In Our Own Voice
   

Transcript

FUNDING FOR THIS PROGRAM IS MADE POSSIBLE BY AN UNRESTRICTED GRANT FROM THE DEPARTMENT OF HEALTH AND WELFARE, BY THE CORPORATION FOR PUBLIC BROADCASTING, AND BY THE FRIENDS OF IDAHO PUBLIC TELEVISION.

IF YOU WERE ONCE COMMITTED TO AN INSANE ASYLUM, THAT'S WHERE YOU WOULD BE THE REST OF YOUR LIFE.

MARCIA FRANKLIN, HOST:
THE DOORS TO THE ASYLUM ARE OPEN NOW.

NEW MEDICINES HAVE REVOLUTIONIZED THE TREATMENT OF THOSE WITH MENTAL ILLNESS.

BUT THE DISEASES HAVEN'T GONE AWAY.

WHAT HAPPENS IS THE VOICES TELL YOU TO DO THINGS. AND YOU THINK, "WELL, MAYBE I'LL DO THIS SO THEY'LL LEAVE ME ALONE." SO YOU TRY TO DO A LOT OF THE THINGS THEY TELL YOU TO DO, HOPING THEY'LL LEAVE YOU ALONE. BUT THEY DON'T, SO...

FRANKLIN:
WHAT IS IT LIKE TO HAVE YOUR MIND GO THROUGH A STORM?

FOR THE NEXT HOUR, WE'LL EXPLORE THE LIVES OF THOSE WITH MENTAL ILLNESS AND THE LIVES OF THOSE WHO LOVE AND CARE FOR THEM.

I WAS FRIGHTENED FOR HIM. I WAS FRIGHTENED FOR HIM TO BE OUT AND I WAS FRIGHTENED FOR HIM TO BE IN THERE.

THEY'RE OUR FRIENDS, AND OUR FAMILIES, OUR COMMUNITY MEMBERS. THEY'RE NOT DIFFERENT, THEY'RE US.

THIS IS MY HAVEN. IT'S PEACEFUL. THERE IS SERENITY UP HERE.

FRANKLIN:
ANN AND HARRY HOLMBERG RUN A BED AND BREAKFAST NESTLED HIGH IN THE WOODS OF NORTH IDAHO.

ANN HOLMBERG:
I CAN LOOK OUT MY WINDOWS AND SEE ROLLING HILLS AND TREES. I CAN SEE GOD'S CREATURES.

FRANKLIN:
THE HOLMBERGS ORIGINALLY MOVED HERE FROM NEW YORK TO BE CLOSER TO THEIR DAUGHTER, JANET.

A. HOLMBERG:
WE WANTED TO TAKE CARE OF OUR OWN DAUGHTER. SHE WAS OURS.

FRANKLIN:
AS A CHILD, JANET SEEMED HAPPY. SHE LOVED THE OUTDOORS AND WAS CLOSE TO HER PARENTS.

BUT BY HER TEENAGE YEARS, THEY NOTICED SOME DRASTIC CHANGES.

A. HOLMBERG:
SHE WOULD GET A WHOLE BUNCH OF ENERGY AND SHE WOULD JUST BE A WHIRLWIND. AND THE NEXT TIME, HER DOOR WOULD BE CLOSED TO HER BEDROOM AND SHE WOULD NOT COME OUT. SHE WOULD NOT DRESS. SHE WOULD NOT COMB HER HAIR. IT WAS TWO DIFFERENT PEOPLE LIVING IN OUR HOUSE AT THAT TIME.

HARRY HOLMBERG:
JANET TOLD US ONE TIME ABOUT THE FREEWAY WHERE THE PEOPLE WERE TALKING ABOUT HER OR SOMETHING LIKE THAT IN THE OTHER CARS. AND I JUST THOUGHT THAT WAS REALLY STRANGE AND AT THAT POINT, THAT WAS THE FIRST TIME WE'D EVER HEARD ABOUT VOICES.

A. HOLMBERG:
THERE WAS MANY, MANY SUICIDE TRIES. AND I USED TO FINALLY SAY, "I CAN'T COUNT THEM ON MY FINGERS ANYMORE." I RAN OUT OF FINGERS.

FRANKLIN:
FINALLY, IN HER EARLY 20S, JANET WAS DIAGNOSED WITH MANIC DEPRESSION, OR BIPOLAR DISORDER AND GIVEN MEDICATION.

A. HOLMBERG:
WHEN YOU LOOKED AT JANET AND YOU SAW HER ON A DAY-TO-DAY BASIS, YOU WOULD NEVER KNOW THAT SHE WAS MENTALLY ILL.

FRANKLIN:
JANET GOT MARRIED. SHE MOVED TO IDAHO AND WAS WORKING.

THEN, JUST A FEW YEARS LATER, A DIVORCE.

JANET WENT DOWNHILL AGAIN.

SO THE HOLMBERGS MOVED TO IDAHO AND BOUGHT THEIR DAUGHTER A MODEST HOUSE.

A. HOLMBERG:
WE PUT A LITTLE HOUSE AROUND JANET BECAUSE WE DIDN'T WANT HER TO BE A BAG LADY, WHICH IS WHERE SHE WAS HEADING FOR, IS A STREET PERSON.

RICHARD SCHMIDT:
YOU KNOW, I'VE BEEN THROUGH THE ROUGH TIMES WHEN, YOU KNOW, THE VOICES WERE SO BAD THAT I COULDN'T FUNCTION AT ALL. AND, YOU KNOW, I LOST EVERYTHING I HAD, SO I KNOW WHAT IT'S LIKE.

FRANKLIN:
WHEN RICHARD SCHMIDT WAS JUST OUT OF COLLEGE, HE ALSO STARTED HEARING VOICES.

SCHMIDT:
I HAD THE FEELING THAT, YOU KNOW, PEOPLE WERE TALKING THROUGH THE WALLS ABOUT ME. I COULD HEAR THESE VOICES, I THOUGHT, "WELL, THOSE ARE JUST PEOPLE NEXT DOOR OR ABOVE, YOU KNOW, UPSTAIRS, OR WHATEVER."

IT SEEMS SO REAL. I MEAN, THEY'RE NOT THERE BUT IT SEEMS SO REAL.

I WAS GOING WITHOUT SLEEP, WORKING, AND THEN HEARING THESE VOICES. AND I WAS JUST HAVING A HECK OF A TIME, SO.

FRANKLIN:
RICHARD HAD DEVELOPED SCHIZOPHRENIA. HE SOON LOST HIS JOB. FROM INDUSTRIAL ENGINEER TO HOBO, HE NOW MOVED TO THE STREETS.

SCHMIDT:
IT'S A REAL ICKY FEELING BECAUSE YOU KNOW, IT'S A FEELING LIKE HEY, YOU'RE OUT THERE BY YOURSELF. THERE'S THIS BATTLE WAGING IN YOUR HEAD AND YOU DON'T UNDERSTAND IT. RELATIVES, FRIENDS THAT YOU USED TO KIND OF TRUST OR BE CLOSE TO SEEM TO NOT BE INTERESTED IN YOU ANYMORE. YOU KNOW WHEN THANKSGIVING DAY COMES THAT YOU'RE NOT GOING TO EAT A TURKEY DINNER. CHRISTMAS DAY IS JUST ANOTHER DAY IN YOUR CAR. THINGS LIKE THAT. VERY LONELY FEELING.
 
THE VOICES MORE OR LESS TAKE OVER YOUR MIND AND TELL YOU THAT IT'S A VERY NEGATIVE THING TO TAKE MEDICATIONS, THAT YOU'RE GOING TO BE A DRUG ADDICT, YOU'RE GOING BE, YOU'RE NEVER GOING TO HAVE A WIFE, YOU'RE NEVER GOING TO GET MARRIED, NEVER HAVE A JOB.

FRANKLIN:
IN JANET'S CASE, HER PARENTS INTERVENTION SEEMED TO HELP. SHE TOOK HER MEDICATION. SHE WAS ON THE HONOR ROLL AT COLLEGE, AND AT 38, SHE WAS FOUR COURSES AWAY FROM FINALLY GETTING HER DEGREE.

A. HOLMBERG:
SHE WAS JUST A HAPPY GO LUCKY WOMAN. SHE SEEMED LIKE THERE WAS NOT A THING GOING ON WITH HER THAT WAS NOT RIGHT. WE DIDN'T SEE ANYTHING AT ALL.

FRANKLIN:
THEN, A SUMMER DAY IN 1998. THE HOLMBERGS WERE IN THIS SMALL TOWN ABOUT AN HOUR AWAY FROM HOME, GETTING THEIR CAR SERVICED.

H. HOLMBERG:
AND I PICKED UP THE NEWSPAPER AND THERE ON THE FRONT PAGE THEY TALKED ABOUT THIS MURDER THAT HAPPENED IN HAYDEN AND THEY HAD A SUSPECT AND THE SUSPECT WAS JANET M. HOLMBERG.

FRANKLIN:
HARRY SAID NOTHING TO HIS WIFE.

H. HOLMBERG:
I WAS BASICALLY IN A STATE OF SHOCK.

FRANKLIN:
BUT ON THE RIDE BACK, ANN DECIDED TO CALL HER DAUGHTER.

A. HOLMBERG:
AND I CAN VISUALIZE THIS WHOLE SCENE. HE TOOK MY HAND AND HE SAID, "NO, PUT THE CELL PHONE AWAY AND READ THIS." AND I COULD NOT BELIEVE THE SHOCK OF SEEING MY DAUGHTER'S PICTURE ON THE FRONT PAGE OF A NEWSPAPER INDICATING THAT SHE HAD MURDERED A WOMAN IN HAYDEN.

FRANKLIN:
SOMETIME TWO NIGHTS BEFORE, JANET HAD ALLEGEDLY RUN THROUGH THE NEIGHBORHOOD, BROKEN INTO THIS HOUSE AND BEATEN AND SLASHED MARIE WARD, AN ELDERLY WOMAN WHO HAD JUST SUFFERED A STROKE.

JANET THEN CUT HER OWN THROAT.

WHEN HER PARENTS FINALLY TALKED TO HER IN JAIL, THEIR DAUGHTER DENIED SHE HAD DONE ANYTHING.
 
