The Hidden Crisis in Rural America
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- Опубликовано: 5 дек 2019
- It’s prohibitively difficult to access mental health services in rural America. That’s because, relative to urban areas, rural counties have so few mental health professionals. The majority of non-metropolitan counties in the U.S. don’t have a psychiatrist, and almost half lack a psychologist. The paucity has resulted in a veritable public-health crisis-rural Americans suffering from a psychiatric condition are more likely to encounter police than receive treatment. Each year, 2 million mentally ill Americans, most of whom aren’t violent criminals, end up in jail. Read more: www.theatlantic.com/video/ind...
"Out of Sight, Out of Mind" was directed by James Burns. It is an Independent Lens “Stories for Justice” production (www.pbs.org/independentlens), in association with Terry Greene Sterling and the Arizona Center for Investigative Reporting.
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Boy, this is heartbreaking. And to see it happening in a rich country is scary.
Only a handful see the wealth. The rest could be in any developed or mostly developed country on earth. America isn't all that anymore. If it ever was.
This is what happens when you cut social security, and spend it on tax breaks for the people who need it the least.
America it's not that rich and good as people make it seem
There is an unspoken part of this story that needs to be mentioned. I live in Tucson now but I have lived in Sierra Vista in Cochise county also. The only reason the sheriff can provide any services at all is because that he is able to get extra funding from his capturing of drug money. to see areas of true mental health need you need to go farther away from the border and cities. Take a look at tribal America.
Carl H what? Social security is non-discretionary funding. It’s the single largest program in the federal government (or healthcare I could be wrong). Wtf are you taking about.
The paradise of the rich is made out of the hell of the poor. Victor Hugo
how do you think the rich and powerful got to where they are? exploiting the poor and making them more poor.
a lot of rich ppl already had an advantage at the beginning of their life because they came from well off middle class families
So very true and sad 😢
They are not smart enough to do business that doesn't involve people
@mewabe4 Absolutely agreed!
Private prisons, which are growing in number, are extraordinarily lucrative for private companies. Until that changes, nothing else will.
Funny how there's always money for cops and jail though.
Yes because it is a necessity in society.
ChrisClarkPlays Sociopath
@@GreenEyedDazzler I think the people who needs the police's services need help. The police only tries to help victims. Well, most of them because we cant always live in a perfect society.
It's funny how you don't like to raise taxes.
Harassing and intimidating these people provide a means of entertainment and 'stress relief' for the badge wearing buffoons in these rural areas.
There has to be something perverted about folks that literally have billions of dollars want more.
. . .literally.
Probably because they don't actually have billions of dollars but own companies that are valued at billions of dollars. If you owned a house worth 150k and then it was valued at 250k years later, would you consider that greedy?
it’s called addiction
@@xxxxxx-br6ix it's widely known that they do have billions of dollars. They have the majority of their wealth in liquid assets that accrue interest. The networth argument isn't going to fly anymore sadly. Not sure why people continue to try this but you can stop.
Increased market value isn't 'accruing interest'. Oct 2 2018 Amazon (valued at under 1k per share) announced min pay of $15 dollars, an massive INCREASE to workers wages. Today Amazon sits at about $1,790 a share. So they paid their employees MORE and now the stock is worth MORE for everyone holding shares, including the workers. And people are STILL complaining.
Absolutely heartbreaking. I did social work for 15 years. I live in a very small rural area. We have NOTHING here for mental health. There are 3 rooms at the local hospital that are designated as the “psych ward”...if someone ends up there they give them some Valium and send them home. It’s disgusting and sad. And the cycle just perpetuates itself. In this country there is such a stigma against anything to do with mental health. You feel like an outcast if you even mention being depressed or anxious.
Very interesting comment! Aren't the people working the "psych ward" interested in getting educated? That's what I don't understand about the rural healthcare workers already in place: Here in Norway, their employer would pay for them to get the appropriate bachelor or masters degree, and continue working at the place. Just with more and better tools at their disposal. It's in a absolutely everyone's interest to get people treated fast and well.
abcdefghijklmno29753 You would think so. But unfortunately the local hospital is privately owned. They are understaffed and underpaid. The people who work there can’t afford anymore education. The hospital pays for the employees to get their RN certification and sign a contract with them stating they’ll work there for 7 years or they have to pay the hospital back for their education. The US is so backwards when it comes to healthcare and education. It’s disgusting.
Yikes! How is that even legal? Hasn't anybody challenged that in court? These days, I really praise myself lucky to be born in Europe.
abcdefghijklmno29753 A lot of hospitals and companies in general do that. There is one company here that will pay for someone to get their CDL and other commercial driving certifications but then you have to work for them for 3 years or pay them back. It’s crazy.
I have a simple fix, people need to get Dewormed.
“If I need help and I’m reaching out for help and you don’t help me, the you are just as much a part of the problem as I am” I can relate. As a person that suffers from a mental illness myself, in the past I’ve asked for help ( mostly from family) instead of helping they belittle and degrade me. Make me feel useless. Then they turn right around and say what you should be doing this with your life or where you should be here in life, without offering any help. They feel mental illness is just something you should get over.
