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Friday, April 21, 2017

Greyhound Bus Therapy: Losing Your Mind in Las Vegas

     According to mental health experts, the city of Las Vegas not only drives people crazy, it attracts unbalanced folks from around the country. The place is a mental illness magnet. In Washington, D.C. you have idiots and fools; in Detroit, empty buildings and bullet-ridden corpses; in Los Angeles, narcissistic celebrities; and in Las Vegas, a lot of people with bipolar disorder and schizophrenia. If I had to live in one of these places, I'd pick Detroit.

     Dr. Lorin Scher, an emergency room psychiatrist with the University of California at Davis Medical Center explains why so many mentally ill people end up in Las Vegas: "As the whole country knows, Las Vegas is a pretty unique place. [Thank God.] Many bipolar patients impulsively fly across the country to Vegas during their manic phases and go on gambling binges. Vegas probably attracts more wandering schizophrenics, people who are drawn to the warm weather, lights, and action."

     Other psychiatrists have pointed out that Las Vegas is home to a disproportionate number of residents displaced by the housing and mortgage collapse of 2007. People lost their jobs, their homes, and apparently their minds.

     Nevada, in 2009, began cutting its mental health service budget. By 2012, the funds for this form of health care had been cut by 28 percent. The reduced spending occurred during the period Las Vegas experienced the surge in psychiatric admissions. Something had to be done to hold down the state's health care costs.

     In March 2013, James Flavy, a 48-year-old schizophrenic living in a complex in Sacramento, California for the homeless, told the authorities a rather disturbing story. A month earlier, when discharged from the Rawson-Neal Psychiatric Hospital in Las Vegas, a mental health worker drove him to the Main Street bus station and put him on a Greyhound bus destined for Sacramento. Following a 15-hour bus ride, Mr. Flavy rolled into Sacramento with a two-day supply of medication and instructions to follow-up his care with a doctor in California. Someone suggested that upon his arrival in the Golden State he call 911. Flavy got off the bus without any identification or access to his Social Security benefits. He wound up in a University of California at Davis Medical Center emergency room where he lived for three days before someone arranged temporary housing.

     Mr. Flavy's story led to the remarkable revelation that over the past five years, more than 1,500 Las Vegas mental patients have been shipped via Greyhound bus to more than 200 cities in every state in the continental United States.

     The Southern Nevada Adult Mental Health Services, between July 2008 and December 2014, spent $205,000 on mental patient bus tickets. (The agency had a special arrangement with Greyhound.) The busing program has saved the state of Nevada millions of health care dollars.

     One-third of the Greyhound therapy recipients were bused to California, 200 of whom to Los Angeles County. In 2012, Greyhound buses rolled out of Las Vegas carrying 400 mental cases destined for 176 cities in 45 states.

     Health care administrators in Nevada defended their mental ward on wheels program as sort of a revolving door operation. If unbalanced folks from all over the nation can roll into Las Vegas, they ought to be able, following emergency mental health treatment, to roll them back out of town.

     This story makes one wonder if homeless people arrested by the Las Vegas police are packed off in Greyhound buses. Such a program would save the city a lot of criminal justice money and help deal with jail overcrowding.

     Can you imagine what it must be like for ordinary tourists riding Greyhound buses out of Las Vegas? Moreover, what would it be like to drive one of these rolling mental institutions? I can envision a reality TV show called "Mental Health Bus Drivers: A Ride on the Wild Side".

2 comments:

  1. I'm still understanding from you, but I'm making an attempt to achieve my ambitions. I undoubtedly enjoy studying every thing that is posted on your internet site.Keep the stories coming. I preferred it!.
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  2. Yes i am trying to understand the state of mind in the city of Las Vegas, why it is said to be city only drives people crazy.

    ReplyDelete