Community Mental Health

risperidone prescription
My previous field of work was community mental health care and when we were downtown I spotted this prescription sticker stuck onto a bench in the park near the ‘before I die’ chalkboard. I instantly recognized the drug which is an anti-psychotic medication commonly used to treat illnesses like schizophrenia. When I was working it was a new wonder drug and very expensive. I expect it is generic now but still a useful medication.

Then I noticed the David’s surname which was Spanish and that the prescription was printed in Spanish. Mental illness affects people irrespective of income, ethnicity and circumstances but I suspect from his mother’s address they were first or second generation immigrants on a low wage. The script was issued from a hospital near the downtown area so it suggested that perhaps they could only afford to go to ER or it was an emergency situation.

David is not even 20 and my experience tells me that it is more likely the onset of schizophrenia rather than bipolar. It commonly presents in young men between the ages of 17 and 25. It can be sooner or later and slightly different for women. So why did he put the sticker on the bench? In retrospect I should have ripped it off because all his personal details were on it and made him a potential victim.

Was it a cry for help or a passive aggressive statement? More importantly, did he take the drugs? I wondered if his mother was sobbing, wondering what happened to her beautiful son and what to do next. The homeless people in Houston are often mentally ill and many self medicate with alcohol and drugs. I get angry and frustrated that there is so little community mental health care for parents or their adult children. When I volunteered at a local psychiatric hospital I was shocked by how many patients were brought in by policemen, sometimes at gunpoint. There has to be a middle ground.

Osyth commented in my last post that she was touched by the comment, ‘be happy’ (on the before I die chalkboard). Maybe David wrote that, in the hope that his illness would stabilize and he would be happy. I hope that he was still able to stay in his family home and not have to sleep in the parks, no matter how pretty they are.
art sculpture