A. HOLMBERG:
JANET SAID, "MOM, IT WAS NOT ME." BECAUSE TO HER, SHE WAS HEARING VOICES AND SHE FELT LIKE TWO DIFFERENT PEOPLE, THAT THAT WAS NOT HER. AND TO THIS DAY I JUST CAN'T ERASE THAT FROM MY MIND. SHE REALLY DIDN'T THINK SHE HAD DONE THAT.

DR. ARNOLD KADRMAS, PSYCHIATRIST:
BIPOLAR DISORDER, OR MANIC DEPRESSIVE ILLNESS CAN BE A SEVERE ILLNESS.

FRANKLIN:
DR. ARNOLD KADRMAS IS THE MEDICAL DIRECTOR OF THE PYCHIATRIC UNIT AT ST. JOSEPH'S REGIONAL MEDICAL CENTER IN LEWISTON.

HE SAYS PEOPLE WITH MANIC DEPRESSION, LIKE JANET, CAN ACTUALLY SUFFER SYMPTOMS AS SEVERE AS THOSE WITH SCHIZOPHRENIA, LIKE RICHARD.

KADRMAS:
IT'S ACTUALLY QUITE COMMON FOR PEOPLE THAT HAVE A SEVERE, VERY HIGH MANIA TO HAVE PSYCHOSIS. THEY WILL MISINTERPRET THINGS AND SO ON.

SCHMIDT:
WHAT HAPPENS IS THE VOICES TELL YOU TO DO THINGS. YOU KNOW, THEY TOLD ME TO SAY CERTAIN THINGS TO PEOPLE. BE AGGRESSIVE. DO THIS. DO THAT. YOU KNOW AND YOU THINK, "WELL, MAYBE IF I DO THIS, THEY'LL LEAVE ME ALONE." SO YOU TRY TO DO A LOT OF THE THINGS THEY TELL YOU TO DO, HOPING THEY'LL LEAVE YOU ALONE. BUT THEY DON'T, SO.

FRANKLIN:
FOR THE HOLMBERGS, THE NEXT MONTHS WOULD PRODUCE THEIR OWN MENTAL ANGUISH.

THEY FELT STRONGLY THAT THEIR DAUGHTER WAS OFF HER MEDICINE AND INSANE WHEN SHE COMMITTED THE CRIME AND SHOULD GO TO A HOSPITAL, NOT A PRISON.

H. HOLMBERG:
IT IS HARD TO JUSTIFY A FACT THAT WHEN YOU HAVE A BRAIN DISORDER, THAT YOU TREAT THEM THE SAME AS SOMEBODY THAT DID IT WITH MALICE AFORETHOUGHT.

A. HOLMBERG:
I KNOW THAT WITHOUT THIS MEDICATION, JANET WASN'T HERSELF. THAT WAS TOTALLY OUT OF WHAT SHE WOULD HAVE EVER THOUGHT OF DOING, LET ALONE ACTUALLY DO.
 
FRANKLIN:
BUT IDAHO IS ONE OF ONLY THREE STATES THAT DOES NOT HAVE THE INSANITY DEFENSE.
 
WITH THAT OPTION GONE, THE HOLMBERGS JUST TRIED TO KEEP THEIR DAUGHTER ALIVE.

IN ORDER TO AVOID THE DEATH PENALTY, JANET PLED GUILTY.

IN COURT, SHE ADDRESSED THE VICTIM'S FAMILY.
 
VOICE OF JANET HOLMBERG:
I DID NOT HAVE CONTROL. BUT, THIS DOESN'T CHANGE THE FACT THAT I AM RESPONSIBLE FOR THE DEATH OF MARIE WARD, A PRECIOUS HUMAN BEING.
 
SAYING I'M SORRY WILL NEVER EVER BE ENOUGH. NO AMENDS WILL EVER BE ENOUGH. BUT, JUST THE SAME, FROM THE BOTTOM OF MY HEART, FROM THE DEPTHS OF MY VERY SOUL, I AM SO, SO SORRY.
 
VOICE OF JUDGE JAMES JUDD:
MISS HOLMBERG, IF YOU'D LIKE TO STAND PLEASE? YOU HAVING PLED GUILTY TO THE CRIME OF MURDER IN THE SECOND DEGREE, I FIND THAT YOU ARE GUILTY OF THAT OFFENSE. I SENTENCE YOU TO SERVE A LIFE TERM IN THE IDAHO STATE PENITENTIARY.
 
FRANKLIN:
JANET HOLMBERG IS INCARCERATED AT THE POCATELLO WOMEN'S CORRECTIONAL CENTER.
 
THE IDAHO DEPARTMENT OF CORRECTIONS DENIED A FACE-TO-FACE INTERVIEW WITH HER, BUT DID ALLOW JANET TO ANSWER QUESTIONS ABOUT THE MURDER OVER THE PHONE.
 
JANET HOLMBERG:
SOMETHING HITS ME EVERY HOUR OF THE DAY ABOUT IT. YOU KNOW, IT IS NOT SOMETHING THAT LEAVES YOU. YOU LIVE IN HELL.

FRANKLIN:
JANET SAYS SHE CAN'T EVEN REMEMBER WHEN HER VOICES FIRST STARTED.
 
J. HOLMBERG:
I ALWAYS THOUGHT THAT IT WAS NORMAL. AND THE FIRST DOCTORS THAT I HAD SAID, "OH, YOU'RE JUST TALKING TO YOURSELF."
  
FRANKLIN:
ONE MEDICATION THOUGH, FINALLY HELPED.
 
J. HOLMBERG:
IT MADE THE CONNECTIONS. IT MADE IT EASIER FOR ME TO THINK.
 
FRANKLIN:
INDEED, SHE FELT SO GOOD SHE STOPPED TAKING IT.
 
THE DAY OF THE CRIME, THE VOICES RETURNED.
 
J. HOLMBERG:
I WAS LISTENING TO JESUS CHRIST AND I WAS TRYING TO SAVE THE UNIVERSE FROM FALLING.
  
FRANKLIN:
IN ORDER TO DO THAT, JESUS TOLD HER, SHE HAD TO GET THE POLICE TO KILL HER SO SHE COULD RETURN TO EARTH.
 
TO DO THAT, SHE HAD TO KILL SOMEONE.
 
J. HOLMBERG:
IT'S SOMETHING THAT'S SO LUDICROUS TO A NORMAL PERSON THAT THEY WONDER, "HOW COULD YOU EVEN BELIEVE THIS?" BUT WHEN YOU'RE IN THAT DELUSION, THAT IS YOUR REALITY. YOU CANNOT BELIEVE ANYTHING ELSE.
  
FRANKLIN:
JANET RECEIVES MEDICATIONS IN PRISON, BUT NO THERAPY.
 
SHE SPENDS MOST OF HER TIME BY HERSELF, MUCH OF IT WALKING AROUND THE PRISON TRACK, TRYING TO COME TO TERMS WITH WHAT SHE DID.
 
J. HOLMBERG:
SHE WAS PROBABLY A REALLY NICE PERSON. AND I TOOK HER LIFE. I KNOW GOD FORGIVES ME, BUT HOW DO I FORGIVE MYSELF?
 
FRANKLIN:
THE VICTIM'S FAMILY DECLINED AN INTERVIEW FOR THIS PIECE, BUT A FAMILY MEMBER DID SAY SHE FELT THE HOLMBERGS SHOULD HAVE KEPT CLOSER TABS ON THEIR DAUGHTER.

JANET DISAGREES.

J. HOLMBERG:
THEY DIDN'T UNDERSTAND HOW FAR I HAD GONE. I PUSHED EVERYBODY AWAY.
    
FRANKLIN:
HER PARENTS SAY THE BEST THEY CAN DO NOW IS SEE JANET AS OFTEN AS POSSIBLE, A 1000 MILE DRIVE ONCE A MONTH.
 
A. HOLMBERG:
SHE NEEDS ALL THE ASSURANCE IN THE WORLD THAT I DO LOVE HER, THAT I DON'T HATE HER FOR WHAT SHE HAS DONE. SHE IS OUR OWN FLESH AND BLOOD. AND WE LOVED HER FROM THE TIME SHE WAS BORN.
  
J. HOLMBERG:
I'M THEIR DAUGHTER AND THEY LOVE ME AND THAT JUST AMAZES ME.

FRANKLIN:
ONE MESSAGE JANET HOPES TO CONVEY IS THAT THOSE WITH SERIOUS MENTAL ILLNESSES SHOULD STAY ON THEIR MEDICATION.
 
J. HOLMBERG:
I THINK THAT THEY SHOULD STAY ON THEIR ANTI-PSYCHOTICS BECAUSE YOU DON'T KNOW WHEN YOU ARE PSYCHOTIC. YOU DON'T KNOW.

FRANKLIN:
RICHARD WAS PSYCHOTIC FOR TWO YEARS. HEALTH CARE WORKERS FINALLY COMMITTED HIM TO A STATE HOSPITAL.

SCHMIDT:
AND I KIND OF LET GO AND I SAID TO MYSELF, "HEY, I DON'T KNOW WHAT THE ANSWER IS ANYMORE, BUT LET'S NOT FIGHT IT, LET'S JUST TRY TO ENJOY SOME GOOD FOOD, AND GET SOME REST, AND TAKE THE PILLS. I MEAN IF IT WORKS, IT WORKS. I DON'T KNOW WHAT ELSE TO DO."

FRANKLIN:
AND THE MEDICINES HE WAS GIVEN DID WORK. THE VOICES GOT QUIETER. SO HE WAS RELEASED.

THEN THE SAME STATE MENTAL HEALTH DEPARTMENT WHERE HE HAD BEEN A CLIENT FOR YEARS OFFERED HIM A JOB.

SCHMIDT:
AND I'M LUCKY THEY HIRED ME BECAUSE I PROBABLY WOULD BE, I DON'T KNOW WHERE I'D BE RIGHT NOW, IT'S HARD TO SAY.

THIS IS THE DEAL, YOU GUYS, THIS LADY WALKED IN AND SAID SHE HAD AN APPOINTMENT.

FRANKLIN:
TODAY, RICHARD IS PART OF A TEAM THAT SCREENS PEOPLE FOR MENTAL HEALTH SERVICES.

