Preventing crimes by mentally ill offenders: The role of health reform

We can’t specifically predict atrocities such as occurred in Sandy Hook. Yet the Medicaid expansion in health reform is an important step in addressing violence by mentally-ill offenders.

Me with a long piece in the Washington Monthly:

It’s a strange thing. Newtown was an atypical crime, committed by an atypical offender, using a murder weapon that I hope will be outlawed but that remains pretty atypical for gun homicides. Even though we may not be able to stop an event like Newtown from happening again, it seems to be moving public policy more than the routine smaller scale tragedies that we could more easily prevent. Newtown has provided a genuine occasion for Americans to think seriously about gun policy, and to consider the very real challenges to our mental health system. We should make the most of this moment.

It’s naive to believe that we could specifically identify someone such as Adam Lanza before he goes on a rampage, but improved policies could still prevent an unknown, maybe unknowable number of violent deaths. No one policy will dramatically reduce homicides, and the politics and administration of effective mental health policy are both daunting. But making these policies work would provide a fitting memorial to the victims of needless violence across America. While we may not be able to entirely solve the tragedies that occur at the intersection of mental illness and gun violence, surely we can do better than we’re doing now.

More here.

What policymakers can do about gun violence

The deaths of so many children and their teachers and school officials at Sandy Hook Elementary, and of a mother at the hand of her killer son, have caused me to re-visit the subject of national firearms policy, which I thought about night and day for nearly seven years from the fall of 1994 to January 2000.

We must begin by recognizing that the rare problem of rampage or spree shooters who may be suicidal is different from the problem of youth gang violence in inner city neighborhoods that we were primarily focused on during the 1990’s when youth gun homicide rates went through the roof and the primary firearms policy goal was to keep guns out of the hands of teenagers.  In responding to one more shocking shooting of innocents by a deranged young man wielding a military caliber semi-automatic assault weapon, we must build on progress in firearms violence reduction that has continued since President Clinton left office, and pick up where politics halted the Clinton era initiatives. We also must think freshly and strike out in new directions.

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