Landmark Patient-Focused Drug Development Meeting on Schizophrenia Will Spotlight Urgent Need for New, Better Treatments

Submitted by S&PAA

November 2 event designed to tell drug developers, FDA reviewers what really matters
to people living with the brain disease

May 17, 2022 – People living with schizophrenia and other psychosis spectrum disorders are too often misunderstood or ignored – by the public, by the healthcare system – and current treatments are outdated and often cause significant side effects. On Nov. 2, the schizophrenia community will finally have the spotlight, as those living with the condition and their family members share their treatment needs and concerns with drug developers and FDA staff who review new drug applications.

The Externally-Led Patient-Focused Drug Development (PFDD) meeting – “ReimagineSchizophrenia: Transforming How We Are Treated, Function and Thrive” – offers the chance to make what matters to those living with the neurobiological brain disease a higher priority in drug development and the FDA review process. 

“Schizophrenia is a treatable brain disease that deserves the same urgency and attention as any other chronic, organ-based illness,” said Gordon Lavigne, CEO of the Schizophrenia & Psychosis Action Alliance. “Our care system has failed people with this condition for too long. This is a ground-breaking opportunity to advocate for new, better treatments that give people with schizophrenia a chance to recover.”

The meeting will be co-hosted by the Schizophrenia & Psychosis Action Alliance, the American Foundation for Suicide Prevention, Mental Health America, the National Alliance on Mental Illness, and the National Council for Mental Wellbeing.

The U.S. Food and Drug Administration created the PFDD program in 2012 to collect information about the patient perspective with regard to drug development – what people living with a disease consider to be meaningful treatment benefits and how they want to be involved in the drug-development process.

Many new treatments for schizophrenia are in development, making it more critical than ever for drug developers and reviewers to understand what treatment benefits people with schizophrenia expect – and what risks they may be willing to tolerate to achieve those benefits.

Millions of people around the world live with schizophrenia, but many do not receive the treatment and support they need. This gap is caused by the complexities of the condition itself, but also by social stigma, health system limitations, discrimination, and poor reimbursement for treatment. The resulting cost to society in the United States is estimated at $281.6 billion each year.

Meeting Agenda and Goals
The daylong meeting will be held in the Washington, D.C., area, with a hybrid format that allows both in-person and remote participation. It will feature panel discussions among people living with schizophrenia and those who care for them, as well as polling and discussion sessions on key topics. People living with schizophrenia and their caregivers/family members will be central to both planning and participating in the event. More information about registration, the agenda and speakers will be available here closer to the meeting date.

The goals of the meeting are:

  • To enhance FDA and treatment developers’ understanding of the challenges of living with schizophrenia and aspects of the disease people with schizophrenia and caregivers would most like to see addressed by treatments and support.

  • To provide a voice to people with a wide variety of experiences with schizophrenia, including those in harder-to-reach populations such as those who have struggled with homelessness or incarceration, and to ensure equitable representation from communities of color.

  • To inform FDA reviews of patient perspectives on upcoming schizophrenia treatments by providing insights on the treatment outcomes that matter most to people with schizophrenia and their caregivers – especially in terms of expected benefits and tolerance for specific risks.

  • To begin to shift the paradigm for how schizophrenia is viewed and treated by our health systems, law enforcement, and society.

 To read more articles, read reviews, view YouTube and other videos and tutorials, access the website at www.davidegeiger.com

IMOEP is available through Amazon, Barnes & Noble, and www.davidegeiger.com

Re: In the Matter of Edwin Potter: Mental Illness and Criminal Justice Reform

“A book that really puts what’s important into perspective, this book just gripped me from the cover to the end… Geiger did not disappoint in giving us a masterpiece that is timeless and breathtaking at the same time.”

–Ruth Reid, 5/5 stars on Goodreads

 

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He began writing about mental illness and criminal justice reform in May 1998. He writes about his illness in his book In the Matter of Edwin Potter as well as those who have the illness and are caught up in the criminal legal system.

 

Help Us Urge Congress to Pass the Cost of Mental Illness Act of 2022

S&PAA
Submitted by David E. Geiger, MEE, PE (RET.)

You can do something now to help the mentally ill. Send the letter to your House Representative and pass it on to your friends and colleagues.

Thank you. -DG


Use this easy online form to tell Congress that people with schizophrenia count. 

Millions of people in the United States are living with or impacted by schizophrenia. But efforts to determine the actual number of people living with this severe brain illness have been hampered by the lack of data on the uncounted people in places such as hospitals, homeless shelters, jails, nursing homes, and on the street.

The Cost of Mental Illness Act of 2022, introduced on April 7, is designed to produce pioneering, fact-based data that will support improved public policies and better care for people living with schizophrenia.

 The bipartisan bill, introduced by U.S. Reps. Guy Reschenthaler (R-PA) and David Trone (D-MD), authorizes a study of the costs of serious mental illness on U.S. families, hospitals, nursing homes, and the penal system, as well as a national survey to determine the actual number of people living with this severe brain disease.

Without accurate data, it is difficult to design solutions that will reduce the crushing cost burden of schizophrenia and improve the lives of people living with this disease. All people with schizophrenia deserve to be counted, and this bill provides the funding to do that.