SCHMIDT:
SHE SAYS SHE'S BIPOLAR, SHE'S MARRIED, HAS TWO CHILDREN.

I FEEL I CAN CONTRIBUTE A LOT BECAUSE I'VE BEEN THERE. I'VE SEEN JUST ABOUT EVERY PHASE OF THE ILLNESS.

I SEE, YOU KNOW, WHAT IT'S DONE TO PEOPLE.

WELL HOW'S IT GOING, CHUCK?

CHUCK:
IT'S GOING FINE. I WAS NERVOUS THIS MORNING. I WOKE UP.

SCHMIDT:
AND YOU CLEANED HOUSE.

CHUCK:
AND STARTED CLEANING HOUSE.

SCHMIDT:
IT LOOKS NICE.

I HOPE TO BRING KIND OF A NEW SENSE WHERE I CAN EMPOWER THEM. I FEEL THAT A LOT OF CLIENTS LOSE DIGNITY AND SUCH, AS SUCH, LOSE SELF-CONFIDENCE, THAT'S A MAJOR BARRIER I BELIEVE.

IT KEEPS YOU BUSY SO THE VOICES…

CHUCK:
I DON'T HAVE TO PAY ATTENTION TO THE VOICES.

SCHMIDT:
SO YOU DON'T HAVE TO PAY ATTENTION TO THE VOICES, YEAH.

I DO THAT SOMETIMES TOO. USUALLY AT NIGHT WHEN I FALL ASLEEP IS WHEN I HAVE A TOUGH TIME BECAUSE I'M NOT DOING ANYTHING, I'M TRYING TO FALL ASLEEP, SO. OTHERWISE I'M SO BUSY I DON'T NOTICE THEM.

FRANKLIN:
AND RICHARD IS BUSY. IN ADDITION TO HIS JOB, HE'S GETTING A MASTERS DEGREE IN SOCIAL WORK.

WHEN HE CAN RELAX, IT'S OFTEN WITH HIS WIFE, JANAN, WHO ALSO HAS A MENTAL ILLNESS.

JANAN SCHMIDT:
WE CAN TELL WHEN OUR SYMPTOMS ARE SHOWING UP THAT WE NEED SOME EXTRA ATTENTION, EITHER MEDICATION OR THERAPY OR WHATEVER WE NEED.

FRANKLIN:
EVEN WITH MEDICATION, RICHARD STILL OCCASIONALLY HEARS VOICES.

THEY'LL NEVER TOTALLY GO AWAY.

HIS MOUTH IS CONSTANTLY DRY FROM THE PILLS.

TO HELP IGNORE HIS SYMPTOMS, HE OFTEN WALKS IN THE WOODS.

THE IRONY IS, THIS IS EXACTLY WHERE HE USED TO SLEEP WHEN HE WAS HOMELESS.

R. SCHMIDT:
YEAH, I CAME HERE A LOT, IN FACT THIS WAS THE PLACE I LIVED MOST OF THE TIME, IN THE WINTER AND THE SUMMER.

YOU KNOW, IF I DIDN'T HAVE A BATH FOR A FEW DAYS I'D JUMP IN THIS COLD WATER EVEN IN THE WINTERTIME AND CLEAN UP, YOU KNOW.

I WAS KIND OF A LOST SOUL 20 YEARS AGO. I MEAN I FELT NO HOPE. THERE WAS NEVER A CHANCE FOR ME GOING BACK TO WORK AS A PROFESSIONAL OR DO ANYTHING TO, YOU KNOW, IN A WAY THAT I COULD LIVE A NORMAL LIFE.

I NEVER THOUGHT I'D EVER HAVE THIS STUFF. TELL THE TRUTH, I NEVER DID THINK SO.

MAYBE IT WAS A WAY FOR ME TO FIND MYSELF IN THE WORLD.

FRANKLIN:
THE HOLMBERGS HOPE THAT ONE DAY THEIR WORLD INCLUDES JANET.

SHE'S ELIGIBLE FOR PAROLE IN 2009.
 
IN THE MEANTIME, THEY HAVEN'T BEEN AFRAID TO SPEAK OUT ABOUT MENTAL ILLNESS.
  
A. HOLMBERG:
I CAN'T TELL YOU THE NUMBER OF TIMES WHEN SOMEONE WILL SAY TO ME IN A SOCIAL GATHERING, "DO YOU HAVE CHILDREN?" "YES." "OH, WHAT DOES YOUR DAUGHTER DO?" "SHE IS MENTALLY ILL." AND YOU KNOW WHAT HAPPENS? THEY TURN AROUND AND WALK AWAY, AND YOU ARE SO HONEST ABOUT IT THAT PEOPLE CAN'T TAKE HONESTY AND IT HURTS. BUT, YOU JUST HAVE TO KEEP GOING. THERE IS A REASON.

I WANT SO MUCH TO LET OTHER PEOPLE KNOW WHO HAVE CHILDREN OR LOVED ONES OR SPOUSES THAT IT CAN HAPPEN TO ANYONE.

R. SCHMIDT:
HELLO, THIS IS RICHARD.

FRANKLIN:
WHAT MAKES SOME PEOPLE LIKE RICHARD IGNORE THEIR VOICES, AND OTHERS, LIKE
JANET, OBEY THEM?

NO ONE KNOWS.

BUT ONE THING IS CERTAIN, THE GREAT MAJORITY OF THOSE WITH MENTAL ILLNESS ARE NO MORE VIOLENT THAN THOSE WHO ARE NOT MENTALLY ILL.

KADRMAS:
THERE'S NO QUESTION THAT THERE ARE TIMES WHEN PERSONS WITH UNTREATED SEVERE MENTAL ILLNESS MAY HAVE SOME TENDENCY TO VIOLENCE. THE REALITY IS, IS THAT
THAT IS NO MORE FREQUENT THAN IN PEOPLE WITHOUT PSYCHIATRIC ILLNESS. IT'S NOT MORE FREQUENT.

ANOTHER REALITY THAT IS OFTEN OVERLOOKED, ALMOST ALWAYS OVERLOOKED, IS THAT PERSONS WITH SEVERE MENTAL ILLNESS ARE THE VICTIMS OF VIOLENCE FAR, FAR MORE OFTEN THAN THE GENERAL POPULATION.

ELLA TAM, PSYCHIATRIC NURSE:
I HAVE WORKED MEN'S DISTURBED WARD. I HAVE WORKED CRIMINALLY DISTURBED WARDS. I HAVE WORKED WITH ADOLESCENTS. AND I HAVE NEVER BEEN SLAPPED, KICKED, ASSAULTED IN ANY WAY.

FRANKLIN:
ELLA TAM HAS BEEN A PSYCHIATRIC NURSE SINCE THE 1940S. IN THOSE DAYS SHE WAS ONE OF ONLY TWO NURSES WORKING AT STATE HOSPITAL SOUTH, WITH 800 PATIENTS.

TAM:
THERE WERE MAINLY WHAT WE CALLED "BUG-HOUSERS" WORKING AT THE HOSPITAL AT THAT TIME.

THESE WERE PEOPLE WHO MADE THEIR LIVING JUST GOING FROM ONE STATE HOSPITAL TO ANOTHER. AND MOST OF THEM WERE ABUSIVE TO THE PATIENTS.

FRANKLIN:
THE ONLY TOOLS TO CONTROL OR HELP PATIENTS WERE HEAVY SEDATIVES, RESTRAINTS, AND ELECTROSHOCK.

WHEN NOTHING ELSE WOULD WORK, STAFF WOULD OCCASIONALLY PERFORM LOBOTOMIES, AN OPERATION IN WHICH THE PREFRONTAL LOBE OF THE BRAIN IS REMOVED.

THEN, A DISCOVERY. THORAZINE, A MEDICINE DEVELOPED TO COMBAT SURGICAL SHOCK, WAS FOUND TO HELP CALM PATIENTS WITHOUT PUTTING THEM TO SLEEP.

TAM DESCRIBES THE IMMEDIATE CHANGE IN JUST ONE RESIDENT.

TAM:
HE HAD ALWAYS FOUGHT WITH SOMEBODY AND THROWN HIS PLATE IN THE DINING ROOM. SO I WENT OVER ONE DAY AND I SAID, "SAMMY IT'S NICE THAT YOU'RE ABLE TO EAT IN THE DINING ROOM NOW." HE SAID, "YES, I LIKE IT." AND I SAID, "WELL WHAT HAPPENED TO THE HORSE THAT YOU USED TO GET SO UPSET BECAUSE HE WAS EATING YOUR MEAL?" AND HE SAID, "OH, HE'S THERE, I JUST DON'T CARE ANY MORE." AND THAT'S AN EXAMPLE OF WHAT THORAZINE DID. THEY STILL MAY HAVE HAD SOME DELUSIONAL THINKING OR SOME HALLUCINATIONS BUT THEY WERE NOT UPSET BY THEM ANYMORE.

FRANKLIN:
SINCE THEN, MORE AND BETTER MEDICINES HAVE BEEN FOUND. FOR TAM, NOW 75 AND STILL WORKING AS A NURSE, IT'S AN EXCITING TIME.

TAM:
IT'S BEEN A MIRACLE.

WE STILL DON'T HAVE A CURE, BUT WE AT LEAST KNOW THAT THEY CAN BE RELIEVED OF THEIR SYMPTOMS IF THEY TAKE THEIR MEDICATION.

FRANKLIN:
AS TREATMENTS BECAME AVAILABLE, THE DOORS TO THE INSTITUTIONS OPENED WIDE.

INSTEAD OF STAYING YEARS OR EVEN A LIFETIME, THE AVERAGE STAY AT ONE OF IDAHO'S STATE HOSPITALS IS NOW 60 DAYS.

MARILYN STANDFIELD:
ARE WE READY?

KEVIN DAVENPORT:
OK.

FRANKLIN:
KEVIN DAVENPORT IS LEAVING STATE HOSPITAL SOUTH AFTER SEVERAL MONTHS OF TREATMENT.

DAVENPORT:
BYE BYE. SEE YOU LATER.

FRANKLIN:
HIS MOTHER MARILYN WILL DRIVE HIM 25 MILES HOME.

STANDFIELD:
LET'S PUT IT IN THE TRUNK, RIGHT HERE.

