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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's Mission to Reform Mental Healthcare

I might get attempts any minute now from Senator Hurtado telling me we got them all done. The bills I had introduced expand mediation so that providers of care will have a better option. The providers of care don't like to petition their clients for treatment. They'll certainly take advantage of mediation. They'll see if their client is beginning to decompensate.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

I might get attempts any minute now from Senator Hurtado telling me we got them all done. The bills I had introduced expand mediation so that providers of care will have a better option. The providers of care don't like to petition their clients for treatment. They'll certainly take advantage of mediation. They'll see if their client is beginning to decompensate.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

I might get attempts any minute now from Senator Hurtado telling me we got them all done. The bills I had introduced expand mediation so that providers of care will have a better option. The providers of care don't like to petition their clients for treatment. They'll certainly take advantage of mediation. They'll see if their client is beginning to decompensate.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

And before it gets too bad, let's go get mediation. We are trying to make the process work better.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

And before it gets too bad, let's go get mediation. We are trying to make the process work better.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

And before it gets too bad, let's go get mediation. We are trying to make the process work better.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

So we still have some blockages. For example, if I want someone to get outpatient treatment only, I have to have a psychiatrist testify. If I want them to be hospitalized, a psychologist can testify. To me, it would seem that the higher-ranking medical person ought to be talking about hospitalization. and a lower echelon person talking about outpatient treatment.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

So we still have some blockages. For example, if I want someone to get outpatient treatment only, I have to have a psychiatrist testify. If I want them to be hospitalized, a psychologist can testify. To me, it would seem that the higher-ranking medical person ought to be talking about hospitalization. and a lower echelon person talking about outpatient treatment.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

So we still have some blockages. For example, if I want someone to get outpatient treatment only, I have to have a psychiatrist testify. If I want them to be hospitalized, a psychologist can testify. To me, it would seem that the higher-ranking medical person ought to be talking about hospitalization. and a lower echelon person talking about outpatient treatment.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

There's been tremendous resistance to these outpatient treatment orders. What did you think was going to happen when you emptied the hospitals? What are you going to do with individuals who had to be hospitalized before? I'll just give you a comparison. In New York State is where Kendra's Law was adopted. And that's where in 1999 they started the idea of assisted outpatient treatment.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

There's been tremendous resistance to these outpatient treatment orders. What did you think was going to happen when you emptied the hospitals? What are you going to do with individuals who had to be hospitalized before? I'll just give you a comparison. In New York State is where Kendra's Law was adopted. And that's where in 1999 they started the idea of assisted outpatient treatment.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

There's been tremendous resistance to these outpatient treatment orders. What did you think was going to happen when you emptied the hospitals? What are you going to do with individuals who had to be hospitalized before? I'll just give you a comparison. In New York State is where Kendra's Law was adopted. And that's where in 1999 they started the idea of assisted outpatient treatment.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

So New York State right now has about 2,500 people on AOT with a population of 20 million. In Michigan, Genesee County, with a population of 400,000, has about 800 people on AOT orders. So New York City, or New York State rather, used AOT the way Genesee County does here in Michigan. They have 20,000 people on AOT. It's a preferred option to hospitalization.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

So New York State right now has about 2,500 people on AOT with a population of 20 million. In Michigan, Genesee County, with a population of 400,000, has about 800 people on AOT orders. So New York City, or New York State rather, used AOT the way Genesee County does here in Michigan. They have 20,000 people on AOT. It's a preferred option to hospitalization.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

So New York State right now has about 2,500 people on AOT with a population of 20 million. In Michigan, Genesee County, with a population of 400,000, has about 800 people on AOT orders. So New York City, or New York State rather, used AOT the way Genesee County does here in Michigan. They have 20,000 people on AOT. It's a preferred option to hospitalization.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

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's Mission to Reform Mental Healthcare

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's Mission to Reform Mental Healthcare

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's Mission to Reform Mental Healthcare

Now, that experience is pretty traumatic. Yes, that's what everyone says. Why do we have to do it that way? And we don't have to do it that way. We inflict trauma, and then the period of hospitalization is a few days. In fact, we measure length of stay by hundreds of a day. So we say, okay, the average length of stay in Wayne County is 6.25 days.

Tony Mantor: Why Not Me ?
Judge Milton Mack's Mission to Reform Mental Healthcare

Now, that experience is pretty traumatic. Yes, that's what everyone says. Why do we have to do it that way? And we don't have to do it that way. We inflict trauma, and then the period of hospitalization is a few days. In fact, we measure length of stay by hundreds of a day. So we say, okay, the average length of stay in Wayne County is 6.25 days.