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Tim Murphy

๐Ÿ‘ค Person
285 total appearances

Appearances Over Time

Podcast Appearances

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

The second thing is we had restrictions in the law. Medicaid only pays for two weeks at a time, 15 days stay, or a lifetime limit of, what, 190 days in the hospital? That's a problem. Or they didn't want to have more than 16 beds in a hospital. That's a problem. So it was these artificial limitations on serious mental illness, particularly when you're dealing with schizophrenia and psychosis.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

15 days is not enough. I mean, it takes that much time to get off of one medication and stabilize on another one. Your time is up before you know it. And this 190-day lifetime limit, I was thinking, boy, can you imagine if we did that with cancer? And said, I'm sorry, we're not going to give you any more days on this.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

15 days is not enough. I mean, it takes that much time to get off of one medication and stabilize on another one. Your time is up before you know it. And this 190-day lifetime limit, I was thinking, boy, can you imagine if we did that with cancer? And said, I'm sorry, we're not going to give you any more days on this.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

15 days is not enough. I mean, it takes that much time to get off of one medication and stabilize on another one. Your time is up before you know it. And this 190-day lifetime limit, I was thinking, boy, can you imagine if we did that with cancer? And said, I'm sorry, we're not going to give you any more days on this.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

There's other things with insurance companies more recently come to light, and that is that insurance companies have a tendency, when you start to get better, they stop payment. In other words, well, you don't really need this inpatient stay anymore because you're improving, so we're going to stop payment, which means before the person's even stabilized, they're out on the street.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

There's other things with insurance companies more recently come to light, and that is that insurance companies have a tendency, when you start to get better, they stop payment. In other words, well, you don't really need this inpatient stay anymore because you're improving, so we're going to stop payment, which means before the person's even stabilized, they're out on the street.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

There's other things with insurance companies more recently come to light, and that is that insurance companies have a tendency, when you start to get better, they stop payment. In other words, well, you don't really need this inpatient stay anymore because you're improving, so we're going to stop payment, which means before the person's even stabilized, they're out on the street.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

Another aspect we discovered was that there's this concept of this practice called assisted outpatient treatment, different from assertive community treatment. The community treatment is one where basically services are provided, people can talk to the person with severe mental illness with the belief you can talk them into getting care. And that can work in a lot of cases.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

Another aspect we discovered was that there's this concept of this practice called assisted outpatient treatment, different from assertive community treatment. The community treatment is one where basically services are provided, people can talk to the person with severe mental illness with the belief you can talk them into getting care. And that can work in a lot of cases.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

Another aspect we discovered was that there's this concept of this practice called assisted outpatient treatment, different from assertive community treatment. The community treatment is one where basically services are provided, people can talk to the person with severe mental illness with the belief you can talk them into getting care. And that can work in a lot of cases.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

It does not work when someone is so compromised. with their self-awareness, with a condition called anosomnosia. They don't even know that they're not sick. They do not have that self-awareness. It's like the blind person who doesn't even know that they're blind. Those are people who resist treatment, who become very paranoid about treatment.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

It does not work when someone is so compromised. with their self-awareness, with a condition called anosomnosia. They don't even know that they're not sick. They do not have that self-awareness. It's like the blind person who doesn't even know that they're blind. Those are people who resist treatment, who become very paranoid about treatment.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

It does not work when someone is so compromised. with their self-awareness, with a condition called anosomnosia. They don't even know that they're not sick. They do not have that self-awareness. It's like the blind person who doesn't even know that they're blind. Those are people who resist treatment, who become very paranoid about treatment.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

And of course, in the throes of their psychotic or schizophrenic crisis, they can easily become paranoid because they think, well, you're part of the group that's plotting against them or trying to force them into treatment.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

And of course, in the throes of their psychotic or schizophrenic crisis, they can easily become paranoid because they think, well, you're part of the group that's plotting against them or trying to force them into treatment.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

And of course, in the throes of their psychotic or schizophrenic crisis, they can easily become paranoid because they think, well, you're part of the group that's plotting against them or trying to force them into treatment.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

Unfortunately with that, there are groups called the disability rights groups, which in concept make a lot of sense. They say they don't want to force anybody into treatment without their consent. I get that. And there was a time, 50 years ago, 100 years ago, when many people were just put into these asylums. You thought granny was the law of control, Uncle Bob was the law of control, the son.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

Unfortunately with that, there are groups called the disability rights groups, which in concept make a lot of sense. They say they don't want to force anybody into treatment without their consent. I get that. And there was a time, 50 years ago, 100 years ago, when many people were just put into these asylums. You thought granny was the law of control, Uncle Bob was the law of control, the son.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

Unfortunately with that, there are groups called the disability rights groups, which in concept make a lot of sense. They say they don't want to force anybody into treatment without their consent. I get that. And there was a time, 50 years ago, 100 years ago, when many people were just put into these asylums. You thought granny was the law of control, Uncle Bob was the law of control, the son.

Tony Mantor: Why Not Me ?
Tim Murphy's Fight for Mental Health Reform

You send them to these asylums. The asylums, by the way, were set up originally to keep people out of homeless and from prisons, to be a more humane place to put people. So they started off with a good concept. But they became overpopulated, understaffed, dumping grounds. So the disability rights people said, hey, you can't just be putting people there. I get it.