FRANKLIN:
BUT KEVIN'S ROAD TO RECOVERY WILL BE MUCH LONGER.

KEVIN IS 24 YEARS OLD. FOUR YEARS AGO, HE WAS DIAGNOSED WITH SCHIZO-AFFECTIVE DISORDER, SIMILAR TO SCHIZOPHRENIA.

THE DIAGNOSIS CAME AFTER YEARS OF HIS MOTHER STRUGGLING WITH HIS BEHAVIOR.

AT FIRST SHE JUST THOUGHT IT WAS HIS PERSONALITY.

STANDFIELD:
TO BE PERFECTLY HONEST WITH YOU, BY THE TIME THAT I BELIEVED THAT THERE WAS A MENTAL, MENTAL ILLNESS I THINK HE WAS RIGHT IN THE THROES OF IT.

FRANKLIN:
BY THEN KEVIN HAD STARTED SAYING STRANGE THINGS.

STANDFIELD:
HE WOULD SAY THINGS LIKE, HE WAS BEAT, BEATEN TO THE POINT WHERE HIS HEAD WAS SOFT.

THEN HE WOULD TELL ME THAT YOU'RE NOT MY REAL MOTHER; GOD IS MY REAL MOTHER, THE ANGEL IS MY MOTHER.

EVEN THAT PROBABLY I COULD HAVE DEALT WITH, HAD IT NOT BEEN ACCOMPANIED WITH THE RAGE. I MEAN, FOR NO REASON, HE WOULD JUST GET IN A RAGE.

THIS IS A BIG SWITCH IN HIS PERSONALITY. AND I THEN DECIDED THAT I NEEDED TO INTERVENE AND TRY TO GET HIM SOME HELP.

FRANKLIN:
ONCE SHE HAD MADE THE TOUGH DECISION TO GET HELP, THOUGH, A SHOCK. IT WASN'T AVAILABLE.

STANDFIELD:
AT THAT TIME THEY WOULD TELL ME, "WELL THERE'S REALLY NOTHING WE CAN DO. HAS HE DID ANYTHING TO HARM HIMSELF?" "WELL, NO, HE HASN'T." "HAS HE HARMED ANYBODY?" "NO." "HAS HE THREATENED YOU?" "WELL, HECK NO." BUT SO, YOU KNOW, IF YOU ANSWER NO TO THOSE QUESTIONS, THEN THERE'S NOTHING THEY CAN DO.

FRANKLIN:
THAT'S BECAUSE IDAHO, LIKE MOST STATES, HAS LAWS THAT PREVENT ADULTS FROM BEING HOSPITALIZED AGAINST THEIR WILL UNLESS THEY'RE A DANGER TO THEMSELVES OR OTHERS, OR ARE SERIOUSLY DISABLED.

LINDA HATZENBEUHLER, DESIGNATED EXAMINER:
THE CIVIL COMMITMENT LAWS ARE SET UP TO PROTECT PEOPLE'S RIGHTS. AND YOUR SUBSTANTIVE DUE PROCESS RIGHT IS THE RIGHT TO LIBERTY.

FRANKLIN:
LINDA HATZENBUEHLER IS A DESIGNATED EXAMINER, OR DE. IN IDAHO, TWO DE'S MUST EXAMINE A PERSON WITH MENTAL ILLNESS AND CERTIFY THAT THE INDIVIDUAL IS A DANGER OR GRAVELY DISABLED, BEFORE THEY CAN BE COMMITTED TO A STATE HOSPITAL.

HATZENBUEHLER:
IN THE 1950S WE WERE MUCH MORE PATERNALISTIC IN THIS COUNTRY AND PEOPLE WERE EASILY PLACED IN HOSPITALS AGAINST THEIR WILL. DOCTORS HAD A HUGE AMOUNT OF POWER.

IN THE EARLY 70S WHEN CIVIL RIGHTS REALLY BECAME AN ISSUE AMONG LOTS OF GROUPS OF PEOPLE, THINGS CHANGED FOR PERSONS WITH MENTAL ILLNESS.

THEY SHOULD HAVE AS MUCH PROTECTION TO THEIR RIGHTS AS ANY OTHER CITIZEN IN THE UNITED STATES.

FRANKLIN:
BUT SOME SAY THE IDEA OF CIVIL LIBERTIES CAN GO TOO FAR.

MARY MOLLER, PSYCHIATRIC NURSE PRACTITIONER:
I'VE WORKED WITH SO MANY PATIENTS WHO WERE ALLOWED TO STAY PSYCHOTIC VIA THE LEGAL SYSTEM BECAUSE THEY HAD A RIGHT TO REFUSE MEDICATIONS. AND I'VE KNOWN PEOPLE WHO HAVE DIED WITH THESE RIGHTS ON.

FRANKLIN:
MARY MOLLER IS A PSYCHIATRIC NURSE PRACTITIONER WHO HAS DESIGNED A PROGRAM TO HELP PATIENTS LEARN HOW TO REPORT SYMPTOMS EARLY, SO THEY CAN GET HELP.

MOLLER:
HOW YOU THINK THEN DETERMINES WHAT WE DO.

FRANKLIN:
BUT SHE SAYS THE SYSTEM OFTEN IGNORES THOSE CRIES UNTIL IT'S TOO LATE.

MOLLER:
SO YOU HAVE AN INDIVIDUAL THAT REPORTS SYMPTOMS, THEY'RE TOLD THEY'RE NOT SICK ENOUGH YET, THE PSYCHOSIS EMERGES, NOW YOU'RE GOING TO HAVE TO HAVE FORCED TREATMENT. THE INDIVIDUAL REFUSE TREATMENT FOR AN ILLNESS THAT THEY NO LONGER BELIEVE THEY HAVE, THAT TWO WEEKS EARLIER THEY REPORTED WAS GETTING WORSE. NOW WHO HAS THE THOUGHT DISORDER?

FRANKLIN:
IT WASN'T UNTIL KEVIN WAS WANDERING THE STREETS IN WINTER AND OVER MEDICATING HIMSELF WITH NON-PRESCRIPTION DRUGS THAT HE WAS CONSIDERED TO BE A DANGER AND ALLOWED TO BE HOSPITALIZED.

STANDFIELD:
IT WAS DEVASTATING TO ME. I DIDN'T KNOW VERY MUCH ABOUT STATE HOSPITALS AND THAT THAT I DID KNOW, IT WAS NOT THE MOST POSITIVE SCHEMA THAT I HAD, SO I WAS FRIGHTENED FOR HIM.

I WAS FRIGHTENED FOR HIM TO BE OUT AND I WAS FRIGHTENED FOR HIM TO BE IN THERE.

FRANKLIN:
THOSE FEARS ARE GROUNDED IN HISTORY.

FOR CENTURIES, STATE HOSPITALS WERE DUMPING GROUNDS FOR THE MENTALLY ILL, WHO WERE SEEN AS EMBARRASSMENTS TO THEIR FAMILY.

OLD HOSPITAL JOURNALS ARE ALL THAT REMAIN TO GIVE A VOICE TO THOSE WHO WERE MORE NUMBERS THAN NAMES.

WHEN PATIENTS ARRIVED, A SIMPLE FORM LISTED THEIR VITAL STATISTICS AND THEIR CONDITION.

STAFF WOULD WRITE DOWN PROBABLE CAUSES FOR THE ILLNESS. GUESSES RANGED THE GAMUT, FROM MASTURBATION, TO CHILDBIRTH, TO SIMPLY "BEING ALONE."

YEARS WOULD GO BY AND NO OTHER NOTATION WAS MADE EXCEPT FOR THE PERSON'S FINAL DISPOSITION.

OFTEN, THAT WAS DEATH.

TAM:
IF YOU WERE ONCE COMMITTED TO AN INSANE ASYLUM THAT'S WHERE YOU WOULD BE THE REST OF YOUR LIFE.

STANDFIELD:
SO HOW DOES IT FEEL?

FRANKLIN:
KEVIN WILL NOT SUFFER THAT SAME FATE. BUT JUST BECAUSE HE'S HOME, DOESN'T MEAN HIS LIFE WILL BE EASY.

STANDFIELD:
THE NEXT COUPLE OF DAYS, WHAT DO YOU WANT TO DO?

DAVENPORT:
YOU KNOW, I AM 24 YEARS OLD. I DON'T SEEM 24.

STANDFIELD:
DO YOU SEEM OLDER OR YOUNGER?

DAVENPORT:
YOUNGER.

STANDFIELD:
OH REALLY?

DAVENPORT:
YEAH.

STANDFIELD:
THAT'S PROBABLY BECAUSE OF YOUR RESPONSIBILITY LEVEL.

DAVENPORT:
I NEED A CAR. NOT TO HAVE A CAR IS NOT NORMAL.
 
STANDFIELD:
WELL, YOU KNOW WHAT I FIGURE. AS LONG AS YOU ARE ALIVE, YOU STILL HAVE THE CHANCE.

DIANE STRUNK:
HELLO!

PETE BECKER:
HELLO DEDE!
 
FRANKLIN:
FIVE HUNDRED MILES AWAY, ANOTHER HOMECOMING. DIANE STRUNK IS MOVING INTO A NEW APARTMENT.

STRUNK:
YOU GOT THE COFFEE POT AND A PLANT, OH GOOD. HELLO!

FRANKLIN:
NOT TOO LONG AGO, THOUGH, HER PARENTS WERE WONDERING IF THIS DAY WOULD EVER COME.

P. BECKER:
WELL, IF WE HAD SEEN DIANE LAST MAY, WE WOULD HAVE SEEN A PERSON WHO WAS TOTALLY IRRATIONAL, SOMEBODY WHO HAD DELUSIONS OF PEOPLE OUT TO SHOOT HER, ASSASSINS HIDING BEHIND TREES.

STRUNK:
I GAVE AWAY EVERYTHING I OWNED AND JUST THREW THINGS AWAY AND JUST, I ENDED UP WITH ABSOLUTELY NOTHING.

FRANKLIN:
DIANE HAS MANIC DEPRESSION.

SYMPTOM-FREE FOR 15 YEARS, SHE SUDDENLY FOUND HERSELF IN ANOTHER EPISODE OF MANIA, A HIGH-ENERGY BUT OFTEN HIGH-RISK CONDITION.