We need your help to urge members of the U.S. House of Representatives to sign on and support this groundbreaking bill.

Click here and use our template which helps you find your U.S. Representative and download a letter you can personalize and send.

This legislation is an important step toward giving people living with schizophrenia the dignity of being acknowledged and treated properly. When we raise visibility of the prevalence and burden of this brain disease, we move closer to our vision of earlier diagnosis and successful treatment.

Click here for more details about the Cost of Mental Illness Act of 2022.

About schizophrenia

Schizophrenia is a spectrum of serious neuropsychiatric brain diseases in which people experience periods during which they interpret reality abnormally. Symptoms of schizophrenia may include a combination of hallucinations, delusions, cognitive impairments, anosognosia (lack of awareness of their illness), and disordered thinking and behavior that impairs daily life. 

Schizophrenia is thought to be a progressive neurodevelopmental disorder, with the earliest signs appearing during adolescence as the brain is developing. Eventual diagnosis typically occurs during young adulthood. While approximately half of those with schizophrenia improve or achieve remission, others remain untreated or experience periods without treatment. It is estimated that about 50% of people with schizophrenia do not take their prescribed medications, most commonly because of anosognosia. Lack of treatment leads to severe negative health outcomes, including a life expectancy shortened by an average of 28.5 years. 

To learn more about S&PAA's strategic initiatives, click here

Schizophrenia & Psychosis Action Alliance

2308 Mount Vernon Ave. · Suite 207 · Alexandria · Virginia · 22301-1328


To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

“Not for the easily upset person, this story is a must for anyone familiar with this topic. This book gave me the gift of better understanding what my uncle, and many people like him, had to deal with and why some of them didn't make it. It is the most genuine story I have read. One that truly parallels and illustrates the life of someone who is sick and struggling to maintain a resemblance of day-to-day life. It also made me understand better the need for change in both the criminal justice system, healthcare system, as well as society and how they go about treating/dealing with the mentally ill.”

–Daisy Bright, 5/5 stars on Goodreads

 

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He began writing about mental illness and criminal justice reform in May 1998. He writes about his illness in his book In the Matter of Edwin Potter as well as those who have the illness and are caught up in the criminal legal system.

Trauma, A Hero’s Journey

On Thursday, April 14, 2022, NJRC (New Jersey Reentry Corporation – www.njreentry.org – founded by former NJ Governor Jim McGreevey) held a conference titled “Trauma, A Hero’s Journey” at Saint Peter’s University in Jersey City, NJ. Several hundred people were there. It addressed the issues and needs of our homecoming military veterans relating to trauma.

To start, 8% of prison inmates are military veterans, mostly combat. There is something wrong here. The medical field is the group that defined medical conditions may be decades or even centuries ago.

There were testimonies from numerous veterans of personal trauma involving substance abuse, suicide attempts (22 veterans commit suicide per day in the US.), broken marriages, PTSD, alcoholism, breakdowns, homelessness, housing, unemployment, and so much more. We need community support for these vets. They “pretend to be normal.” Rich Liebler, a veteran working in prisons, offered that vets “need a job.” Employers need to be educated on these issues.

These guys are not alone in their suffering. Men with trauma issues are often discharged with “bad papers” (OTH -Other Than Honorable) and get NO benefits back home. The comment was made that the military is not there to heal men. A fighting force is their interest.

Whatever programs we have should be expanded such as veteran diversion program that will keep them out of prison. The question this addresses is why should they go to prison after serving their country when their problems can be addressed? But as we learned from CIVOD-19 compassion fatigue sets in after a while.

So, the government response began with the question: What is the problem? And the answer was that veterans are discharged OTH and are not getting benefits despite serving.

Congresswoman Mikie Sherill, a military veteran herself, said that just recently veterans can get mental help benefits, but they must identify themselves. They cannot get help if no one knows about them.

Victoria Kuhn, Acting Commissioner NJ Department of Corrections stated that vets in prison are a forgotten people. The issue is treatment versus healing. The DOC can control HOW its prisoners are treated.

State Senator Sandra Cunningham asked what legislators can do. There was a program called “Earn Your Way Out,” but then the COVID-19 pandemic got in the way, and nothing has happened.

 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

 

“His story is unique yet enjoyable to read about too. He’s gone through a lot of pain and yet he was able to pull through with a lot of help from his family and mentor. I enjoyed reading about his life after his time in the mental health institution because here I saw how a man like him was still looking forward to a life of love and healthy association with others.

An awesome read, indeed!”

–Estrella Wolfe, 4/5 stars on Goodreads

 

The Cost of Mental Illness Act of 2022

New Congressional bill will spotlight actual prevalence, cost burden of schizophrenia

|

New Congressional bill will spotlight actual prevalence, cost burden of schizophrenia |

The Cost of Mental Illness Act of 2022 authorizes groundbreaking studies to improve

system of care for people living with the brain disease


April 7, 2022 – A bipartisan bill introduced in Congress today is designed to produce pioneering, fact-based data that will support improved public policies and better care for people with schizophrenia. 