I have same experiences. Try to avoid toxic people, hang in there.
The people accusing are often more ill...a grandiosity .....etc God bless. ... that's how people end up in ghettos....not conforming. To collective and you targeted and labelled falsely....little help in the judicial I've seen... cronyism stuff..and I've looked at college textbooks and slant to communism / group think deny your consciousness....and also use abusive technique like withholding and exclusion etc..no reason involved....take care..I'm sorry your ..".family "...self enamored?? Reminds me of the "tough love" camps etc that sometimes ended in death for "spoiled whining brats".... Sound extreme of me..?..this stuff being stonewalled and I think explains some of the needs for escapism??? and used where there is the power of community to overwhelm and force
None of the issues in society are hidden, the people in charge know this, they just don't care.
This is so sad. You can reach out for help but 95% of the people in this country aren't going to help you!
This is pretty spot on and is something that has been brought up more in conversation between me and my dad over the last couple of years.
For context, we live in Western South Dakota in a very sparsely populated area of the country. It seems in the last 10 years, the amounts of suicides by men in our area have gone up significantly. For example, last summer in a span of 2 months, my dad had to go help a family friend clean the brains off of his porch of a local man in his 50s who just shot himself one morning. Shortly after, another rancher found a vehicle containing a man who just drove into the property and shot himself. I remember a few years back on thanksgiving a manager of a local mechanic shop waking up and shooting himself in his front yard. Earlier this fall, a man (much younger than the rest of these cases, 21 yo I believe) drove up a canyon road, parked and shot himself.
Aside from the younger man, most of these men seem to be in their late 40s-50s and almost all of them are divorcees. I don’t know why that fact of being divorced stuck out to me but I know it’s the truth.
Anyways, as I said, we live in a very rural area and so when something like this happens, it has a significant impact because of the smaller population. The most troubling thing about it all is that my dad is recently divorced (and maybe the reason I was more aware of the common relation between these suicides and their marital status). This has certainly worried me about my father, and so, I make it a point to pointedly ask my dad how he’s doing and if he ever needs anything or anybody to talk to to call me.
Obviously I don’t have the answers to the whys of these problems, but I saw this video, and was immediately intrigued because my dad and I have talked about the increasing pattern I mentioned in our own little rural part of America.
I already am aware that a majority of people still won't agree with me on this, but it's time to allow physician assisted suicide nationwide. Until we do, people are going to have to keep cleaning their loved ones' brains off the porch. People deserve a more dignified way to die. At the very least some of the physical trauma to their family can be prevented.
@@ChiselMouse The sad thing in the world that's developing is that our economy -- now central to all our time and energy -- considers us all "disposable" and "replaceable." I agree with your comment, but more than anything, people deserve a more dignified way to LIVE: meaningful and secure employment that pays a living wage, universal and comprehensive health benefits and tuition free education, more benefits for working parents, more democratic work places in which workers have a say in their activities/outcomes, and enough leisure time to actually enjoy the real reason to be alive: to enjoy life with those we love and to have the time to self actualize (whatever that means to us).
@@ChiselMouse Assisted suicide makes sense when it comes to terminal illness, but helping people end their lives just because they're suffering from depression is definitely not a good way to go.
The US is such a dysfunctional country. An awesome place for those who are really good at their specialist trade, healthy and wealthy, mobile and educated. Pretty much hell for everyone else. If this is not getting fixed, history tells us a revolution should come and turn the status quo upside down.
@God Bless America I agree it is exagerated but BIG problems do exist.
@ Sure lets make it even worse for everyone like the french revolution did.
Or we could just
1 increase taxes somewhat on the richest
2 go to universal healthcare, by spending maybe 20 percent less on military and raising taxes on the middle and upper classes
3 increase wages for the middle and lower class, and reduce housing prices in cities by stopping the immigration of workers.
Unfortunately Americans are too brainwashed into thinking we are the greatest to engage in direct action.
Bjarke Erik none of that solves the gilded age income inequality. Workers need equity in their work places, and we need to fundamentally reign in corporate power.
@@6idangle I agree, I just don't believe revolutions tend to have that effect. (Especially not revolutions made in the spirit of communism)
WOW. just wow. Such a high quality video for such an important topic. I am a foreigner but like everyone else in the world i am interested in america because little by little we are becoming like little americas all around the world. These problems are actualized for all humanity except small lucky populations. Thank you very much again for such a quality job. Very inspiring stuff.
Amerika is an example of high Western society thata why it's interesting to see what the future can be
Yes! I’m from Germany but have lived in the US for several years ... being back now it is exactly as you say: Everywhere is becoming more and more like America - despite all its issues.
I live in Mississippi and it literally feels like living in the Witcher's world here. Praying God delivers me from here after I graduate college.
