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Allan Schwartz, Ph.D.Allan Schwartz, Ph.D.
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The Mentally Ill, Fear and Misunderstanding

Allan Schwartz, LCSW, Ph.D. Updated: Feb 16th 2012

The Mentally Ill, Fear and MisunderstandingFear distorts perceptions and perceptions affect attitudes and behaviors. For example, the chronic mental illnesses, such as Bipolar Disorder and Schizophrenia, conjure up images of people who are violent, drug abusing and criminal. Attempts to build residences house them often provoke local citizens to protest, "not in my neighborhood." This is currently what is happening in a pleasant neighborhood in a part of southwest Florida.

In this particular case a building, previously been used as a shelter for young mothers, closed and was leased to a company that uses such sites as  group residences for the mentally ill.

This company is known for serving the mentally ill around the larger area of southwest Florida. They have available different levels of residential living depending that are based on the skills and abilities of residents. Every potential resident must meet strict criteria prior to admission.

In  situations where a mentally ill person is so disabled that they need lots of support, there are assisted living residences with 24 hour care and supervision.

For those who are deemed capable of living more independently group residences are available. Admission to one of these depends upon meeting several criteria. Potential residents must pass a background check, be under the care of a psychiatrist, compliant with medication, and able to meet all of the daily self care chores such as showering, dressing, cooking and able to cooperate with others in the home and in the community. Also, people must prove that they are free of drugs and pass urine tests if they have a history of abuse. Finally, each resident has a case manager who helps to residents advocate for themselves while also seeing to it that they see their doctors and remain compliant with medications.

Despite all of this, community members are fighting to have the residence in this particular neighborhood removed because, in their words, residents "might self medicate (abuse drugs), wander the streets at night, leer at teenage girls, kidnap, rape or murder children, steal property from neighbors, and toss beer cans onto lawns."

While it is easy to blame neighborhood people for having these attitudes, it really the fault of the county, who owns and leases the property, for not educating people about the new residential center, how it will be used and the nature of the clients or renters coming into the area.

Having spent many years working in psychiatric day hospital settings and cooperating with residential centers that house the patients, I can report that these fears are unfounded. The mentally ill are no more violent than the rest of the population and are, in all probability, less violent. All of the fears stated by neighbors about they fear could happen are uninformed and uneducated about the mentally ill.

What are your thoughts and reactions to this story? Would you oppose such a residence where you live? Your comments are strongly encouraged.

Allan N. Schwartz, PhD

Allan Schwartz, LCSW, Ph.D.

Readers who live in the Boulder, Colorado metro area, or in Southwest Florida may contact Dr. Schwartz for face-to-face consultation. He is also available for psychotherapy through Skype video for those who are not in Florida or Colorado. He can be reached via email at for details.

Reader Comments
Discuss this issue below or in our forums.

Stigma surrounds mental illness - SoulGardener - Feb 16th 2012

Probably around 1/4 of all the people in the US have a mental or psychiatric illness.  In medieval times, people considered "mad" were locked away in hideous dungeons without even basic necessities, never to see again the light of day.  Hearing of this neighborhood's attempt to block the group home brings to mind the history of the treatment of mental/psych illness; it is not a pretty picture.  Not until the last few years have new drugs been made which effectively treat the illnesses.  Psychiatric illness is not different than other illnesses.  There is a neuropathology in the brain associated with these conditions we are just now starting to under- stand.  Most people w/ adequate education comprehend this and do not tend to resort to medieval measures. My ministry, L.I.D.A. (Living in Divine Assurance) helps those touched by the illness know that these people are loved and accepted by Christians who reach out to them. We help them get treatment, counsel w/ their families and are an advocate for them in the immediate or greater society in which they must live. It seems the folks in this neighborhood may need further education regarding the illnesses represented and how those people really behave.  It is not like in the movies or soap operas. Most people w/ psychiatric issues are extremely likeable and talented people.  Very, very few are dangerous and those would not be placed in a group home.  Let us place our arms around those who suffer as Christians, and love them as Jesus taught.  And if Florida rejects you, you can come to Texas!


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