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Copyright 2000 P.G. Publishing Co.  
Pittsburgh Post-Gazette

July 18, 2000, Tuesday, SOONER EDITION

SECTION: HEALTH, Pg. F-4, PERSPECTIVES

LENGTH: 701 words

HEADLINE: CRISIS OF MENTAL ILLNESS;
REPLACE THE STIGMA OF DISEASE WITH COMPASSION AND AID

BYLINE: HARRIET BAUM

BODY:


Americans are in the midst of a public health crisis so widespread that one in five people is faced with it each year. And remarkably, we don't seem to notice. The crisis is mental illness and our inability as a society to accept it as a medical problem with effective treatment options that can improve the lives of the mentally ill, their families, and, ultimately, our nation.

An estimated 640,000 Pennsylvanians have a mental illness. And unfortunately, mostYet our society continues to fear and blame people with mental illnesses, as if a character flaw or weakness is at the heart of their condition. Our society also believes that mental illness leads to violence. Study after study has shown that mental illness has a biological basis. And study after study has shown that people with mental illness are no more violent than the rest of our society. Unfortunately, our nation's health insurers perpetuate these age-old myths and misperceptions, separating mental health coverage from all other types of medical coverage. Insurers typically discriminate against those seeking mental health treatment by: imposing higher copayments for treatment; allowing fewer days of treatment; and setting unreasonably low annual limits that can be surpassed in a single hospitalization. As consumers within this health care system, we need to make the important connection between the mind and the body and demand equal coverage.

Last December, U.S. Surgeon General David SatcherBarriers such as stigma and the extraordinary financial burden keep nearly two-thirds of all people with mental illness from seeking treatment. The stigma, alone, is so great that an estimated 100,000 people with mental illness do not receive treatment for fear of social persecution. This very lack of treatment stands in the way of many individuals finding education, housing, employment, and the resulting quality of life.

Looking back through the ages, most people with serious mental illness have been entirely hidden from society. Until recent decades, with the move toward deinstitutionalization, few of us had to think about mental illness, except for those who suffered from it, and their families, which suffered as well. Mental illness wasn't discussed. And the mentally ill often became nameless, faceless, non-members of society.

Today, in the enlightened year 2000, with many effective treatments available, far too many individuals with mental illness continue to face discrimination, fear and mistrust. Afraid to disclose their condition, they suffer in silence and isolation. As with cancer 30 years ago, or AIDS 10 years ago, people are afraid to mention the words, let alone disclose that they or a family member have a mental illness. Mental illness is not something that happens to someone else's family. It happens to one in five people. It can happen to you or your child, your favorite aunt, your co-worker.

If someone you care about exhibits symptoms of a mental illness, encourage him to get help. For family members, classes and support groups are available throughout our region to help them better understand and care for their mentally ill loved ones. Family members often find that education and support are their greatest allies.

Thesurgeon general's report should be a wake-up call to every American with a heart and a conscience. It is time for each of us to replace fear and ignorance with education and knowledge. It is time for us to recognize that mental illnesses are medical conditions that can be treated effectively. It is time for us to accept those with mental illnesses as human beings who deserve to be treated with dignity. And it is time for us to insist that our lawmakers go further in addressing issues of fair health insurance coverage for every individual in every state of our nation. The trumpet has sounded. It is time for action.

Harriet Baum is executive director of NAMI Southwestern Pennsylvania, a grassroots organization providing support, education, and advocacy efforts for children, adolescents and adults with a serious mental illness, and for family members, caregivers, and the community. To reach this organization, call 412-366-3788.

GRAPHIC: DRAWING, Drawing: Dan Marsula/Post-Gazette:

LOAD-DATE: July 19, 2000




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