I am not a fan, nor am I a member of the NRA. I do not own a gun, I have ever seen a "real gun" nor have I ever owned a gun. I am terrified of guns. This would not be something I would have in my own home.
I am not psych nurse, nor have I ever been a psych nurse but I have taken care of enough patient's with mental health disease over 32 years on med/surg units, tele units, oncology units and in the outpatient family practice area to see, observe and understand enough to know, that mental illness is not adequately addressed in this country not are these patients given the attention and humane decency they should be receiving. Some one posted about non compliance with medication and if they don't want to "help themelves" well, My theory is, for what ever it is worth, is that due to the mental illness- they can't. it's called and I have seen this on many a patient charts in the doctors progress notes_ "insight is poor" "motivation is poor, non existant or minimal". These are 2 determinants that the doctors used to evaluated patients on daily rounds- please start reading your charts, people. Diabetics are non compliant, cardiacs are non compliant, so are many other patient's with physiological diagnosis. But i guess becase we can see a physical cause or symptom that makes them more socially acceptable and deserving of our sympathy. Well mental illness has symptoms we can see also: agitation, pacing, hostile, angry, poor eye contact, no eye contact, non verbal, aloof, distant, flat, mistrustful, confused, disoriented, "tearful"( and how many times have we charted that.) These are symtoms.They are not just adjetives bringing out the writer in us.
I have seen staff be so negligent, disrespectful, condescending, down right cruel and abusive to them. One @@@, I reported to my department of health. This nurse has no business working an inner city FQHC- she doesn't understand the patient population.
The fact remains that our mental health heathcare system is inadeqate- poor and lack of access, sever shortage of formally educated and prepared mental health professionals, poor pay for those who are already practicing, lack of widespead education and literacy on mental health. Lack of primary prevention and health promotion stradegies to address the issues. We simply are not prepared to take competent care of the mentally ill. Every person in this country is responsible. We need to look inside our selves first. How many times did we say something cruel or abusive to some one else. How do we know how that other person is going to take and react to the statement? We don't and we pass it off as- "well, that's their problem", and I love this---"They need to grow a thick skin!!!"" Well no , it's your problem- if you are the one who said the offending phrase or statement, you need to take responsibility for it.
I don't know what went on with Adam Lanza- I can only guess with what I have learned over the years in nursing, seen in my patients and how I have seen other nursing staff treat mental health patient's, know what has been disgusting quips have been said to me over the years and what I have read in the news. That kid did not have it together to begin with as a small child through no fault of his own, his mother and father went through a divorce- that is a major stressor on any one even with out psychiatric illness. It may be a common event, and if your don't have a psych illness going into the divorce, you'll end up with one coming out of one. It blows apart a life style for everyone involved. A coworker of mine, the Director of Critical care, whom I have known for 30 years, was going through a divorce, needed to be hospitalized for 3 weeks for MH reasons, lost at least 40 lbs and was so klingy- I didn't recognize them. That divorce impacted that kid and then mom was noted to have been planning to move him and her out to washington state- again, a disruption in a routine- to someone who was not adaptable to change. I think the kid then picked up the guns and killed mom to stop this move, and went to the school because it represented a family support system and a life he lost; seeing parents dropping kids off, laughing, running into the school and loving life, hugging and kissing their kids goodbye. I think he snapped, I think mom tried to stop him and he shot her. I don't think it was premeditated and I don't think the kid was rational when he did it. I think the suicide was to put an end to his own internal torment and pain. JMHO