The Cost of Mental Illness Act of 2022, introduced by U.S. Reps. Guy Reschenthaler (R-PA) and David Trone (D-MD), authorizes a study of the costs of serious mental illness on U.S. families, hospitals, nursing homes, and the penal system, as well as a national survey to determine the actual number of people living with the neurobiological disease.

“Without accurate data, it is difficult to design solutions that will reduce the crushing cost burden of schizophrenia and improve the lives of people living with this disease,” said Gordon Lavigne, CEO of the Schizophrenia & Psychosis Action Alliance. “We applaud Reps. Reschenthaler and Trone for their advocacy and for understanding the urgent need for this information.”

Millions of people in the United States are living with or impacted by schizophrenia. But efforts to determine the actual number of people living with this severe brain illness have been hampered by the lack of data on the uncounted people in places such as hospitals, homeless shelters, jails, nursing homes and on the street.

The cost of schizophrenia to America’s healthcare, housing and penal systems – as well as those living with the disease and their families – is thought to be billions of dollars each year but is plagued by a similar lack of comprehensive data.

The Cost of Mental Illness Act addresses these problems in two important ways:

1.    Authorizes a study of the costs of serious mental illness:

The bill authorizes the U.S. Department of Health and Human Services to study the cost impact of serious mental illnesses, including schizophrenia, bipolar disorder, and major clinical depression, on:
•    Inpatient psychiatric hospitals (public and private)
•    Hospital emergency departments
•    Skilled nursing facilities
•    The penal system at all levels (county, state, federal)
•    Family members and caregivers  

The study will be the largest such effort ever undertaken, with the objective of producing usable and specific data to support local, state and federal policymakers in creating solutions that reduce the burden of disease on people living with the disease and those who care for them.

2.    Authorizes a national survey to determine the actual number of people living with schizophrenia: 

Surveys to determine the number of people living with schizophrenia in the United States have been infrequent, and have left out those living in homeless shelters, jails, prisons, nursing homes and on the street. The Cost of Mental Illness Act addresses this significant information gap by requiring the Substance Abuse and Mental Health Services Administration (SAMHSA) -- in concert with the National Institute of Mental Health (NIMH) and the U.S. Centers for Disease Control and Prevention (CDC) -- to conduct a well-designed schizophrenia survey every five years. 

“This legislation is an important step toward giving people living with schizophrenia the dignity of being acknowledged and the freedom to be treated properly,” said Mary Palafox, RN, Board Chair, Schizophrenia & Psychosis Action Alliance. “When we raise visibility of the prevalence and burden of this brain disease, we move closer to our vision of earlier diagnosis and successful treatment.”

About schizophrenia

Schizophrenia is a spectrum of serious neuropsychiatric brain diseases in which people experience periods during which they interpret reality abnormally. Symptoms of schizophrenia may include a combination of hallucinations, delusions, cognitive impairments, anosognosia (lack of awareness of their illness), and disordered thinking and behavior that impairs daily life. 

Schizophrenia is thought to be a progressive neurodevelopmental disorder, with the earliest signs appearing during adolescence as the brain is developing. Eventual diagnosis typically occurs during young adulthood. While approximately half of those with schizophrenia improve or achieve remission, others remain untreated or experience periods without treatment. It is estimated that about 50% of people with schizophrenia do not take their prescribed medications, most commonly because of anosognosia. Lack of treatment leads to severe negative health outcomes, including a life expectancy shortened by an average of 28.5 years



To learn more about S&PAA's strategic initiatives, click   here.

 


To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

 

“This was an absolutely excellent read!”

-Anastasia Christine, 5/5 stars on Goodreads

New Jersey Reentry Corporation

I met Jim McGreevey, former Governor of NJ, a few years ago when my wife and I were traveling down the NJ Turnpike to visit a friend in Maryland. He was Executive Director for Martin’s Place in Jersey City, NJ at the time. I had sent him a copy of my book In the Matter of Edwin Potter: Mental Illness and Criminal Justice Reform. When I told him who I was, he ran around his car to shake my hand.

Today Jim is the Chairman of the Board for New Jersey Reentry Corporation (NJRC) which is a non-profit agency with a social mission to remove all barriers to employment for citizens returning from incarceration. Briefly, from its website (www.njreentry.org/about) :

The NJRC is premised on the ambition to create an environment that promotes pro-social norms, encouraging the establishment of attachments to positive rehabilitative cultures, strengthening bonds among peers who promote positive norms and values, and promoting family reunification. Participants receive individualized assessments and treatment plans that first address essential needs, including housing, treatment, mental health care, medical care, and access to health insurance and other public benefits to secure these essential needs. Furthermore, gainful employment is the most critical aspect of post-prison reentry. Job training, employment counseling, as well as employment placement programs are essential tools for effective reintegration and workforce development.

Currently, NJRC will be holding its annual reentry conference at Saint Peter’s University in Jersey City on Thursday, April 14, 2022, from 9-4 (ET). They will address combat trauma.


To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

“David Geiger straight-forwardly addresses tough topics without sugarcoating anything. Geiger's story is a must-read.” 