I live a place called Reidsville Georgia and it’s very small. I have no license no car. I can’t wait to go to college in nyc where I’m originally from.
And the problem is that they want you to have a master to be a regular counselor to hear people's problems. Coming out of the military, I wanted to go into physiology to help my fellow veterans with PTSD. Do you know how many potential acts of violence could be stopped if they had someone to talk to? Sometimes all people need is a helping ear.
so pursuing a master's is not worth? How can you develop in your craft if you dont study your craft. How can you help others develop coping mechanism or skills that will enable them to work within their limitations if all you do is listen. That doesnt help anyone. You wouldnt provide any substancive feedback. If the military employed unlicensed psychiatrists there would be an uproar.
@@Jen1112111 I'm not saying that having a Masters's is bad. what I'm talking about is that the restrictions and limitations are super difficult for someone to provide basic mental help. I did my research and talked to counselors and every single one of them was super disappointed with how the system is and that's with all certifications and licensing in place.
Same reason I am not a counselor. I don't have the damn money or patience for school.
@@Jen1112111 Most average people can't afford pursuing that much schooling when they have families or other obligations to support. Schooling sacrifices more than just money, you give time and have to cope with stressors other college students don't have. When the quality of jobs in your vicinity is such that you have to have multiple in order to cover the necessities, it makes going to school somewhat of an impossibility. I know this doesn't apply to everyone, but for people who weren't priviledged enough to only worry about school growing up, this is a very real problem.
This is a large part of why I chose this profession. Im coming for you rural America!
Sheriff Mark Dannels seems to be very competent, understanding and knowledgeable, with a very objective look at things. That’s somewhere to start!
Not a given in such rural areas ...
He is a great supporter of the mental health non-profits in the area. But without more clinicians or medical staff the issue will continue.
Seriously, make your videos longer. They are awesome and those topics could at least fill 45 Minutes to adress all sorts of problems and storys in more detail.
Takeshi Kovacs the problem is the attention span of the average RUclips viewer.
I lived in Sierra Vista, in Cochise county, for 8 months back in 2018. It was an absolute wasteland; devoid of almost all amenities that modern young people enjoy utilizing. It does not surprise me at all that mental health professionals do not want to live/work there.
To tell you the truth, if I lived in a wasteland like this, I'd have mental health issues myself.
10:35 - 12:00, Derrick Seawood, how eloquent! How true! Thank you.
Yes!!! I got goosebumps. He was speaking truths
Good video raising awareness about an important issue
God help these people.
We all have at least one in each family.
I don’t know what to do. It all seems dismal, and I am happy and healthy, but I’m just saying...
John Connor .yeah man !
God does not care
hell awaits you
Voter: Country is going to hell.
Also voter: elect politicians who make life worse.
Right you are!
Also voter: Don't raise my taxes to do something about it.
Follow the money. This all goes back to the country's financial divide. With globalization, automation, and corporatization of the country more people have a bleak future and are more prone to mental health and substance abuse issues. This is particularly noticeable in rural areas. The rich keep getting richer and have fewer worries or can at least pay for treatment, and the poor keep getting poorer and can't, exacerbating the problem.
“... we’re gonna keep building jails.”
Me: private ones! 😞
if those were black bodies with the exact same sad background music. there wouldn't even be 2% of the sympathetic comments here. I am amazed at the difference in treatment and perception. its frightening , even
@@PHlophe I think things are changing in that regard, honestly. There would absolutely be a difference, but I don't think it would be 98%. With the advent of the internet it's easier than ever to be made aware of these kinds of issues.
@@user-sf4fy8bq1h I like your positivism! Keep it up, it's much appreciated.
I deal with mental health issues and have no insurance. I struggle, bad. It's sad but it would be better to be dying of cancer than have what I have. Our culture in this country needs to change. If someone like me just had the help necessary, I could finally be as productive as I want to be and finally provide for my family like I should. I am ashamed of who I am.
Thanks for talking about this 💕
Community begins with family and friends.
... but our capitalistic system is assisting in destroying those bonds.
true, but not always available or possible for every person
If 20 celebrities and maybe a random billionaire ponied up even a small fraction of their disposable income, they could create a chain of top-notch facilities that attract young professionals, along with a foundation to fund the program indefinitely. I'd give to that.
up.
@Beyond Tribalism FACTS
Sadly they don't care
The whole point of taxes is to fulfill the needs of the people. We need to confront our *aggressively* representatives and hold them accountable to their jobs.
The rich do that already, actually its the top strata of Wealthy people that help keep the system alive. Jordan Peterson has amazing video on Wealth Distribution that I would highly highly recommend. As I too am poor and thought the same as you, till I was as properly educated on the matter..
If I can find the video ill link it in this comment below
This Atlantic video series is highly underrated. Thanks for producing and sharing this!
Thanks for this presentation. I am a member of this need community. One of my concerns: One of the greatest problems in democracy is that just causes should not need advocacy. There should not have to be a struggle for rights and justice. We should not have to produce videos to gain an audience that potentially might eventually vote to over a long period of time adjust policy to eventually fix a problem after 2 generations have been gnawing on it.