STRUNK:
I HAVE A FEELING THAT A LOT OF PEOPLE MAYBE SOMETIMES THOUGHT I WAS DRUNK OR, YOU KNOW, DOING SOME KIND OF, YOU KNOW, CRANK OR SOMETHING LIKE THAT BECAUSE IN A MANIC EPISODE YOU'RE SO HIGH.

FRANKLIN:
DIANE WAS UP ALL NIGHT, HANGING OUT AT BARS, BOTHERING PEOPLE, WANDERING THE STREETS.

HER PARENTS TRIED TO GET HER HELP, BUT LIKE KEVIN'S MOTHER, WERE TOLD SHE WASN'T A DANGER.

FINALLY DIANE WAS ARRESTED FOR TRESPASSING AND SENT TO THE HOSPITAL.

SHIRLEY BECKER:
WHEN THEY BREAK A LAW THAT'S WHEN THEY SOMETIMES GET HELP. I MEAN, SOMETIMES WE'RE JUST EXCITED WHEN SHE'S HAD TO GO TO JAIL, WHICH IS AWFUL.
 
FRANKLIN:
AT THE HOSPITAL DIANE WAS GIVEN MEDICINE.

SOON SHE SEEMED TO BE DOING WELL, SO WELL THAT SHE WAS GIVEN PRIVILEGES TO
LEAVE THE BUILDING.

ONE DAY SHE DECIDED TO TRAVEL A LITTLE FURTHER.
 
STRUNK:
I LEFT THREE DAYS BEFORE MY COURT DATE. I JUST ESCAPED FROM THE HOSPITAL. AND I JUMPED IN THE RIVER TO GET HOME; I JUST WANTED TO GO HOME AND CLEAN MY APARTMENT. THAT WAS MY WHOLE GOAL. AND MY GOAL FOR JUMPING IN THE RIVER WAS THAT I COULD GET THERE FASTER.
 
P. BECKER:
I RECEIVED A PHONE CALL FROM SOMEONE AT STATE HOSPITAL NORTH AND THEY ASKED IF I HAD SEEN DIANE. AND I SAID, "NO, SHE'S WITH YOU." AND THEY TURNED AROUND AND SAID, "NO WE'VE LOST HER." "YOU LOST HER?" "YES, SHE ESCAPED."
 
STRUNK:
IT WAS TERRIBLE; IT WAS ABSOLUTELY HORRIBLE. I THOUGHT I WAS GOING TO DIE. I REMEMBER THINKING, ALL THOSE MOVIES WHERE PEOPLE ARE GOING DOWN THE RIVER AND GRABBING ON BRANCHES AND SLIDING OFF OF THEM; THEY'RE TRUE. THAT'S THE WAY IT IS WHEN YOU JUMP IN A RIVER LIKE THAT. I COULD HAVE DIED.
 
P. BECKER:
LESS THAN A DAY LATER I GOT A PHONE CALL FROM DIANE SAYING, "I LEFT OROFINO, I SWAM THE CLEARWATER RIVER, I GOT A RIDE BACK WITH SOME FISHERMEN, AND I'M CLEANING MY APARTMENT."

FRANKLIN:
NEEDLESS TO SAY, DIANE WENT BACK TO THE HOSPITAL.

BUT EVEN THOUGH SHE HAD WALKED AWAY FROM THE INSTITUTION AND JUMPED IN THE
RIVER, JUST A FEW DAYS LATER, SHE WAS RELEASED.

AND THINGS WOULD SOON GET WORSE.

STRUNK:
IF I WOULD HAVE JUST STAYED JUST A LITTLE BIT LONGER I MIGHT HAVE BEEN ABLE TO, YOU KNOW, PUT A CURB ON THE PROBLEM AND THINGS WOULD HAVE BEEN OKAY, BUT THAT'S NOT THE WAY THAT IT WORKED OUT, SO.

FRANKLIN:
WITH THE ADVENT OF NEW MEDICINES, MANY STATE HOSPITALS DOWNSIZED.

IN IDAHO, THERE ARE ONLY 150 BEDS AT TWO STATE HOSPITALS, AND PATIENTS CAN'T
STAY ANY LONGER THAN A YEAR.
 
THE IDEA IS THAT INSTITUTIONS SHOULD STABILIZE A PERSON, WITH LONG-TERM
TREATMENT OCCURING IN THE COMMUNITY.
 
KADRMAS:
IF YOU HAVE TO BE SENT AWAY, SENT AWAY SOMEPLACE, THAT'S STIGMATIZING.
 
WHEN A PERSON IS IN A COMMUNITY SETTING WITH APPROPRIATE SUPPORTS, THEY CAN DEVELOP MORE THAN IF THEY ARE ISOLATED AWAY.

FRANKLIN:
DOUG OLIVER FIGURES HE'S BEEN IN STATE HOSPITALS AT LEAST A DOZEN TIMES.

DOUG OLIVER:
I WOULD GO THERE EVERY OTHER FOUR MONTHS OUT OF THE YEAR. OVER AND OVER AND OVER AGAIN. THEY KEPT SENDING ME BACK IN THAT CIRCLE.

MELODY LEE, CASEWORKER:
HOW DOES IT FEEL?

OLIVER:
TIGHT.

LEE:
FEELING A LITTLE PAIN THERE?

OLIVER:
YEAH.

LEE:
THAT'S GOOD.

FRANKLIN:
THAT CIRCLE WAS BROKEN WHEN THE STATE PAID FOR A PERSON TO HELP DOUG, WHO HAS SCHIZOPHRENIA, LEARN MORE ABOUT HOW TO LIVE WITH HIS ILLNESS.

OLIVER:
OH, IT'S EXCELLENT BECAUSE BEFORE I MET MELODY MY CASEWORKER, I HAD NO
SUPPORT WHATSOEVER.

ALL THEY WOULD DO FOR ME IS GIVE ME MEDICATION AND TELL ME I'M SCHIZOPHRENIC, THAT THAT'S WHY I'M THERE.

AND IT REALLY GOT ME MAD BECAUSE I NEEDED FUNDAMENTALS, I NEEDED TO REALLY IMPROVE MYSELF.

FRANKLIN:
DOUG IS USING EXERCISE TO HELP REDUCE HIS PSYCHOTIC SYMPTOMS.

LEE:
IT HELPS HIM VERY MUCH WHEN HE RUNS OR WHEN HE STIMULATES HIS MUSCLES TO BECOME MORE CALM. THE THING THAT HELPS HIM MOST IS HUMAN CONTACT. AND THAT SEEMS TO BE WHAT HELPS HIM STAY STABLE, AS STABLE AS HE CAN BE.

OLIVER:
THIS IS MY MENTAL HEALTH PROGRAM. THEY BRING ME HERE TO TRY TO GET ME MORE INVOLVED, MORE ACTIVE, AND GET MY PHYSICAL CONDITION RIGHT.

MOLLER:
THE AVERAGE PERSON WITH A PSYCHIATRIC DISABILITY CAN ACHIEVE MOST OF THEIR DESIRED LIFE GOALS. THE PROBLEM IS THE FOCUS OF TREATMENT HASN'T BEEN ONE OF REHABILITATION. THE FOCUS OF TREATMENT TRADITIONALLY IN THE UNITED STATES AND THROUGHOUT THE WORLD IS ONE OF CRISIS INTERVENTION ONLY.

FRANKLIN:
DOUG HAS NOW BEEN OUT OF THE HOSPITAL FOR SEVERAL YEARS.

OLIVER:
AND I'M DOING WELL. YOU KNOW, EVERYBODY TELLS ME I AM. SO I'M FORTUNATE AND I DON'T TAKE IT FOR GRANTED.
 
FRANKLIN:
BUT DOUG IS ONE OF THE LUCKY ONES.

IDAHO RANKS 49TH IN STATE FUNDING FOR MENTAL HEALTH SERVICES.

KADRMAS:
IN IDAHO, PEOPLE WHO GET TREATMENT, GET PRETTY GOOD TREATMENT. BUT BECAUSE OF
LACK OF RESOURCES, THE NUMBER OF PEOPLE WHO GET TREATMENT IS VERY SMALL.

MOLLER:
MENTAL ILLNESS HAS NOT GONE AWAY. WHAT'S GONE AWAY ARE THE HOSPITALS. WHAT'S GONE AWAY IS TREATMENT.

FRANKLIN:
WHEN DIANE WAS RELEASED, SHE WENT BACK TO THE STREET.

AND THIS MOTHER, WHOSE THREE CHILDREN HAD ALWAYS BEEN HER HIGHEST PRIORITY, LEFT TOWN.

S. BECKER:
SHE WAS ILL. SHE WASN'T DIANE. HER KIDS ARE HER WHOLE LIFE.

FRANKLIN:
BUT FOR FIVE MONTHS, THE ROAD WAS HER LIFE.

DIANE HITCHED RIDES WITH TRUCKERS ALL OVER THE COUNTRY.

STRUNK:
A LOT OF TIMES I CAN'T THINK OF HOW I GOT FROM ONE PLACE TO THE OTHER,
BUT I TRAVELED A LOT.

RODE BUSES. I GOT KICKED OFF THE BUSES FOR CAUSING PROBLEMS. AND I DON'T EVEN RECALL CAUSING PROBLEMS.

FRANKLIN:
IN ONE TOWN DIANE MET A MAN WHO LET HER STAY WITH HIM.

SHE'S NOW PREGNANT WITH HIS CHILD.

STRUNK:
IT'S GOING TO BE DIFFICULT FOR ME TO HAVE A CHILD AND NOT KNOW THE FATHER. I HAVE NO WAY OF GETTING A HOLD OF THE GENTLEMAN THAT I WAS STAYING WITH.

ON THE OTHER HAND I'M A VERY GOOD MOTHER AND I'M VERY CONFIDENT THAT I'M GOING TO BE ABLE TO RAISE THIS CHILD.

FRANKLIN:
INDEED, AFTER NEARLY HALF A YEAR ON THE ROAD, DIANE MISSED HER CHILDREN TERRIBLY. SHE FELT MISERABLE AND FOUND HER WAY HOME.

STRUNK:
ARE WE STILL GOING TO PLAY SOME BALL OVER AT THE PARK?

