Open Society

Fatal gun violence is usually linked to intimate partner violence and white supremacy, not mental illness.

The public perception of a strong link between mental illness and violence is fueled in part by news coverage of mass shootings and other violent events. Two studies have directly linked news media coverage of high-profile acts of violence by persons with serious mental illness to negative public attitudes toward this group.

When suicide is examined as a part of the picture of gun violence, mental illness legitimately becomes a strong vector of concern; it should become an important component of effective policy to prevent firearm violence.

Evidence is clear that the large majority of people with mental disorders do not engage in violence against others, and that most violent behavior is due to factors other than mental illness.

Jeff Swanson at Duke published a study that estimated somewhere around 4% of violence was attributable to mental illness, which meant if you could get rid of all the violence that was caused by or related to mental illness, we’d still be left with 96% of the violence in this country. There are lots of reasons to want to provide good mental healthcare, but violence reduction is, in my view, pretty low on the list.

Texas ranks near the bottom in primary care providers per 100,000 residents at 182, according to the United Health Foundation. According to The Commonwealth Fund, Texas leads the nation — by far — in residents without health insurance, and a staggering 19% of all people with a credit score in Texas have medical debt that has gone to collections. Those new Texans are also finding few protections in the law. Texas is another state with no public accommodation law barring discrimination against non-disabled people; it has passed a barrage of laws targeting the LGBTQ+ community; and its abortion ban is the strictest in the nation.

For many library workers, the material consequences of unchecked capitalism are the stuff of everyday life. Often we are the only indoor public space in our communities and provide the only accessible public bathroom. We provide broadband internet to people who can’t access it otherwise, and assistance with the email addresses and online forms required to access public welfare programs. Extreme poverty, unaddressed mental illness, the opioid crisis — all of it walks through our doors and makes itself at home.

n many ways, the structure of this book is not unlike a mullet: business in the front, party in the back.