I would prefer a Meritocracy over the Idiocracy we have now.
A meritocracy? What would that look like for those whose mental illness limits their potential to a debilitating degree?
With all the privately run prisons in AZ these days, the 'profit motive' is also another large part of the problem.
very sad
Mental health in rural America. I live 50 miles from downtown Cincinnati. Just like wealth has been concentrated so has the city's investment been concentrated to a 2 square mile cluster on the riverfront of the city. Everything the city and county have built, stadiums, coliseum, theaters and music venues are down there. Meanwhile there's absolutely nothing to do out here. If I want to enjoy a night out I have to drive 100 miles round-trip, spend $20 in gas and $15 to park. The result, I sit at home by myself day after day knowing we've been abandoned. Death can be preferable.
claudermiller why don’t you and some others build a community club house ? Maybe next to a small store in a local area that already has a draw.
There is always something to do in rural areas if you live rural life. I despise mass cult of urban areas, have no need for it, what drives me crazy about rural area is every isolated rural dweller for himself mentality. Neighbors do not come together to talk or help, frequently do not speak to each other. It feels like death. People ought not live like this. Even if you are mentally healthy, it will drive you nuts.
@@ppss.6302 so agree, that seems to have been lost along with the small family farms and a sense of "community" in rural America.
60 min daily walk does miracles. Hunting, fishing, foraging. Build a sauna and sweat your worries away. Organize a wife carrying contest: the winner gets his wifes weight worth of beer. Go for a cross country skiing... in the middle of the summer - people will think youre crazy but atleast they have something to talk about.
@@bazodee2 Too funny. Yeh, we have mud bog pulling contests and frog jumps... lol
My wife and I came to the US from Europe and spent four weeks traveling around the country. Beside the natural beauty, a lot of rural America makes you depressed just looking at it. The towns are decrepit. The people eat an atrocious diet and have bodies so fat and unhealthy that there's no way their minds can be healthy. Houses and neighborhoods in small towns are often falling apart. There are no descent food stores. We would drive literally hundreds of miles to the nearest Trader Joe to get good food. It's kind of a Third World country in the way that so many people live degraded lives while the economy is designed to make the rich richer. It will probably never get better when you consider that the people hurt most by the rigged economy voted for Donald Trump and are happy with him, when he's cut taxes on the rich even more and serves the corporate class like every other Republican. The shocking truth is that every European country, including the poorer former communist countries, have decent, nationalized health care where virtually no one falls through the cracks. And America, supposedly a great nation, finds Medicare for all to be a radical proposal. It's just a bizarre, dystopian country. How far it has fallen in such a short period of time.
Did you get to see San Francisco?
You've made some remarkable observations. I've noticed the same things.
Also, the financially well off seem to have lives focused simply on materialism. It is a very unfulfilling approach to life.
jacq danieles : I hear you . 100% agree
Alex A. : Oh my goodness , sad but SO TRUE . I hope you enjoyed your trip .
Yes we did. We spent some time in the Bay Area. It’s lovely in many ways. But the contrast between the remarkable riches and the many homeless and clearly crazy people on the streets is even more remarkable. The contrast between Berkeley and parts of Oakland. And there is also a pervasive feeling of unease and vigilance one keeps due to the threat of street crime. And one never forgets that some people are armed with guns, which from a European perspective is mad. The combination between an alienated society and many mentally unwell people and no meaningful regulations on guns is simply terrifying. In Hungary, where we live-and which is a quite right wing country-only the police have guns. Some country people have shotguns and hunters have rifles, but these are highly regulated. One can’t just go buy one. Much less a handgun. Some security guards are also authorized to carry handguns. No one worries about being shot. And the police do not shoot people because they are not afraid they themselves will be shot. I mention all this because a society is cut from a whole cloth. All the pieces are connected. America seems to be shaking with a crisis it isn’t able to resolve. But I hope in time it gains the capacity. It could learn to take better care of its people and again rise to be a great nation.
I live in an urban part of Pima County, located next door to Cochise County. I have dealt with my own mental illness struggles and know how scary, isolating and hopeless it can feel even when you have resources. I absolutely cannot imagine what it's like when you have no family, nowhere to call home, no emergency clinic you can get to or insurance for help. God bless these people struggling out there on their own.
I hate that they're calling it "hidden." It's not hidden just because you don't know about it. Go ask the people in the video if they think it's a "hidden" issue
That's certainly an interesting thing to gripe about.
I live in Cochise County it is not hidden. Until I moved here 3 years ago (it is beautiful, people can not survive on beauty though) I had always lived in large urban areas and the US mental health crisis, the addiction crisis, the poverty crisis are NOT hidden anywhere especially in the last 25+ years.
That's like saying that Jimmy Hoffa's body isn't hidden because the person who dumped him knows where he is.