KADRMAS:
IF YOU THINK ABOUT IT, BIPOLAR DISORDER, OR MANIC DEPRESSIVE ILLNESS; THE OTHER SIDE OF MANIA IS DEPRESSION. IT IS NOT FUN TO BE DEPRESSED. IT'S AWFUL TO BE DEPRESSED. IT FEELS CRUMMY, UNIVERSALLY CRUMMY.

D. STRUNK:
THROW ME THE BALL, MELISS.

FRANKLIN:
THIS TIME DIANE WENT TO THE STATE HOSPITAL AND STAYED UNTIL DOCTORS FOUND A MEDICINE THAT WORKED FOR HER.

STRUNK:
IT MAKES ME FEEL NORMAL, YOU KNOW. AND IN FACT EARLIER TODAY I WAS THINKING ABOUT, "BOY DO I REALLY NEED MEDICATION NOW?" AND THAT'S THE FIRST THING THAT ANYBODY SAYS, YOU KNOW, TO ME IS AS SOON AS YOU START FEELING LIKE YOU DON'T NEED MEDICATION, THAT'S WHEN YOU NEED TO STAY ON IT.

S. BECKER:
BLESS US OH LORD, IN THESE THY GIFTS WHICH WE ARE ABOUT TO RECEIVE FROM YOUR BOUNTY THROUGH CHRIST OUR LORD, AMEN.

DIANE:
ALL RIGHT.

MY FAMILY PLAYS A BIG ROLE. THEY ARE VERY, VERY SUPPORTIVE. AND MY
CHILDREN ARE VERY ACCEPTING. THAT'S THE THING THAT IS VERY IMPORTANT TO ME. WHEN I THINK OF FAMILY I THINK OF MY CHILDREN.

DAUGHTER:
GO AHEAD, BECAUSE I FELT IT.

OTHER DAUGHTER:
WHOA, I FELT IT.

S. BECKER:
I FEEL GOOD ABOUT HER. I FEEL LIKE, YOU KNOW, SHE'S DOING GREAT AND SHE'S LOOKING FORWARD TO THE BABY AND HAVING HER GIRLS BACK. AND I FEEL GOOD
ABOUT HER. I FEEL LIKE SHE'S MADE IT THROUGH THIS.

P. BECKER:
NO MATTER WHAT SHE DOES, SHE'S STILL OUR DAUGHTER AND WE LOVE HER.

DAUGHTER:
I LOVE YOU, MOM.

STRUNK:
I LOVE YOU TOO, SWEETHEART.

FRANKLIN:
LOVE, A RARE COMMODITY FOR THE MENTALLY ILL.

FEARED AND REVILED, MANY WERE THOUGHT TO BE POSSESSED BY DEMONS, LOCKED AWAY OR EVEN KILLED.

WHILE SCIENCE IS STILL STRUGGLING TO FIND THE EXACT CAUSES OF MENTAL ILLNESS, TODAY WE KNOW THAT ITS GENESIS IS BIOLOGICAL.

KADRMAS:
PEOPLE DO NOT CHOOSE DO BECOME SCHIZOPHRENIC. PEOPLE DO NOT CHOOSE TO BECOME BIPOLAR. I DON'T KNOW ANY PERSON, LITERALLY WHO MADE A CHOICE LIKE THAT. I CAN'T IMAGINE A PERSON MAKING THAT KIND OF A CHOICE. CLEARLY THOSE ARE BRAIN DISEASES.

FRANKLIN:
BUT THERE ARE THOSE WHO SEE A DEEPER MEANING TO THEIR ENCOUNTER WITH WHAT SOME CALL MADNESS.

CRAIG TANNER:
TO ME IT'S THE EXPERIENCES OF MY LIFE. IT'S NOT AN ILLNESS; IT'S MY LIFE. IT'S MY EXPERIENCE; IT'S MY, IT'S WHAT I'VE SEEN, SAW, HEARD, AND DONE ON THIS EARTH. IT'S NOT AN ILLNESS.

FRANKLIN:
CRAIG TANNER STARTING HEARING VOICES WHEN HE WAS IN HIS TWENTIES.

C. TANNER:
IT DIDN'T SOUND LIKE IT WAS COMING FROM WITHIN MY OWN MIND. IT WOULD ACTUALLY BE LIKE SOMEBODY, LIKE THERE WAS A GHOST STANDING RIGHT OVER THERE TALKING. AND SOMETIMES THERE WAS, PEOPLE WOULD, THEY WOULD COME FROM ANOTHER PERSON. I WOULD LOOK AT A PERSON AND I WOULD LIKE HEAR A THOUGHT COME FROM THEIR MIND.

FRANKLIN:
SOON HOMELESS, CRAIG WANDERED THE STREETS OF SEATTLE.

FOR HIM THE VOICES BECAME A TIE TO ANOTHER WORLD.

C. TANNER:
I DO BELIEVE IN SPIRITS. I DO BELIEVE IN SPIRITUAL ENTITIES. I DO BELIEVE THAT THEY COMMUNICATE WITH US. BUT I ALSO BELIEVE THAT ALSO MY OWN SUBCONSCIOUS MIND IS INVOLVED. EITHER WAY, THOUGH, I'M CURIOUS AS TO WHAT THEY HAVE TO SAY.

MARTHA TANNER:
WE REALIZED HE WAS ILL. WE WERE TRYING TO GET HELP TO GET HIM INTO TREATMENT, BUT HE WAS PARANOID SO WE COULD NOT DO THAT.

FRANKLIN:
FINALLY CRAIG CAME HOME, BUT ONLY FOR A NIGHT. HE STOLE HIS PARENTS' CAR AND DROVE TO MONTANA.

M. TANNER:
WE CALLED THE PSYCHOLOGIST AND TOLD HIM THAT THIS HAD HAPPENED AND HE SAID, "WELL THIS IS A BLESSING IN DISGUISE BECAUSE YOU NOW YOU CAN HAVE HIM ARRESTED FOR STEALING YOUR CAR." BECAUSE OTHERWISE, HOW WOULD WE EVER GET HIM INTO TREATMENT?

JOHN TANNER:
THAT WAS ONE OF THE WORST MOMENTS OF MY LIFE BECAUSE MY OWN SON YOU KNOW, ASKING TO HAVE YOUR OWN SON PUT IN JAIL IS PRETTY TOUGH.

FRANKLIN:
CRAIG WAS HOSPITALIZED, DIAGNOSED WITH SCHIZOPHRENIA AND STABILIZED WITH MEDICINE.

HE NO LONGER HEARS VOICES. BUT THE EXPERIENCE IS STILL VERY REAL.

C. TANNER:
I HAD PHYSICAL OBJECTS JUST APPEAR. AND I'D PUT THEM ON. LIKE I HAD CLOTHING JUST APPEAR ON ME AND I WOULD PUT IT ON AND WEAR IT.

J. TANNER:
THIS WAS ALL PRETTY MUCH IN THE LAST TWO MONTHS, WASN'T IT, IN SEATTLE?

C. TANNER:
YEAH.

J. TANNER:
THAT'S WHAT I THOUGHT.

C. TANNER:
THAT WAS IN THE LAST WEEK.

J. TANNER:
BUT THE PARANOIA, THE NOT WANTING TO SEE US, NOT WANTING TO GO WITH US ON ANYTHING, THAT WAS FOR MANY MONTHS, I THINK.

C. TANNER:
IT WAS. BUT IT WAS JUSTIFIED. YOU PEOPLE WERE OUT TO GET ME.

M. TANNER:
GET YOU TREATED.

C. TANNER:
YOU WERE TRYING TO DESTROY MY LITTLE WORLD. I WAS CREATING THE PERFECT LITTLE WONDERFUL LITTLE WORLD AND YOU PEOPLE WERE TRYING TO UPSET IT, TRYING TO TELL
ME IT WASN'T REAL.

J. TANNER:
IT WAS REAL ENOUGH, JUST DAMAGING.

C. TANNER:
I CONSCIOUSLY AND KNOWINGLY WALKED INTO THAT DANGER ON MY OWN. I KNEW THERE WAS DANGER AND I FACED IT WILLINGLY. AND I'D FACE IT AGAIN, TOO.

M. TANNER:
I'M CERTAIN THAT HE WOULD GO OFF MEDICATION WITHOUT SUPERVISION. I'M CERTAIN OF THAT. HE ENJOYED HIS DELUSIONS VERY MUCH.

ERIC OLSON:
HERE'S YOUR NEW ONES FOR THIS WEEK.

C. TANNER:
ALRIGHT, THANKS.

OLSON:
HOW ARE THEY WORKING?

C. TANNER:
UM, THEY'RE DOING PRETTY GOOD.

OLSON:
REALLY?

C. TANNER:
YEAH. HAVEN'T BEEN HEARING ANY VOICES LATELY. NO LITTLE GHOSTS HAVE BEEN BOTHERING ME.

OLSON:
ARE YOU SURE?

C. TANNER:
YEAH.

FRANKLIN:
CRAIG IS NOW PART OF A PROGRAM CALLED ASSERTIVE COMMUNITY TREATMENT, OR ACT.

FUNDED BY THE STATE, THE IDEA IS DECEPTIVELY SIMPLE. KEEP PEOPLE OUT OF HOSPITALS BY SURROUNDING THEM WITH THE HELP THEY NEED IN THE COMMUNITY.

OLSON:
WE HAVE THAT CONCEPT OF BEING A HOSPITAL WITHOUT WALLS. WE GO TO THEIR HOME, HELP THEM MAKE SURE THEY TAKE THEIR MEDICATIONS, HELP THEM UNDERSTAND. WE TRY TO HELP THEM ADAPT AND COPE AND LEARN TO DEAL AS BEST THEY POSSIBLY CAN IN THEIR HOME, IN THEIR ENVIRONMENT.

M. TANNER:
THE ACT TEAM HAS BEEN ABSOLUTELY CRUCIAL TO DEALING WITH THIS SITUATION.

ACT WORKER:
MORNING CASSIE. HOW ARE YOU?

J. TANNER:
AN ACT TEAM GOES TO THE MENTALLY ILL PERSON. WITHOUT AN ACT TEAM THEY EXPECT THE MENTALLY ILL PERSON TO COME TO THEM, WHICH TENDS NOT TO HAPPEN.