–Nathan Lane, 5/5 stars on Goodreads

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He began writing about mental illness and criminal justice reform in May 1998. He writes about his illness in his book In the Matter of Edwin Potter as well as those who have the illness and are caught up in the criminal legal system.

 

“Clyde’s”

Article by Peter Marks via The Washington Post
Submitted by David E. Geiger, MEE, PE (RET)

A Broadway show about life after incarceration “finds its most avid
audience in a New York City jail”

Lynn Nottage, an American playwright and the first woman in history to win two Pulitzer Prizes for Drama, had the opportunity to deliver her Broadway hit, 'Clyde,' to incarcerated people at Rikers Island. The play's five-person cast is led by Uzo Aduba — playing a corrosively funny cafe owner, unrestrained in her bullying of vulnerable employees — "Clyde's" is that rare piece of narrative art that paints formerly incarcerated people as whole human beings. The plot touches only tangentially on the crimes they served their sentences; the story revolves more centrally around their striving for material and spiritual comfort, symbolized by their amusing, collective efforts to create the perfect sandwich.

"It's not exploitative," said Aduba, Emmy-winner, for her role in "Orange Is the New Black," a Netflix series about women in a New York state prison. "We're curious about prisons, but we often find people are less concerned with the 'after.' This play is a deeper dive into the after and what that reality is. And how returnees are disregarded."

These attributes convinced Rikers officials that extending Second Stage Theater's simulcasting of "Clyde's" to the jail made sense. "We had read about the play and felt that this would be a perfect opportunity to take a chance on something like this," said Tommy Demenkoff, an actor and director of performing arts for the New York City Department of Correction.

Continue Reading!
 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

“This book is well-written. David Geiger has an explicit talent for linguistics and is exceptionally smart. His personal story about mental illness is very interesting. He conveys his personal experiences in a very raw and emotional manner. It's riveting throughout.”

–Daisy Bright, 5/5 stars on Goodreads

 

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He began writing about mental illness and criminal justice reform in May 1998. He writes about his illness in his book In the Matter of Edwin Potter as well as those who have the illness and are caught up in the criminal legal system.

Bail Reform Update: February 2022

TV news refuses to admit or even to say that education, mentoring, housing, and drug rehabilitation bring the crime rate ‘way down though to places like John Jay College of Criminal Justice – their Institute of Justice and Opportunity – this is their bread and butter. It works. I wrote an article years ago saying that the breadwinner is usually the one put in jail leaving his family to suffer. The reason is that he is the one without a job and must turn to crime to support his family. When I visited the Bergen County Jail (NJ), I was told there are programs there: English and drug rehab. What happens with reform is that these guys do not finish their classes, and they are put back out on the streets again with no job skills, so they turn to crime again to support themselves. The hard decision is that they should stay in jail until their classes are finished. As a note, some people are opposed to bail reform because they make their money selling bail bonds. The news does not tell you that, either.

From Linda Stalters, Founder and former President and CEO of SARDAA (now S&PAA), “One of the most important issues is appropriate comprehensive treatment and placement for individuals with serious neuro-psychiatric brain illness (i.e., schizophrenia, bipolar I, psychosis).  Without comprehensive treatment, they will continue to suffer, and the community will miss the opportunity for a citizen to contribute to the community in a meaningful way instead of costing the community in tragic ways.”

 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

“Particularly painful for me was reading what usually happens to mentally ill people at the hands of police when called for assistance and what happens to them when imprisoned. Our society has not come to grips with this disorder at all. Also, of note - it would cost society so much less in tax dollars to care for the mentally ill in hospitals than to keep them imprisoned. Costs about $50K a year per inmate in prisons. Frequently those needing treatment cannot be admitted to hospitals without their consent - but throwing them behind bars without treatment is what society does - and would anyone consent to that?”

-Madeleine Liu, 5/5 stars on Goodreads

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He began writing about mental illness and criminal justice reform in May 1998. He writes about his illness in his book In the Matter of Edwin Potter as well as those who have the illness and are caught up in the criminal legal system.

Jails to Jobs

From John Jay College Institute of Justice and Opportunity newsletter Institute Updates

 

NYS Governor Kathy Hochul Announced 'Jails to Jobs'
a new initiative to improve re-entry into the workforce and reduce recidivism 


"There is no justice in a system that continues to unduly punish formerly incarcerated individuals who have served their time and paid their debts to society."


Kathy Hochul,
NYS Governor 

Despite New York's advancements in creating a fairer criminal justice system, many people in state prisons struggle to access educational opportunities. Expanding higher-education opportunities for incarcerated populations provides clear benefits by reducing recidivism, increasing post-release employment, and saving taxpayer money. Incarcerated people who participate in correctional education programs are 43 percent less likely to re-offend and 13 percent more likely to obtain and retain employment after returning to their community. In addition, taxpayers save roughly $5 for every $1 invested in prison education, and recidivism rates decrease due to this investment.