My mother has mental illness and over the years the care has only gotten worse. She is fortunate as our family is fairly well off and have the means to help her. If you are poor you are screwed. America hates poor people. We should have a single payer healthcare system but our government is owned by lobbyists and the healthcare industry. Its truly dad but as I said America hates poor people. We have plenty of money but would rather spend it on our massive military. We have spent over 600 trillion more on defense than any other country, its insane.
It's heartbroken to see people trapped in an unfortunate situation and just being left behind by the progress made by the society at large
Sadly it is no different here in Canada. In some places it is a 400+ day wait from the time someone asks for help till the time they actually receive any.
I left Cochise County in 2013 and I'm not doing much better. I am worried.
Curious One did you vote for Trump?
@@drepark2294 Never! My vote's for Bernie.
@@drepark2294 Healthcare should not depend on how someone votes, regardless of how bad that vote is to them.
Khatia Nasrallah well if you vote for candidates that go against your self interest then who is there to blame?!
@@drepark2294 Why do you feel the need to shame these people? That's not gonna win them over, I can tell you that much.
While it is their fault _at large_ for voting for someone who doesn't even pretend to give a crap about them, that doesn't mean they don't deserve proper healthcare. That's petty as hell.
Very good presentation; my hat's off to the filmmakers for an excellent short subject feature, well done!
It's all about the money and those at the top who control our politics won't give it up without a fight--they stole it fair and square.
This is Rockbridge County, VA.
my city has a 6 month + wait list, suprise i was almost arrested before my time came up, ultimately i was sectioned instead.
Reputable, excellent reporting and these videos are .... just the best🕊
THE BOTTOM LINE: It's All About The Money.--Go Where The Money Is.--It's No Longer About Living The Medical Hippocratic Oath...!!
You can hardly ask a young professional with huge student debt to take their family to live someplace that won't be able to pay them well enough to overcome their liabilities and provide a good lifestyle for their family. The government needs to do more to provide economic incentives for the various classes of professionals who are lacking in some of these communities. There have indeed been such programs targeted at professionals such as teachers, nurses, firefighters, police officers and so on, but some of those programs have begun to be abused by the present administration, making it financially unattractive for people to A) pursue those professions and B) move to low-income areas.
@@BrianSweeney1985, I believe that is a very valid point. You have compressed into a few sentences that could take pages.
Those professionals mentioned need to be trained to the specific needs of the locality, or else receive those needing a quick temporary govt job.
This comes down to realizing that treatment is less costly and more effective than cells.
I lived here. I know many of the people in this story. It is sad tale of the lack of mental health care in rural Arizona. I had a close friend die because she couldn't get the care she needed. This is truly a crisis.
There are so many stories like these that are untold...
Watching this video makes my heart hurt
my situation in life is inherently depressing, but I make choices to stay above the water. I try to only eat organic and semi fast. I try to jog 3-4 times a week and lift weights, and also practice meditation. The way I see it, is that materially this world is in the hands of a few. The rest toil and slave after a lifestyle that is almost impossible to attain. Those who are strong in spirit, in their soul powers, begin to see how it is all an evil system whose main goal is to ruin you of your potential, enslave you, and make you chase after materialism and politics that only bolster the elite. We do not have a democracy when you think about it. Regardless of who is elected, things will never change. The average American has no future, and that is not from a lack of effort or talent. But there is a g-d who knows all of man's actions, and he judges us daily. There will be a day when the evil will fall, and the humble and meek will rise. It is happening slowly, as we watch the evil empire slowly dismantle across the globe.
Good sir, can i have some of what you are smoking?
@@flowgangsemaudamartoz7062 I meditate and pray to g-d to lead me in the ways of truth.
@@matisyahup613 Okay mate.
Save your money and live modestly.
Read the gospel as well. They are a good chicken soup for the soul.
There are so many problems in rural USA. Some are made worse by less $, but sometimes rural folks are not even aware that things can be different. That is the first step. Then, people have to organize and work together.
Some of the rural places I have been, people don't want influence from the outside, and distrust outsiders.
Sometimes there just aren't opportunities in rural areas, so some people go where the opportunities are. Others want to stay.
There is also an anti-education, anti-science, anti-urban bias in rural areas, and a lot of resistance to change. I wouldn't be surprised if planners just don't have the patience to try to change local cultures.
Of course, there are other issues, too, but I have seen these myself, so I commented on them.
As a rural American who loves in the south, I totally agree with you on this.
Such beautiful people reaching out to help the needy. Compassion is true wealth.
Even with money, treatment in rural areas is hard to locate. Telepsych is sometimes available, but rural mental health is a whole different world than working in the cities. Both have unique strengths and challenges.
Thanks for sharing. Very interesting documentary.
