There are over 100 million people in the world with some type of neurological disorder including psychosis, dementia and brain trauma. Last year, as every year, over 30,000 people in this country became the victims of suicide. Mental Illness is an epidemic. It is the deadliest disease in America. Unlike AIDS, cancer, heart disease and other chronic illnesses for which we have dramatically reduced the mortality rate, we don’t need to spend billions of dollars on research to find a cure for mental illness. We know how to treat it.
The lack of progress comes from two issues. First the business side of the healthcare system is not designed to solve this problem. People are taking notice of that issue, and I hope we will solve it. However, the more important issue is that nobody wants to believe or admit that they have mental illness.
The biggest obstacle to the treatment of mental illness is the stigma. Talk to people who are in recovery with mental illness and ask them why their recovery is so hard. They will tell you it is because they waited too long to seek help. Why? They were ashamed.
If we want to reduce the suicide rate and improve outcomes, we have to change the way that society thinks about mental illness. In my mind this is the most important issue. It is why I wear a silver ribbon every day. It is why I prefer to work in this industry. It is why I am writing this article.
Winning the hearts and minds of the American people is no easy task. The issue has to be framed in a way that is clear and understandable. We need to dispel the idea of mental illness as an excuse and get people to think of it as a disease. The medical community needs to help the country frame mental illness as a medical issue, because it is. The focus should be single minded and unrelenting.
We should use the words “illness,” “disease” and “treatment” when we talk about mental illness. We should teach people about good mental hygiene and the importance of support networks. We should portray those in recovery as the heroic figures that they are, no less than those that win the fight with cancer.
My alma mater, The University of Miami, has featured the struggle of legendary quarterback Jim Kelly as he fights cancer. Their motto is “Kelly Strong.” No less a legend, Herschel Walker openly talks about his long journey through mental illness. Nobody has shown themselves to be tougher than Herschel. Where are the “Herschel Strong” t-shirts?
Jim Kelly is described as strong in his fight against cancer and Herschel Walker is described as brave in confronting his “weakness.” We have to flip the paradigm. Let’s be Herschel Strong and start to portray those who have emerged from the shadows of mental illness as the fighters that they are.
This brings me to the subject of prisons. I understand that our prisons are full of inmates who suffer from mental illness, diagnosed and undiagnosed. I sympathize with the plight of people who should be in the hospital and not in prison. I get the magnitude of the issue and agree that it should be addressed. But in my view, this issue is a symptom of the larger problem. Most of those folks could have received treatment if they had been diagnosed before they got on the wrong side of the law. If we want to eliminate the problem of mental illness in prison, we have to first solve the problem of mental illness in society, which is where every one of the inmates were before they were incarcerated.
This is simple marketing. Prisoners don’t make good role models. They don’t make sympathetic figures. Nobody wants to wear an “Inmate #21276 Strong” t-shirt. The lack of proper treatment for the mentally ill in our jails is a travesty, and it must be addressed. But as a society, when we focus on mental illness in prison, we focus on mental illness as an excuse rather than mental illness as a disease. And we can’t afford that.
Please see the counterpoint by Robert Boraks here.
Kevin Turner, AIA, LEED, is principal, Perkins+Will, and has been responsible for the design of more than 1.5 million square feet of behavioral healthcare space.