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Judge Milton Mack

πŸ‘€ Speaker
520 total appearances

Appearances Over Time

Podcast Appearances

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

Let's give you a comparison.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

New York State is where Kendra's Law was adopted.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

And that's where in 1999 they started the idea of assisted outpatient treatment.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

So New York State right now has about 2,500 people on AOT with a population of 20 million.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

In Michigan, Genesee County, with a population of 400,000, has about 800 people on AOT orders.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

So New York City, or New York State rather, used AOT the way Genesee County does here in Michigan.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

They have 20,000 people on AOT.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

It's a preferred option to hospitalization.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

When we go off the hospitalization route, what that involves is the police go to someone's home, like the parents, and they go down and they effectively arrest the parent's son and then take him out into a squad car in front of the neighbors and transport him to the hospital where he's held against his will for a few days, pretending a trial in front of a judge on a black road.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

Now, that experience is pretty traumatic.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

Yes, that's what everyone says.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

Why do we have to do it that way?

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

And we don't have to do it that way.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

We inflict trauma, and then the period of hospitalization is a few days.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

In fact, we measure length of stay by hundreds of a day.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

So we say, okay, the average length of stay in Wayne County is 6.25 days.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

I don't know what the length of stay is now, but it's typically less than seven days.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

Judicial leadership really does matter.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

And after the Myers-Briggs personality profile, basically I signed a paper on this by judges, and judges tend to be introverts, and they tend to be reluctant to engage directly with the legislature.

Tony Mantor: Why Not Me ?
Judge Milton Mack: A Man on a Mission to Reform Mental Health

But you have to find the judicial leadership at each level.