Governor Hochul's 'Jails to Jobs' plan will help incarcerated and formerly incarcerated New Yorkers attain critical job skills and secure long-term employment, helping reduce recidivism and increase public safety. This will be completed through:

  • Refocusing parole officers on career planning and job placement;

  • Enabling voluntary, private-sector, in-prison employment opportunities that pay a competitive wage;

  • Expanding vocational, job readiness, and re-entry programs;

  • Restoring the Tuition Assistance Program (TAP) for incarcerated individuals;

  • Allowing for educational release as an earned, re-entry opportunity;

  • Passing the Clean Slate Act;

  • Piloting a new approach to transitional housing for post-incarceration individuals;

  • Eliminating outdated supervision fees to reduce barriers for individuals returning to society after incarceration;

  • Fully staffing the parole board and prohibit outside employment for board members;

  • Facilitating access to ID cards and other vital records to enhance opportunities for released persons

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

“I am currently a biomedical student at Rutgers studying Psychological rehabilitation, and we had to read this book for a literature review paper but honestly, this assignment ended up becoming so much more to me. This man's book is so devastating, heartbreaking, and at times it truly just makes you want to scream. All the lost cries of despair between these pages are just...overwhelming. I hope to one day meet Edwin. He has experienced so much pain in his life, and if I ever met him, I would hug him tight and tell him how brave he was.”

 -Nicolas Valdez, 5/5 stars on Goodreads

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He began writing about mental illness and criminal justice reform in May 1998. He writes about his illness in his book In the Matter of Edwin Potter as well as those who have the illness and are caught up in the criminal legal system.

Victory: Ending the Discriminatory IMD Exclusion

I received the following Action Alert from S&PAA (formerly Schizophrenia and Related Disorders Alliance of America) – DG

 

Action Alert:

The Maryland Department of Health gained authority to waive the discriminatory IMD exclusion. (For introductory material, see Healing Minds NOLA Video Archive: September 18: IMD Exclusion Video Archives - Healing Minds NOLA - DG) Maryland will now be able to use federal Medicaid funds for inpatient treatment in psychiatric facilities. No longer will low-income people with severe mental illness be left behind. This will save countless lives of Marylanders.

This model is a blueprint for the rest of the country.

We are proud to have assisted the Treatment Advocacy Center with relentless action from advocate Evelyn Burton who is a TAC Board Member and also serves as our Maryland Advocacy Chair for S&PAA.

This is a great team effort to push Maryland policymakers to make sure they obtained the maximum amount of federal money to treat Marylanders with serious mental illness.   

When we changed our organization's name to include the words "Action Alliance" we knew that we couldn't "just" work alone to accomplish all of the goals we have to fix the broken treatment paradigm.  We have several additional initiatives lined up to collaborate across our community to enact meaningful systems-level change. Stay tuned as we work together over the months ahead.

Our Vision

Schizophrenia and psychosis spectrum disorders are universally recognized and treated as neurobiological brain illnesses 

Our Mission

Create a movement for systemic change to improve care, support, and equity for the millions of people living with schizophrenia and psychosis spectrum disorders

We are leading a movement to improve care, support, and equity for the millions of people living with schizophrenia and psychosis spectrum disorders 

Schizophrenia & Psychosis Action Alliance · 2308 Mount Vernon Ave. · Suite 207 · Alexandria · Virginia · 22301-1328

 

 

 

 

 

 

SMI Advocate

A quarterly legislative update from the Treatment Advocacy Center
Winter 2021

Dear Treatment Advocacy Center partners, 

My name is Clara Keane, and I joined the Treatment Advocacy Center team in August as legislative advocacy manager. I will be communicating with you regularly about legislative updates regarding severe mental illness (SMI) and opportunities to take action. Today, I am very excited to share with you this inaugural issue of SMI Advocate, Treatment Advocacy Center's new quarterly newsletter! 

SMI Advocate is a publication for you, our local partners. Read it to stay informed about relevant bills and other advocacy initiatives you can engage with to advance our goal of making timely and effective treatment for those with SMI a reality.

Looking back over the last year, it's remarkable how much we've accomplished. This issue overviews 2021 legislative advancements and offers detailed updates on state-level advocacy as well as federal and national issues. 

Our loved ones deserve better than the broken mental health system they are trapped in. It's absolutely critical for lawmakers at all levels of government to hear your stories so they can get a glimpse of what it's like to seek treatment in a system that neglects the sickest among us and criminalizes the symptoms of mental illness.

I look forward to partnering with you in our shared advocacy to demand better outcomes for families affected by severe mental illness!

Treatment Advocacy Center
200 North Glebe Road, Suite 801
Arlington, VA 22203

(703) 294-6001
TreatmentAdvocacyCenter.org


To read the full article, click here: Action Center (votervoice.net) 12/20/2021 SMI Advocate

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

 

“In the spring of 2017, I took 52 In the Matter of Edwin Potter books and delivered them by hand to colleges and universities large and small in the northern NJ and New York City area. Imagine if they took my ideas on mental illness and criminal justice reform to heart. Maybe that is how this all started… I wrote my first article on the subject in May 1998 for IMprint and a more developed approach in October 1999 which I expanded upon and included in IMOEP as chapter 104 ‘Reducing Recidivism.’”