I live in Canada where our healthcare is provided by the state, many people around the world think our healthcare system is amazing but that's really only when it's compared to our only neighbour and closeted culturally similar country (USA). Anything related to dental work unless it's life treating is not covered at all, your teeth will rote out of your head before they cover anything. If you need a prescription for any reason it's out of pocket, so sure the surgery is free (taxes) but not any of the necessary antibiotics or pain killer after. Mental health is also not covered in any kinda real way, unless you say your are about to kill yourself or someone else (then they you lock you in a psyc ward) they put you on a wait list often in excess of 10 months long. We do have better healthcare then the states (if you are not wealthy) but it's very far from ideal and we also have vast extremely rural areas that have little to no healthcare provided apart from a walk in clinic open a couple days a week for a few hours.
I went to a church where one of the members suffered of schizophrenia. This is a very sad situation. They appear pretty normal most of the time.
However, when they go through a crisis, they are deadly dangerous, to themselves and others.
Once, this lady went to visit me in the midst of one of her crisis. It really hurt me to see her like that. She was calmed pretending to be a little girl. She was with me for about an hour. Then, she left.
I heard that years later, she died during one of her crisis. She walked towards the sea and dissapeard.
This was a great piece
Excellent documentary!
It’s the same in long term care facilities now as well, in rural areas . They used to be called nursing homes; they were for old people who needed nursing care. Now more and more they are places where mentally ill patients come to live. If they have some kind of diagnosable medical problem they can get in, even though their primary diagnosis is some kind of mental health problem. Sometimes I feel like I work in a psych ward, not a nursing home.
The us needs quite some changes:
1. Fair wages of 15/hr
2. Medicare for all
3. A program that rebuilds infrastructure on a massive level to create a lot of jobs
4. A strong EPA to protect natural resources, high quality water and air, as well as good healthy controlled nutritious food. Including combatting of climate change.
5. Good schools for vocational training ( not everyone needs to go to college)
6. Good public schools
7. Fair, but controlled boarders
8. Secure governmental retirement funds
9. Taxes on monopolies
Yes comrade
@@mohnish7653 many European countries have such a system in place and it works great.
Got my vote but won't happen money systems r 4 getting rich n to separate oneself from others n fulfilling ur selfish wishes
I grew up in a community of about 2,500 people, and I feel for the things these poor people are going through. In some of my medical classes we've been taught about the ideas of nonmaleficence vs beneficence. Nonmaleficence just means "do no harm" while beneficence "requires physicians to provide a net benefit to patients."
I feel like the principle of beneficence is something that is missing in our approach to this crisis. Incarceration is not a solution to mental health issues; rather, and it seems to be potentially exacerbating them. Although incarceration might not directly do harm, and therefore follows the idea of nonmaleficence, it isn't helping much either, and falling short of beneficence.
I've worked in the ER in rural communities, and I don't blame the police. When someone is behaving in way that is dangerous to themselves or others, they need to be helped. What's frustratingly clear though is that the only recourse the police have is incarceration.
I think the recruitment of more psychiatrists and other mental health professionals would help to ensure that people like Armando receive the care they need. How? A larger portion of funding that the prisons receive should be dedicated to mental health both within the walls of the prison, and after. Requiring significant follow up for freed individuals will only help, in my opinion. Make it part of their parole, and ask the prisons to provide information on how well they are sticking to it.
Imagine if a hospital had these rates of patients returning to their facility. It would be shut down. "Correctional facilities" don't seem to be doing much correcting, and that needs to change.
This country could give a sh*t about people like this. My older brother had Schizophrenia and would have died on the streets if my father had not fought for his military discharge to be a medical one. He was diagnosed in the military and after his first breakdown they wanted to throw him to the street with a general or even honorable discharge from the VA hospital. He was a Vietnam vet. He died two years ago of congestive heart failure in a locked facility (so he would have to take his meds on time). My sister and I would visit once a month. Growing up with an older brother like this, I have come to learn a lot about schizophrenia. Usually they are victims, occassionally they are perpetrators but it is a condition for which there is no cure--only treatment to help them cope.
Subtitles would be great
You can turn on the Closed Captioning.
Why are you too stupid to understand english?
@@powerglover2021 yes I have no idea about english and zero experience speaking it, obviously, and -900 ability to comprehend spoken words
@@powerglover2021 Not everyone can speak English fluently. If you can't comprehend that, then you are the ignorant one.
It's also ridiculously expensive. Just one 60-minute counseling session can cost upwards of 200 dollars. Very few people can afford this especially given the fact that the US has a dysfunctional health care system
I find it pretty frustrating that not even a 100,000 people have watched this video. This is a very important issue. It deserves attention. It's so interconnected with all the other issue happening in that country and in my own. If more funding could be found, if more people wanted to help, real progress could be achieved here
I'm speaking from a rural community right now, and I've been born and raised among rural working people. We're not doing well and often we're making things worse for each other as a result. Thank you for showing some light on our life and some of the things we are working with. I would take horrible pay if it meant I could assist others with mental health issues. Right now my biggest obstacle is not being able to keep a job or have access to transportation, in general just not enough money. But I take a huge interest in helping those with mental health issues and if there was some kind of rural-focused mental health initiative I would gladly apply.