ERIC:
SO DO WE WANT TO TRY AND SQUEEZE IN FIVE, WHERE WE NORMALLY DO FOUR?
  
FRANKLIN:
A CRITICAL ELEMENT OF THE ACT TEAM - WEEKLY MEETINGS - WHERE WORKERS ARE UPDATED ON THE PROGRESS OF EVERY CLIENT.

TODAY THERES A CONCERN ABOUT KEVIN, WHO'S PART OF THE PROGRAM.

HE'S BEEN IN HIS OWN APARTMENT FOR SEVERAL MONTHS BUT IS NOW RESISTING
MEDICATION.
  
ACT TEAM NURSE:
KEVIN IS KIND OF SLIDING INTO THAT "I DON'T WANT TO TAKE THIS MEDICATION; IT'S HURTING MY WHOLE BODY AND I'M HAVING THIS INSTANT REACTION." SO HE DIDN'T TAKE ANY RISPERDAL YESTERDAY.
  
OLSON:
WHO SAW HIM IN THE AFTERNOON YESTERDAY?

KEN MORGAN, ACT WORKER:
I SAW HIM YESTERDAY AFTERNOON.

NURSE:
DID HE TAKE HIS OTHER MEDICATIONS?
  
MORGAN:
YEAH. I CONVINCED HIM TO TAKE HIS OTHER ONES. HE SAID, "WELL THIS ONE MAKES MY BODY HURT." AND I SAID, "THESE OTHER ONES DON'T MAKE YOUR BODY HURT." AND SO HE AT LEAST TOOK THOSE.
  
OLSON:
I'LL GO TALK TO HIM. WENDY AND I WILL GO TALK TO HIM THIS MORNING AND SEE IF WE CAN FIGURE THAT OUT.
  
KEVIN, THIS IS ERIC FROM THE ACT TEAM. HOW ARE YOU THIS MORNING? OK. I'VE GOT YOUR MEDICATIONS. CAN YOU BE READY FOR ME? OK. THANKS KEVIN. GOODBYE.
  
SO CAN YOU TAKE THESE FOR ME THIS MORNING?

WE DON'T FORCE PEOPLE TO TAKE MEDICATIONS. WHAT WE REALLY TRY TO DO IS HELP CLIENTS UNDERSTAND THEIR ILLNESS AND UNDERSTAND THE EFFECTS OF MEDICATION ON THEIR ILLNESS, HOW THAT CAN HELP THEM.

FRANKLIN:
BUT KEVIN DOESN'T THINK THE MEDICATIONS HELP HIM.
  
DAVENPORT:
IT JUST DOESN'T GO WELL. I HAVE AN ALLERGIC REACTION TO IT, I THINK, BUT I CAN'T EXPLAIN IT BECAUSE I HAD SOMETHING HAPPEN TO MY MIND. I DON'T KNOW. IT'S HARD TO EXPLAIN. BUT IT MAKES ME KIND OF ILL.

STANDFIELD:
I THINK HE'S OVER-MEDICATED. THERE'S A LOOK IN HIS EYE, THERE'S A MANNERISM, THE KIND OF, AND FOR LACK OF A BETTER WORD, I USE THIS "ZOMBIE LOOK" THAT HE'LL HAVE, THIS DAZE, WHERE HE IS NOT FUNCTIONAL.

FRANKLIN:
KEVIN'S MOTHER IS ALSO WORRIED ABOUT HER SON'S SOCIAL SKILLS.

STANDFIELD:
HE'S BEEN ALONE FOR SO LONG NOW, THAT EVEN WHEN HE'S FEELING BETTER I DON'T THINK HE CAN ACT IN A MANNER THAT A LOT OF PEOPLE WILL BELIEVE IS NORMAL, BECAUSE HE'S BEEN AWAY FROM PEOPLE FOR SO LONG, YOU KNOW WHAT I MEAN? HE'S MISSED OUT ON A LOT OF THINGS THAT HAS BEEN GOING ON IN THE WORLD.

CASEWORKER:
ALRIGHT. WHICH WAY DO YOU WANT TO GO FIRST?

FRANKLIN:
TO HELP KEVIN RELEARN BASIC SKILLS, ACT TEAM WORKERS TAKE HIM SHOPPING.

CASEWORKER:
LET'S PICK UP THE OTHER ONE AND LET'S COMPARE THEM AND SEE IF IT'S WORTH BUYING THE OTHER ONE, OKAY?

OLSON:
WE DO GROCERY SHOPPING WITH ALMOST ALL OF OUR ACT TEAM CLIENTS. THE REASON WE DO THAT, MOST OF THEM DON'T HAVE OR HAVE LOST THAT SKILL, THAT ABILITY TO SAY, "I'VE GOT THIS AMOUNT OF MONEY THIS WEEK THAT I CAN SPEND ON GROCERIES" AND BE ABLE TO MAKE A LIST AND PURCHASE THOSE ITEMS THAT THEY NEED.

WORKER:
WHAT KIND ARE YOU LOOKING FOR? CAN I HELP YOU?

OLSON:
WE TRY NOT TO DO IT FOR THEM BUT WE'LL MODEL FOR THEM AND PROBLEM SOLVE WITH THEM AND EVENTUALLY THEY'LL DO IT, WE'LL JUST MAYBE GO ALONG. AND THE GOAL BEHIND THAT IS TO GET THEM TO BE ABLE TO DO IT WITHOUT US.

FRANKLIN:
CRAIG NEEDS LESS ASSISTANCE THAN KEVIN. HE'S ABLE TO WORK THIS VOLUNTEER CASHIER JOB AT A LOCAL HOSPITAL.

BUT MUCH OF HIS SOCIAL INTERACTION, LIKE THIS TRIP TO THE ZOO, IS WITH OTHER ACT CLIENTS. IT'S A FAR DIFFERENT LIFE THAN HIS PARENTS HAD ENVISIONED FOR HIM BACK WHEN HE WAS A CHILD.

M. TANNER:
IT'S A FEELING OF LOSS THAT ONE HAS WHEN A CHILD HAS SUCH AN ILLNESS THAT IMPAIRS THEIR GIFTS. A TERRIBLE LOSS. MY KNOWLEDGE IS DEEP DOWN. IT IS A DISEASE. I KNOW THAT. I KNOW THAT. AND SO I AM NOT ASHAMED.

FRANKLIN:
NOR IS CRAIG.

C. TANNER:
WE CAN'T ALL BE LIVING ON THE OUTSKIRTS OF REALITY BECAUSE THEN WHO WOULD HOLD THE WORLD TOGETHER? BUT WE CAN'T ALL BE LIVING IN THE WORLD EITHER BECAUSE HUMANITY NEEDS ITS FANTASIES. IT EXPANDS THE HUMAN CONSCIOUSNESS FOR THERE TO BE PEOPLE THAT ARE EXPERIENCING EMOTIONS AND FEELINGS AND VOICES THAT ARE NOT OF THIS WORLD.

IT IS A PART OF THE TOTAL HUMAN EXPERIENCE.

FRANKLIN:
WHILE CRAIG HAS FOUND MEANING IN HIS ILLNESS, IT DOESN'T MAKE IT ANY LESS SEVERE.

AND LEFT UNTREATED, SCHIZOPHRENIA, LIKE OTHER MENTAL ILLNESSES, CAN HAVE DEVASTATING RESULTS.

KADRMAS:
A REALITY OF THE SEVERE PSYCHIATRIC ILLNESSES IS THAT SOMETIMES PEOPLE ARE SO UNCOMFORTABLE THAT THEY NEED TO END THE PAIN AND THEY DO THAT BY TAKING THEIR OWN LIFE.

FRANKLIN:
IT'S A FEELING MARY ELLEN WALSH KNOWS WELL.

MARY ELLEN WALSH:
ALMOST EVERY DAY, AND THIS HAS BEEN HAPPENING SINCE AS EARLY AS I CAN REMEMBER. I WOULD WISH THAT I HAD JUST NEVER HAD BEEN BORN.

FRANKLIN:
FOR MOST OF HER CHILDHOOD, MARY ELLEN MANAGED TO COVER UP HER ENORMOUS FEELINGS OF SADNESS.

SHE WAS VALEDICTORIAN OF HER JUNIOR HIGH.

SHE WAS A CHEERLEADER.

AND SOON SHE WAS ON HER WAY TO BOTH A PROMISING CAREER AND LIFE AS A MOTHER.

BUT HER SENSE OF DESPONDENCY KEPT GROWING.

WITH IT CAME GREAT MOOD SWINGS, CHANGES THAT SHE SOMETIMES TOOK OUT ON HER CHILDREN.

WALSH:
SOMETIMES I WOULD LASH OUT AT THEM WITH GREAT IRRITATION WHEN THEY HAD DONE NOTHING THAT THEY DIDN'T DO ALL THE TIME AND NOTHING THAT WAS TERRIBLE.

FRANKLIN:
WALSH WAS EXHIBITING CLASSIC SIGNS OF DEPRESSION.

KADRMAS:
THE PROTOTYPE IS THE YOUNG MOTHER WHO YELLS AT HER KIDS AND GOES OUT INTO THE KITCHEN AND GOES, "I KNOW THOSE KIDS DIDN'T DESERVE THAT AND I'M NEVER GOING TO DO THIS AGAIN," AND TEN SECONDS LATER IS DOING IT AGAIN BECAUSE THE IRRITABILITY IS SO OVERWHELMING.

FRANKLIN:
MARY ELLEN FINALLY WAS DIAGNOSED WITH DEPRESSION AND GIVEN MEDICATION.

WALSH:
AS SOON AS IT GOT INTO MY SYSTEM, I WAS GLAD TO BE ALIVE. I THOUGHT, "AH! THIS MUST BE THE WAY MOST PEOPLE GO THROUGH THE WORLD."

KADRMAS:
PEOPLE WHO HAVE NEVER BEEN DEPRESSED THEMSELVES OR HAVE NEVER BEEN AROUND SOMEONE WHO HAVE BEEN DEPRESSED, SIMPLY DON'T UNDERSTAND WHAT IT'S LIKE TO BE DEPRESSED. AND THEY TEND TO BE THE PEOPLE WHO SAY, "SNAP OUT OF IT."