 --David Geiger, author of IMOEP

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

“This is a very interesting and eye-opening story! I was surprised to see that someone with a mental illness lives a normal life.... It was a great realization, and I’m glad that someone wrote about this topic. If it weren’t for this book, I will continue to believe that people who have schizophrenia should be avoided and that they are very dangerous people.”

 

--Ryann Rangel, 5/5 stars on Goodreads

 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

CUNY Supports Students with Conviction Records

(I have been writing for all of these years about how education is the way out of a life of crime, a life in prison. Today I attached an article from John Jay College Institute of Justice and Opportunity to provide more information on the subject. Currently, the program is open only to residents of NYC. I emailed Ann Jacobs, Executive Director for the Institute, and she is not aware of similar programs in New Jersey. Here is the article. – DG)

 “CUNY’s mission is to provide a high-quality education to all New Yorkers, regardless of background or means, in order to serve as a vehicle for upward social mobility. Part of that mission is to create pathways to college, meaningful careers, and greater opportunities for students whose lives have been impacted by the criminal legal system.”

CUNY launched a web page providing resources, answering questions, sharing narratives, and more of students they support, including the programs and services designed to meet student's educational and professional needs with conviction histories. The web page is a CUNY Justice Learning Collaborative project, convened by the John Jay College Institute for Justice and Opportunity. 

Learn More  

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

 

“As someone that grew up with One Flew Over the Cuckoo’s Nest, the Bell Jar, and I Never Promised You a Rose Garden, and as someone whose mother had been an unofficial advocate for the mentally ill, sometimes putting herself in danger to help, I have had many mixed feelings about mental illness. As I watched my son exhibit many of the symptoms described in this book, I felt helpless and afraid, especially since he could not see and recognize the symptoms for himself. This book has given me the tools to verbalize more effectively what my son needs, what our community needs, and what our society needs to provide.”

--Elizabeth Chen, 4/5 stars on Goodreads

 

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

 

Stevens Alumni Book Club: Humble Pi: Discussion Starters

I always have to loop back to applications to criminal justice. When a judge is evaluating release or lessening restrictions on the individual standing before her, she looks at his record and informally calculates the probability that he will reoffend. This assumes that the individual’s behavior is immutable. If we see that he has offended repeatedly for the same actions, we assume it is because of a flaw in his character. Wrong. The probability is based upon the wrong information. If he continually robs houses, why does he do it? The court does not ask this question. What if we find that he has no job skills and cannot find any other way to support himself? What if the laws will not allow him to get a job or an education because he has been in prison? (This happens.) What if we were to teach him job skills and mentor him in his transition into the community? I advocated this since 1998. Since that time, this has been tried by places such as John Jay College Institute of Justice and Opportunity, and it works. Probability be damned.

 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

 IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

 

“As the mother of a schizophrenic son, this was a hard book to read. I was not unfamiliar with the history. I was aware of the atrocities, and I was frightened for the future of my son. After reading this book, I am more familiar with the stories, more horrified at the atrocities, and still frightened for my son’s future, but I am armed with knowledge, tactics, resources, and a realization that there are other caring people besides frightened parents that are trying to help these people suffering from serious medical disorders.”

--Elizabeth Chen, 4/5 stars on Goodreads

 

 

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

New Report Shines Light on What We Don't Know About Adult Residential Facilities and Ideas to Support More Housing That Heals.

(Note: Paul Webster, MPP, is the former HUD Senior Policy Advisor. He now runs his own organization, Hope Street Coalition, which addresses homelessness, mental illness, and addiction. – DG)


Dear David,

I want to alert you to a new report that demonstrates major problems in increasing the types of housing and care for those with brain, substance use, and other disorders.  No Time to Waste:  An Imminent Housing Crisis for People with Serious Mental Illness Living in Adult Residential Facilities, sounds the alarm that immediate action is needed to prevent the loss of adult residential facilities (ARF) of all kinds.  

Jonathan Wisner, a CORO Fellow, demonstrates that California ARFs are disappearing at an alarming scale, often leaving their residents homeless and without care.  He concludes that issues of accountability, funding, quality of care, and lack of equitable access is causing ARFs to close and fail to serve those who need them.  

No Time to Waste describes a "baffling amount of unknown information surrounding" ARFs. Because of the lack of data and information, it is hard to know the full picture of how ARFs provide housing and care, who ARFs serve, and what policy needs to change to stop the closure of ARFs and increase the supply of these critical assets.  

Recommendations of the report include immediate action to stop ARFs from closing and prevent their residents from becoming homeless.  The report also recommends funding research on ARFs and their residents and creating a state-wide advisory group to prioritize quality of care and Housing that Heals.  

This report is important because before we advocate for more Housing that Heals, it is important to understand the status of board and care homes, ARFs, and other types of programs that provide housing and care to those with serious mental illness, brain disorders, co-occurring, and substance abuse disorders.  At Hope Street Coalition, we believe that to reduce homelessness for the most vulnerable, there needs to be places to house and treat the unhoused mentally ill and addicted.  

