden’s mother, Golda Barton, had made the mistake of calling the police to get the boy, who was in a psychotic state, to a hospital. Linden survived the tender attentions of the police and remains in serious condition.
I counted eleven shots–eleven!–from the policeman’s service revolver, a count also reported in local news coverage.
It is dark, and so you cannot see Linden being shot. But as the clip ends, you can hear him say: “I don’t feel good. Tell Mom I love her.”
This could have been either of my sons. https://www.sltrib.com/news/2020/09/21/bodycam-shows-salt-lake/