PEOPLE DO NOT CHOOSE TO BECOME SIGNIFICANTLY SEVERELY DEPRESSED. THAT'S A BIOLOGIC FACTOR THAT'S INVOLVED IN THAT.

FRANKLIN:
BUT MEDICINE IS NOT A TOTAL SAFEGUARD.

AND SO FIVE YEARS LATER, GOING THROUGH A DIVORCE, THE DEPRESSION RETURNED.

WALSH:
AND I ENTERED A STAGE JUST OF REAL DESPAIR. AND I TRIED TO SHOOT MYSELF BUT I COULDN'T FIGURE OUT HOW TO MAKE THE GUN WORK.

FRANKLIN:
SHE CALLED HER PSYCHIATRIST, WHO TOLD HER HE WAS CALLING THE POLICE.

PANICKED, MARY ELLEN SWALLOWED A BOTTLE OF PILLS.

WALSH:
I THEN EXPERIENCED THE MOST HUMILIATING TIME OF MY LIFE.

FRANKLIN:
MARY ELLEN WAS HANDCUFFED AND PUT IN THE BACK OF A POLICE CAR.

AND AT THE HOSPITAL, AFTER HER STOMACH WAS PUMPED, THINGS GOT WORSE.

WALSH:
THEY NOT ONLY PUT HANDCUFFS ON ME, THEY PUT A CHAIN AROUND MY WAIST THAT MY HANDCUFFS WERE CONNECTED TO.

FRANKLIN:
IT'S CALLED SHACKLING, AND IT'S STANDARD POLICE PROCEDURE FOR DEALING WITH THE MENTALLY ILL.

MIKE BECAR TRAINS POLICE OFFICERS.

MIKE BECAR, POST ACADEMY:
THE REASON WHY OTHER RESTRAINTS ARE USED BESIDES JUST HANDCUFFS IS BECAUSE THE PEOPLE BECOME SO IRRATIONAL AT TIMES THAT THEY'RE KICKING, THEY CAN CAUSE A LOT OF DAMAGE, NOT JUST KICKING AN OFFICER, BUT SOMETIMES THEY DAMAGE THE CARS. THEY KICK OUT WINDOWS, THEY CAN HURT THEMSELVES.

HATZENBUEHLER:
IT'S JUST TERRIBLE. I THINK THAT IT IS DEMEANING. NINETY-FIVE PERCENT OF THE TIME, IF NOT 99% OF THE TIME, THE RESTRAINTS ARE ABSOLUTELY UNNECESSARY.

FRANKLIN:
AND SHE SAYS IT'S JUST ANOTHER EXAMPLE OF HOW MENTAL ILLNESS IS TREATED DIFFERENTLY THAN OTHER ILLNESSES.

HATZENBUEHLER:
WHEN YOU'RE IN CRISIS WITH A PHYSICAL ILLNESS THE FIRST PERSON THAT COMES TO SEE YOU IS AN EMT IN AN AMBULANCE. THE FIRST PERSON THAT COMES TO SEE YOU WHEN YOU ARE IN A MENTAL HEALTH CRISIS CAN BE A POLICEMAN OR A LAW ENFORCEMENT OFFICER OF SOME OTHER TYPE, AND YOU'RE HAULED OFF IN A PATROL CAR.

BECAR:
IF I HAD ALL THE MONEY, IT WOULDN'T BE LAW ENFORCEMENT, IT WOULD BE A SEPARATE ENTITY WITH PHYSICIANS AND PSYCHIATRISTS THAT COULD RESPOND TO THESE SITUATIONS AND TREAT THEM LIKE THEY SHOULD BE TREATED. AND JUST LEAVE LAW ENFORCEMENT OUT OF THE EQUATION.

WALSH:
I WAS TREATED LIKE A CRIMINAL. IN THIS TIME, WHICH WAS THE HIGH CRISIS POINT OF MY LIFE, WHEN I HAD IN FACT ALMOST SUCCEEDED IN KILLING MYSELF, I WAS GIVEN NO TREATMENT AT ALL. I WAS TREATED LIKE A CRIMINAL.

FRANKLIN:
MARY ELLEN EVENTUALLY FOUND A NEW MEDICATION AND IS DOING WELL.

BUT AGAIN, A DISPARITY: HER INSURANCE, LIKE MOST, REIMBURSES HER ONLY 50% OF HER COSTS, AS OPPOSED TO 80% FOR ANOTHER ILLNESSES.

KADRMAS:
INSURANCE PARITY AT THIS POINT IN TIME IN THIS COUNTRY IS A TRAVESTY IN MY OPINION. HERE WE HAVE SIGNIFICANT, DIAGNOSABLE, BIOLOGICALLY-BASED, PSYCHIATRIC ILLNESSES THAT ARE NOT COVERED BY INSURANCE PLANS. HOW IS THAT FAIR?

FRANKLIN:
IT ALL ADDS, HE SAYS, TO THE STIGMA SURROUNDING AGAINST MENTAL ILLNESS.

KADRMAS:
STIGMA HAS SO MANY RAMIFICATIONS. IT LIMITS INSURANCE COVERAGE. IT LIMITS PEOPLE'S ACCEPTANCE OF THE HUMAN BEING SO THAT THEY DO NOT GO AND GET AVAILABLE TREATMENT.

FRANKLIN:
FORTUNATELY MARY ELLEN DID GET TREATMENT.

TODAY, SHE'S BACK TO WORK AS A PROFESSOR AT IDAHO STATE UNIVERSITY.

AND SHE'S ABLE TO ENJOY HERSELF WITH FRIENDS.

WALSH:
THERE ARE NEW TREATMENTS THAT CAN MAKE PEOPLE HAPPY TO BE ALIVE AND MAKE THEM PLEASED WITH WHO THEY ARE.

I FEEL VERY HAPPY. VERY, VERY HAPPY.

FRANKLIN:
OF COURSE, NO ONE PILL CAN MAKE YOU HAPPY.

MARY ELLEN HAS ALSO TALKED WITH THERAPISTS.

SHE'S CHANGED HER JOB SO THAT IT'S LESS STRESSFUL, WHICH SEEMED TO TRIGGER THE DEPRESSION.

KADRMAS:
IF PEOPLE ARE LOOKING FOR THE PERFECT MEDICINE TO SOMEHOW HAVE THE PERFECT LIFE, THEY'RE MISTAKEN. WHETHER WE'RE TALKING ABOUT ANTI-PSYCHOTIC MEDICINES, ANTI-ANXIETY MEDICINES, OR ANTI-DEPRESSANT MEDICINES, EACH OF THOSE CATEGORIES OF MEDICINES RELIEVE SOME SYMPTOMS AND THEN ALLOW THE PERSON TO BE ABLE TO BUILD A MORE PRODUCTIVE LIFE.

STRUNK:
I WORRIED A LITTLE BIT IN THE BEGINNING THAT I WOULDN'T BE ABLE TO TAKE GOOD CARE OF HER, BUT IT'S JUST SO EASY. AND IT'S JUST SO FAMILIAR FOR ME, SO. SHE'S A BREEZE.

WHAT I WOULD SAY TO OTHER PEOPLE, YOU KNOW, FOR PEOPLE THAT CARE ABOUT A LOVED ONE THAT HAS A MENTAL ILLNESS, JUST HANG IN THERE.

I HAVE FAITH THAT THINGS ARE GOING TO WORK OUT AND THAT THERE'S A CREATOR AND, YOU KNOW, HE'S GOT A WAY FOR ME IN LIFE.

MOLLER:
FAITH IS THE SUBSTANCE THAT KEEPS PEOPLE HANGING ON THERE. PATIENTS HAVE FAITH THAT THEY'LL GET BETTER. FAMILIES HAVE FAITH THAT THEY'LL MAKE IT THROUGH THIS AND THROUGH THEIR OWN TRAGEDY THEY CAN SOMEHOW HELP SOMEONE ELSE.

FRANKLIN:
IT'S A FAITH THAT CAN BE SORELY TESTED.

STANDFIELD:
HE WAS ON TOO MANY MEDICATIONS. HE WAS FEELING ILL. I WAS ONE THAT WAS PUSHING IT, HE WAS ANGRY AT ME. HE FELT LIKE, "MOM YOU KNOW ME, YOU KNOW THAT THESE MEDICATIONS ARE HURTING ME, WHY WON'T YOU HELP ME?"

HE MADE THE ATTEMPT TO ATTACK ME. HE NEEDED TO BE SOMEWHERE AT THAT POINT IN TIME BECAUSE OF THAT RAGE.

I FEEL LIKE I'M STILL RIGHT IN THE MIDDLE OF THE PROCESS OR THE CRISIS. I DON'T HAVE A SOLUTION. I EXPECT TO MAKE MISTAKES; I EXPECT THAT THE DOCTORS DON'T KNOW IT ALL. AND THAT IF WE DON'T GET IT RIGHT THE FIRST TIME, WE CONTINUE TO TRY.

R. SCHMIDT:
WHEN PEOPLE ARE EXPERIENCING THESE SYMPTOMS, THE TENDENCY IS TO FEEL THAT YOU'RE ALONE, YOU'RE LOST, HOPELESS, THERE'S NO WAY OUT, LIFE WILL NEVER GET BETTER. I THINK THE BEST THING TO REMEMBER IS, YOU KNOW, THAT THINGS CAN CHANGE, THERE ARE THINGS, YOU KNOW; LIFE CAN BE STILL WORTH LIVING.

FRANKLIN:
DESPITE THE CHALLENGES, LIFE HAS GOTTEN BETTER FOR PEOPLE WITH MENTAL ILLNESS.

IT'S A TESTAMENT TO THOSE WHO ARE BURIED HERE, IN THE OLD ASYLUM CEMETERY.

A FEW MARKERS ARE ALL THAT REMAIN TO HONOR THE THOUSANDS WHO WAITED IN VAIN FOR HELP, THOSE WHO NEVER SAW LIFE AGAIN OUTSIDE OF AN INSTITUTION, THOSE WHO VOICES WERE SILENCED BY SHAME.

THEIR DREAMS ARE NOW GIVEN FLIGHT, BY THOSE WHO CAN SPEAK.