Many people are left living on the streets because they need so much more than a subsidized place to live from the Coordinated Entry System. They cannot navigate a lease or get to needed treatment appointments. They need a community where this is provided in what mirrors a campus.  This is Housing that Heals and we need more of it.  

If you live in California and would like information about being a part of our advocacy campaign to get this report into the hands of the Governor, state legislators, mental health commissioners, and heads of agencies, please contact me here.  

Also, would you please consider supporting this effort with a donation to Hope Street Coalition?  You can support our work here.  

Sincerely,  
Paul Webster
Director
Hope Street Coalition

Copyright © 2021 Hope Street Coalition, All rights reserved.

  

 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

“A beautiful book.”-- Ann Jacobs, Executive Director, the John Jay College Institute for Justice and Opportunity, NYC

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

 

College After Prison

From John Jay College Institute for Justice and Opportunity

We are pleased to release the College After Prison: A Review of the Literature on Barriers and Supports to Postsecondary Education for Formerly Incarcerated College Students, a white paper co-authored by Vernisa M. Donaldson and Christopher Viera of the City University of New York (CUNY) Office of Research, Evaluation, and Program Support (REPS) as part of their contracted evaluation of College Initiative.

The white paper synthesizes existing literature around higher education for formerly incarcerated individuals and describes the need for more work in this area. More than 650,000 individuals are released from state and federal prisons and return to the community each year. However, most programming and research have been concentrated on correctional education. As a result, formerly incarcerated individuals are largely not recognized as a student group needing support, programming, and research in the higher education space.

Click here to read.

Copyright © 2021 John Jay College Institute for Justice and Opportunity. All rights reserved.

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

 

 

A Busy Summer Provides Great Opportunities

By Paul Webster

(Note: Paul Webster, MPP, is the former HUD Senior Policy Advisor. He now runs his own organization, Hope Street Coalition, which addresses homelessness, mental illness, and addiction. – DG)

 

Dear David,

It’s been an amazing summer and I've been swamped!  Hope Street Coalition has been working to change the status quo regarding homelessness, mental illness, and addiction and things are starting to change. 

First, Hope Street has created an initiative to advocate for more housing that heals.  We are pushing for the creation of residential care communities that provide supportive housing and treatment so that those with mental illness and addiction can stabilize and improve.  In a nutshell, we are advocating for cost effective long-term residences that provide clinical outcomes, radical hospitality, and therapeutic communities of dignity and support.  

To support this effort, Hope Street is putting together important resources so you can share them with your representatives, supervisors, and commissioners. Cost effective programs that save counties and states money while providing clinical outcomes for their residents exist and we need more of them.  Stay tuned as we put the finishing touches on our campaign to incentivize the development of housing that heals. 

Also, Hope Street has partnered with the LA Alliance for Human Rights.  The Alliance sued the city and county of Los Angeles to end the homelessness crisis in L.A. They are advocating for shelter, treatment, and regulation of public spaces in the city with the highest number of people experiencing unsheltered homelessness. 

Having walked the streets of Skid Row and seen the devastation of people and communities first-hand, I can tell you that the LA Alliance is serving as a model for action. Hope Street has partnered with the Alliance to help push for the critical role adequate housing and treatment plays in helping people and communities. 

Hope Street is also working with the City of Chico, California to develop a strategic plan to address homelessness and its impacts.  What I am seeing in Chico is similar to what several communities are experiencing – untreated and unhoused mental illness and addiction with nowhere for people to go to get the help they need.  In Butte County, not one detox bed exists to help those with substance use disorders!   

It’s been an amazing quarter and we couldn’t do it without your help and support.  Would you please consider a financial contribution to keep the work going?  Your gift will go towards developing and deploying resources to creating housing that heals. 

By the way, if you’d like to read my reaction to President Biden’s new plan to solve homelessness, you can read it here

Thank you for your support and partnership. 

Paul Webster
Director

Copyright © 2021 Hope Street Coalition, All rights reserved.

  

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

 

New Guide: Beyond the Record: A Justice-Oriented Approach to Background Checks

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The John Jay College Institute for Justice and Opportunity is excited to share our latest publication: Beyond the Record: A Justice-Oriented Approach to Background Checks.

We created this guide to help employers, educators, education and employment program operators, licensing bodies, and housing providers bring a critical lens to their use of background checks and update their processes so we can move toward a more equitable future. It provides guidance on steps you can take right now to lessen the disproportionate impact your process may have on any candidate or applicant with a conviction record, especially Black and Latinx candidates.

Over 77 million people have a criminal record in the United States — they are subjected to perpetual punishment because of the extensive use of background checks in employment, housing, and education. But that pervasiveness speaks to an opportunity, too. As decision-makers reviewing background checks, there are so many of us who have the power to expand opportunity to candidates with conviction records right now.

At the Institute, we believe the best way to end conviction record-based discrimination — and expand opportunity for the millions of Americans impacted by the criminal legal system — is to discontinue the use of background checks unless required by law. If that is not feasible in the short term, however, we hope this guide will help you create as fair and equitable of a process as possible.

This guide is a continuation of our work to support people with convictions in navigating barriers to education and economic opportunity.

