I read an article today, and it is spurring me to write two blog entries. This one addresses the article itself; the other talks more about Non-profit use of articles and releases written by others and some ethical issues surrounding that.
The article in question was published in the Raleigh News Observer under the title “Study: Four killings reported in rest homes“. The lede is “In the past two years, at least four residents of North Carolina rest homes have been killed by fellow patients who had histories of severe mental illness and violence.“
In all honesty, it’s a pretty standard approach used in journalism to use a “bloody” headline and/or lede to grab attention. But is it the right thing to do, especially when talking about an already vulnerable population? Does it not contribute to some of the problems of stigma we face today, not only for those with Mental Health disabilities, but in the larger disability community?
Most of my comments here won’t make sense unless you’ve read the article. Go on, click it, I’ll wait.
First off, the placement of people in nursing homes is actually a misappropriation of the implications of the Olmstead decision. For the vast majority, the nursing home is *not* the least restrictive environment, and for some it is further inappropriate. The language in the article doesn’t seem to recognize that the warehousing of patients in nursing homes is exactly counter the opinion put forward by the courts.
This study further worries me, because the way it is presented starts out with wording that is extremely negative about people with MH disabilities, and might lead those who do not read the entire thing to assume that taking people *out* of institutions was wrong. The public might not be familiar with what exactly Olmstead was, or even the breadth of human rights protections the ADA affords.
Towards the end it makes comments on the horrible conditions. If you *do* know your history, you can recognize as rather identical to the sort of institutional care that we have been trying to get people out of, but few people know their institutional history. It does not adequately suggest what the appropriate measures would be. It does not call for change, but instead allows the imagery to “fester” in the reader’s mind, where someone with less of a background in the issue might come up with some very frightening “solutions” indeed.
This perspective is very much one that favors the provider, as well as the social worker voice, over that of the consumer (remember, nursing home placement is generally speaking 18+), especially with the emphasis on homelessness as the only visible alternative (rather than showing examples of the underfunded and harder to get a spot in alternatives) and this treatment leaves me worried. While yes, it is true that many would currently end up in the streets, very little mention is given to the sorts of programs that are *supposed* to be the alternative, but are under funded.
How are we supposed to rise support for something to be appropriately funded if the information we give out doesn’t explain what exactly that *means*?
There’s another question here, too, when it comes to the professional view bias. It’s one that has been repeated over and over in the history of institutional placements of all sorts. Owners and superintendents have manipulated the public perception of various populations in order to increase their standing, power, and funding in the public. Just as a politician manages public perception of himself, professionals manage their and their clientèle’s perception. And so half-truths and misleading information about populations in institutions abounded.
While today, the Eugenics hot topic focuses on pre-natal testing, in the early 20th century the argument was focused on Sterilization. The idea was that those with developmental or intellectual disabilities were either too fertile, or unable to protect themselves from unwanted advances. With the rise of the concept of Social Darwinism in the late 1800′s, it became more and more worrisome that there was a possibility of so called “degenerates” reproducing.
At first, some superintendants supported the idea of sterilization privately. There was an initial reluctance to publicize this, though, for fear that they would lose funding for patients that, once un-sexed, might be returned to the community. Over time both the concept of the disabled as a public menace and issues of over-population in institutions grew. Eventually, in the face of a lack of space for larger and larger intakes, they shifted their public support to sterilization. Privately, their letters show that as they gained more public support for the procedure they grew doubtful about the actual usefulness outside of institutional control. *
Back to the lede and title.
The fact that it leads with “four killings” caused by “other patients” with no mention of the deplorable conditions until later on is extremely troublesome. It uses, instead of the entirety of the problem, something that PLAYS SPECIFICALLY on stigma the public holds towards people with MH disabilities. In fact, there is very little relevance to the subject of the article in the lede. Deplorable conditions should be “bloody” enough to grab headlines, and that is the real focus of the article.
Even if you are a parent rather than an individual with MH disabilities, there needs to be a recognition that leading with this sort of stigma will *not* help in the long run. Instead, it will just perpetuate the stigma so that when someone who is a minor right now reaches age of majority, the stigma will still be as virulent as ever.
In my eyes, to ignore all of this in writing an article on this topic is negligent- not as a journalist, but as a human being.
*For more information about the history of the treatment of the Developmentally Disabled, I would recommend Trent’s “Inventing the Feeble Mind“