A public stigma with a high, hurtful price

Perceptions about mental illness do not match the reality.

Charlotte Observer, April 10, 2009

Here's a point missed in the anxiety over a frightening spurt of mass gun violence: Statistics show the majority of people who are mentally ill do not commit violence, and that the majority of people who commit violent crimes are not mentally ill.

Yet mental illness comes with a stigma in our culture that is costly, unhealthy and wrong. The perception of its victims as wackos or weak-spirited needs to change.

One in four adults will experience a serious mental disturbance in his or her lifetime. That's how pervasive mental illness is in the United States and in North Carolina, according to the National Mental Health Association.

Yet don't expect to see ready evidence of that statistic. Mass shootings by gunmen in North Carolina, Alabama and Binghamton, N.Y. show easy access to high-powered weapons and emotional instability can be a deadly mix. Yet those tragedies have also blurred understanding of an already misunderstood disease.

Think about it: One in four people suffer a disease such as depression or bipolar disorder. Chances are, that means a valued friend, neighbor or co-worker are among them.

Yet most people don't understand mental illness. Many are afraid of it. Many others just blame the person who is sick.

Those attitudes have consequences. Here are tangible ones:

• Funding for mental health ranks near the bottom in North Carolina's legislative priorities. Case in point: Key reforms enacted in 2001 were poorly thought-out and failed sick patients miserably. They focused more on saving money and shifting responsibility than on providing the safety net a vulnerable group needs.
• Insurance coverage for mental illness, despite the so-called mental health Parity Act, is skimpy compared to other coverage.

Wrong-headed attitudes make it hard for many who suffer mental illnesses to get the help they need until there's a crisis. It also gives politicians a ready excuse not to pay for strong public mental health resources.

Here's the irony: Treatment for most mental illnesses is effective when appropriately used. The NHA reports the success rate for treating clinical depression, for example, is 80 percent.

Yet when mental illness goes untreated, the price is high. The NMHA estimates the total yearly cost for mental illness in both the private and public sectors in the United States is $205 billion – but only $92 billion represents direct treatment cost. The rest is lost work hours and indirect costs.

Who gets hurt by letting a stigma persist unchallenged? Our friends, neighbors and co-workers who suffer, mostly in silence. And the rest of us, who pay.

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