Taylor how are you doing now?
@@wanttobeengineer I'm doing really well I managed to find a job and I'm making good money, saving up for some land. And I have a car.
@@hazelkit27 Im so happy to hear your doing well :). Hope you find a nice plot of land!
We need more class solidarity between rural and urban people.
does the sheriff keep saying “those with mental health” or is he getting cut off? cuz that’s everyone, friend. some people have mental health issues/problems, too.
Lol I noticed that too. I think it's just a lack of comprehensive education. He hears other people saying they have issues with mental health and thinks "mental health" is how you refer to the problem.
I noticed that. It's probably not knowing the proper terminology or bureaucrat speak.
An important story by the Atlantic of caring professionals looking for a solution for an overlooked problem in rural America and beyond.
Create community, be active, be there for each other.
So many people need help!!!!
Heartbreaking..... 👈🏻🙏🏻
"the size of the state of israel"
thats an odd reference
Yeah, we're kind of obsessed with Israelis aren't we?
The place is MUCH smaller than Switzerland, yet we don't obsess about the Swiss...
Fund the Swiss military - they're surrounded! 😁
@@rwess Projecting a bit, don't you think? A person can't mention Israel in a geographical analogy without it being interpreted as obsession with the country?
If the area that these two psychiatrists covered equalled that of Switzerland, perhaps he would have said so... but the area being "MUCH smaller," Israel was a more accurate analogy. No need to jump to conclusions.
@@danielbrusser3667 Yeah, I was projecting too. Like most Americans I probably have Israel-on-the-brain too much too. Let's nail it down then: Cochise County, AZ is "6,219 square miles (16,110 km2); close to the size of the States of Rhode Island and Connecticut combined". Here is the list of countries by size - www.countries-ofthe-world.com/smallest-countries.html . Israel? Really?
Besides, it's about population size more than area - 130 K (similar to African islands) vs 8,500 K (similar to Switzerland). See what I mean?
Absolutely......odd
But Israel expands on an almost weekly basis , check how big it was in 1948 compared to now . . !!
I recently found out about these "Do Not Rent" and "Do Not Hire" lists (I'm not from the US) and it seems absolutely barbaric to me. It's like once the system has condemned you, there's no way to go back. That's insane!
In my opinion if rural areas decline the entire country is very fragile.
RIP Armando you were the best man I ever met.
condolences
At 6:53 "We could help them, certainly not all of them but some of them need a chance." - Yes, indeed and at this point it doesn't look like we're trying very hard.
Farmers have a very high rate of suicide today. Through no fault of their own, their businesses are failing and these guys are losing farms that have in some cases been in their family for 3 and 4 generations, while agribusinesses gobble up their land. All these guys know is farming.
Is telehealth not an option to bridge some gaps in these rural communities?
We have that here, in Shasta county California. The infrastructure has to exist or be created though. At the very least a clinic.
Damn, America has the worst mental health and education what else is new
The americans are more aware.
Romanian Székely If you say so. Not where I live in the Northern Midwest.
Why is it we are living in the most peaceful, prosperous least violent time ever and we're more fucked up than ever?
I got accepted into a nurse practitioner program a few months ago, best loan rate I could get was 10%, even with great credit. I had to turn it down, couldn’t accept that. The government and private companies are making a killing profiting from students trying to become medical providers. Meanwhile the shortage is healthcare providers continues to grow...
Mental health facilities have been closing for decades all over America. Many states have not even one State ran Mental Hospital. My state closed the only mental health hospital in the state over a decade ago. This is a national problem. That cop doesn't want his budget hit with the cost of taking care of people with mental health problems, but, the jails/prisons have the problem because as a nation mental health care is underfunded or just doesn't exist at all so it makes the criminal system the only place to get mental health services. Even if you have insurance the insurance companies have cut coverage drastically - the coverage is very limited at best.
Another great look at the issue is recent Patriot Act on Netflix, well done and exact issue includes more about how people with health insurance still don't get services they need!
Diane Birmingham just watched it today!! I concur ma’am
But these rural areas sure have no shortage of pill mills
Kind of related to lack of medical care in general in rural areas.
Mental illness comes in different forms. I myself suffer from generalized anxiety disorder. I work a full-time job in the brokerage industry. There are times where I have to take time off because I'm anxious. This is a subject that should be taken seriously because not all who suffer are homeless or poor. Mental illness affects people from all walks of life and socio-economic levels.
All of humanity is living under a false understanding of Reality. That false understanding is the idea that we are separate beings totally alienated from our true Source and Life. All religions are based on this understanding . That we are separate from this source but it somehow created us and we need to seek to overcome this somehow. Original sin I guess is the name given in the Christian faiths. But if we believe in the sacrifice of Jesus, we will go to heaven when we die. The Great Path of Return is the paradigm taught in all religions and faiths.
