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View Diary: "I snapped, shot 3 people, I'm sure," Stidham told police. Police confirm: 3 people dead (323 comments)

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  •  Respectfully, I disagree. (8+ / 0-)

    I've worked in DV for years and it isn't a mental disorder. And unfortunately, I think it is largely being ignored in this particular diary, by you, the diarist. I have no wish to hijack yours so I'll move on to something else.

    I can just about forgive the Brits for starting our revolutionary war and burning DC to the ground during the war of 1812 for giving us Led Zeppelin.

    by Pager on Fri Jan 18, 2013 at 09:43:18 AM PST

    [ Parent ]

    •  shows the problems in even discussing DV (6+ / 0-)

      While people who commit DV have aberrant personalities, that aberration does not rise to the level of a mental  disorder.  They do need counseling but to label it a mental defect or disease in some ways lessens their responsibility for their own action.

      Combine this with popular acceptance of DV as a norm (even in our popular media, we have TV shows where Ricky spanks Lucy and who can forget Ralph Kramden's "To the moon, Alice, to the moon"?), and it is a time for detailed discussion on the matter.  I noted elsewhere that ACA discussions should include facilitating access to mental health care; perhaps ACA discussions should also include DV, both in providing care for victims and mandating intervention for perpetrators ( i apologize if I am not particularly clear on this point but I am still mulling it around)

      •  DV in the ACA (1+ / 0-)
        Recommended by:
        mungley

        Provisions in the ACA encourage Primary Care Providers to ask specific questions about depression, drug and alcohol (as well as nicotine) and exercise and safety. In a PCP visit and maybe more often in an OB/GYN visit, a patient will reveal abuse she is experiencing. At our FQHC, the person is referred to in-house. LCSW. Whence able, most of the time, the PCP will go the the LCSW and do a warm hand-off, increasing the likelihood that the patient will come in for an Intake. During the warm hand-off, the LCSW will explain what resources are available and where to call. I have had situations where the patient was with me and we had police come through the back door to take the woman to the shelter as the perpetrator was in the waiting lobby. True to form, when he saw the police car, he got in his car and took off.

        •  thank you for the information (1+ / 0-)
          Recommended by:
          BlackSheep1

          However many areas lack an FQHC and the resources to form a 501C3 to file the necessary grant paperwork.  Then there is the problem of only a limited number of FQHCs being approved each year.  Reasonable access to mental health services remain a problem in many rural and urban areas  

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