Last year, we released
Getting to Work with a Criminal Record: New York State License Guides (2020 Expanded Edition), which explains the process for obtaining licenses in 25, high-demand occupations and professions for people with conviction records. And earlier this year, we released Getting the Record Straight: A Guide to Navigating Background Checks, which helps people with conviction records navigate the individual, institutional, and systemic barriers erected by the practice of background checks.

For more information, please contact Zoë Johnson, Policy Coordinator, at zjohnson@jjay.cuny.edu.

Copyright © 2021 John Jay College Institute for Justice and Opportunity, All rights reserved.

 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

IMOEP YouTube and other videos at www.davidegeiger.com/videos

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

In the Matter of Edwin Potter: Mental Illness and Criminal Justice Reform

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What is the book about?

It is an autobiography about Edwin Potter (not his real name), a man with schizophrenia. He had no treatment, and, as a result, he killed somebody. This is the true story of his trial, his struggle, and his comeback.

What is the take-away?

The typical prison inmate does not have the skills necessary to succeed in accepted society. That is the problem. What do we do? We were still building prisons in the 1990s as the solution to crime. That did not work as history has shown. I wrote in 1999 based upon my experience that we need to teach them: reading, writing, arithmetic, social skills, job skills, language skills. They need mentors, housing, help with their substance abuse, and a change in the laws that keep them from taking part in society. I sent the 1999 article to the NJ governor in 2013 and later a copy of my book in 2016. Now everybody is talking about criminal justice reform. As a note, the mentally ill have a different set of problems that cannot be fixed by throwing them into prison. Schizophrenia, for example, is a neurological problem, a spectrum illness much like autism. They don’t throw people with autism into prison as medical treatment. Why those with schizophrenia?

Web site: www.davidegeiger.com

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

Read the preview at In the Matter of Edwin Potter: Mental Illness and Criminal Justice Reform: Geiger, David E.: 9780692797822: Amazon.com: Books

IMOEP YouTube video: https://www.youtube.com/watch?v=zXTtUecRTLU&t=3s 

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

 

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia. He worked for Consolidated Edison in NYC for 20 years and won recognition and an award for his work there. He writes about his illness in the book as well as those who have the illness and are caught up in the criminal legal system.

 

Fair Chance for Housing: Debunking Debate Recap

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The John Jay College of Criminal Justice Institute of Justice and Opportunity hosted a “Debunking Debate” on July 27, 2021, with panelists who answered tough questions about ending background checks in housing in NYC. Members of the Institute’s Fair Chance for Housing campaign answered tough questions about why people convicted of crimes involving violence or sexually related offenses should have equal access to housing and be free from discrimination. After the debate, participants took action together, contacting their New York City Council members and urging them to pass the Fair Chance for Housing Act (Intro #2047-2020) now. You can watch the debate on our YouTube channel.
 

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

Read the preview at In the Matter of Edwin Potter: Mental Illness and Criminal Justice Reform: Geiger, David E.: 9780692797822: Amazon.com: Books

IMOEP YouTube video: https://www.youtube.com/watch?v=zXTtUecRTLU&t=3s

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia.

Behavioral Health Clinics Work. Let’s Open More of Them.

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By David E. Geiger, MEE, PE (retired)

David E. Geiger Writes

My wife and I met former NJ Governor Jim McGreevey serendipitously at the Molly Pitcher rest stop on the NJ Turnpike back in August 2017. He was still Executive Director at Martin’s Place in Jersey City. I had just sent him a copy of my book In the Matter of Edwin Potter: Mental Illness and Criminal Justice Reform. When I told him who I was, he ran around the car to shake my hand.

Fast forward now, he was a guest columnist for the Star Ledger (my local newspaper) just recently on August 14th (?), 2021. He is Chair for the NJ Reentry Corporation (www.njreentry.org/). They are “a non-profit agency with a social mission to remove all barriers to employment for citizens returning from jail or prison.” He is urging the NJ Congressional Delegation to advocate on the behalf of the bipartisan Excellence in Mental Health and Addiction Treatment Act of 2021 (“the Excellence Act”) that “would offer every state in the nation the opportunity to apply to participate in the CCBHC program and receive funding to expand high-quality mental health and substance use services.”

The CCBHC program (Certified Community Behavioral Health Clinics) is a program that worked, according to McGreevey, providing expanding access to effective treatment for the mentally ill and overdose crisis “while providing a more cost-effective alternative to hospitals, expensive emergency departments, and jails for people in crisis.”

To read more articles, access David Geiger’s blog at www.davidegeiger.com

Read Goodreads reviews of In the Matter of Edwin Potter at www.davidegeiger.com

Read the preview at In the Matter of Edwin Potter: Mental Illness and Criminal Justice Reform: Geiger, David E.: 9780692797822: Amazon.com: Books

YouTube video: https://www.youtube.com/watch?v=zXTtUecRTLU&t=3s

IMOEP is available at Amazon, Goodreads, Barnes & Noble, and www.davidegeiger.com

 

David Geiger is a licensed and retired professional electrical engineer who spent 7 years in psychiatric hospitals and over 40 years since 1979 in the courts as a result of his schizophrenia.