I have always felt there was something illogical about this. It just never felt right to me for as long as I can remember. So I started looking in my early twenties for something that resonated with my heart. I found it when I read the writings of Adi Da Samraj and then met Him in person. It literally knocked me down the first time I saw Him. Such was the force transmitted by Him. It has taken me many years to understand what a Grace Reality has given us through Adi Da. But I can tell you it is the Truth that can set us free of all humanities false ways and paths. How it works is by viewing Adi Da in person and being transformed by a deep resonate force field of undifferentiated Truth Transmitted through and By Him. When I do this my presumption of being a separate being dissolves and I am awakened to the Truth of prior Unity with all Reality. I begin to understand that this sense of separation is a present activity which doesn't really have any logical basis other then a taught and adapted to one.
Of course it involves a process of growth and burning off of old patterns as this relationship to Adi Da matures. But there is always the Truth and the Joy of this Revelation transmitted by Him. Soon the separation and idea that He is different from you or anything or one is known to be false. Not by any belief but by direct Realization that totally resonates with the heart. In fact that is the first name He gave to His Revelation. The Way of The Heart. I wish all beings may someday know this truth He Is Revealing. To find out more watch His videos on youtube. One of my favorites is (We are Not Separate Beings), or go to the official website at Adidam .org. You will not be disappointed. Tell your friends.
As a person, I often wonder how you can help a person with mental health issues if they can't pay for the service without money or insurance. Honestly, if you give food, $ or even time maybe that'll help. It's a shame that health costs in order to receive the help you need. This country is an unhealthy country and environment for those around the nation.
The people who would benefit most from nationalized healthcare are the ones opposing it most, sad irony
This is what I don't understand, why opposing something that will help you and others lives better?
SOME people in the UK are suffering too.
The whole paradox. They abolished the Mental Hospital saying that it was for the mental people sake. But put them in the street, it's worse then keeping then in hospital. Everyday I have close calls with mental people in the street. They dart in front of cars from a blind spot. Today almost accident, the mental guy started crossing the street in a big and busy intersection where the cars are coming at 40 or 50 speed. The mental have to be kept in a place for their own safety and ours, no in the street.
I think that to maintain the dominant position as a geopolitical power requires a lot of resources. In terms of oil, military personnel, arms and funding.
When the world is at relative peace, these expenditure are just that, expenditures. If the country cannot profit from this geopolitical dominance then it will be making a loss on a huge scale of hundreds of billions a year.
Thus its an imperative to find resources within reason, take advantage of the dominant military position without serious escalations of open conflict between large states. Selective target profit where it can be derived, where such pillaging actions has a manageable domestic political cost, or can be reasonably kept out of the public view, or can be reasonably portrayed as consistent with a grand narrative of freedom and globalisation, then those without solid allies, suffering internal conflicts is prime for exploitation.
Derrick Seawood's voice sounds like a Keenan Michael Key skit
What's the soundtrack?
What did they used to do in the “olden days”? Was mental health a serious issue in the 1940s and 50s? If not, then why not?
They locked people up and threw away the key. I don’t think that’s appropriate treatment in the 21st century especially with all of the different and effective treatment available now. It’s so sad 😞
They close down tons of mental health facilities.
Well-paying industrial jobs that provided “average-joes” with meaningful work and the ability to support their families, stay-at-home moms dedicated to providing their kids with a healthy, wholesome upbringing, unified families and communities with deep generational ties to their towns, and a slower pace of life more suited to our biological rhythms are a few reasons why mental health was probably less of an issue. For present day evidence, look at the Amish. May be mistaken, but I recall reading that their rates of depression / anxiety are 5% , compared to our 12-13%
Back then there were many state and federal mental health facilities. The Republican Party cut funding for them.
Once upon a time, America used to have compassion. No, IT'S NOT becoming "great again".
In the richest country in the world, rural Americans have been left behind at every turn. Success is being able to 'afford' to care about others, not profit off their misfortune and lack of opportunity. Wake up America...
Since our health care system is helping everyone in America no matter if they're American or here from another country ,our system is broke!!! The other countries should pay the United states for every bill their citizens owe while they're living here!!!
it's so sad. They need to re-instate public heath hospitals .
That guy would prefer to be in an alley
Maybe it's a deep seated claustrophobia that's causing their depression that goes unnoticed by the tooled professional psychiatrist doing the evaluations
Why their? Millions have mental diseases, even in your neighborhood and it could be one of many types of diseases.
And people say Andrew Yang is a false alarm...
@Beyond Tribalism reality is shaped by your thought, trump got himself elected when everyone in the world think that it was a wild joke that time
@Beyond Tribalism and I thought USA is a Democratic country? As what happen in 2016, I think for this election, you people have to come out and take that firm stand for yourself...To be honest, the world are not affordable for a weak USA
@Beyond Tribalism ya, I am from Malaysia, and I agree your election are highly influenced by lobbyist that is from big company, but total control...Then why you still need to vote? And why votes matters?
Andrew Yang is the ONLY visionary from that sorry lot.