Tuesday, September 29, 2009
Roaming the Blogs - There's Great Info Out There, Giving Answers to Questions We're Frequently Asked
1. What happens if I die without a will in Texas?
A great answer is provided by the Texas Probate and Guardianship Blog, which is written by Ford & Mathiason, LLP (offices in both Houston and Dallas).
2. What are Guardianships and how do I get one (for my mom, dad, child, etc.)?
The Center for Children, Law & Policy of the University of Houston Law Center maintains a blog entitled, Children and the Law which gives an overview of the guardianship process (jurisdiction, venue, etc.) as well as links to the pertinent sections of the Texas Probate Code.
3. Can anyone be a Guardian in Texas?
The fast answer is NO. For an example of a controversy surrounding a guardian for elders and the Texas requirement that guardians in Texas be certified, check out the post written for the blog of the National Association to Stop Guardianship Abuse, entitled "Closer to Freedom."
4. Your loved one has died, and you've found the Will. Now what?
Lots of Texas law -- and federal law, as well -- applies to the transitioning of property upon the death of the property owner. Finding a will is good news because it avoids the intestacy statutes (where the state decides who gets what), but just holding that will in your hands isn't enough.
For what to do when you've found the will, check out "What's the First Thing an Executor under the Will Must Do?" written by Austin's Cary & Lippencott, PLLC, in their Texas Probate and Estate Planning Law Blog.
5. What are wills, living wills, directives to physicians, special needs trusts, estate tax, or estate plans, do I need to worry about it, and can the court help me do it myself?
Last answer first: no, our court doesn't provide legal representation. As to what these various aspects of estate planning are - and why you may need them -- read post entitled "Estate Planning Basics, " in the Wills, Trusts & Estates Blog overseen by Texas Tech law professor Gerry Beyer.
Friday, September 25, 2009
Who are the Manifestly Violent Mentally Ill and Why Should We Care About the Current Law Regarding MVMI?
Studies find that a schizophrenic off meds and on cocaine will be violent in the first six months. (See the work of J. Reid Meloy, Ph.D. especially, his book Violence Risk and Threat Assessment.)
In every city, there are a set number of mentally ill who monopolize resources and pose serious risk to the public. Their violent behavior causes the public to wrongly consider all mentally ill dangerous and therefore to be avoided. I believe that if we identify and isolate the manifestly violent mentally ill (MVMI), we will free the passively ill from this stigma.
A major myth is that the MVMI just "snap." Studies show they warn family and mental health professionals well before they act. It appears that now in our culture mass shootings by the mentally ill are increasing and they are often accompanied by warnings sent to the media.
Currently, our jails are the largest treatment facilities for the MVMI
My son and two brothers are police officers. Law enforcement is our first line of defense against these offenders and our jails are the largest treatment facilities. The former executive director of the National Sheriffs' Association, Thomas Faust, has written that the three largest mental health facilities in this country are these well-known jails: Rikers Island (NYC); Los Angeles County Jail; and Cook County Jail (Chicago).
I would like every officer to see on his computer when they are approaching the house of a MVMI, that they are former patients who expressed a desire to “die by cop.”
Death threats by the mentally ill should be considered as seriously as a suicide threat.
All death threats to family and members and others by the mentally ill should be taken as seriously as threats to commit suicide. It will save lives. Mental illness is the third highest predictor of violence following previous violent history and drug use.
Currently, there is too much pressure placed upon the treating physicians.
Only patients, who are dangerous to themselves or others, are committed involuntarily. Indeed, without the word “kill” in the affidavit supporting commitment, it is most difficult to access the state hospital. Almost everyone who goes in, goes in and out again and again.
Presently, statistics show judges never overrule a doctor who directs commitment or release!
That means all the responsibility for ensuring public safety rests with doctors. The doctors’ treatment and decision to report or not to report are also protected by medical privacy. Except for notorious crimes, their reports are never seen by the media or public, even if the patient has foretold their behavior with serious violent hallucinations.
I believe new legislation is vitally important to the public safety, that new laws will save lives of police officers, that passing new statutes will reduce the stigma the mentally ill suffer and relieve psychiatrists from the sole responsibility of dealing with the MVMI.
In the future, I will have guest posts by mental health professionals, who will discuss this issue from their professional perspective. Other experts in fields related to this issue will also be providing their input (from the judiciary, law enforcement, etc.)
And, of course, I welcome your comments to this issue.
-- Judge Tom Rickhoff
Monday, September 21, 2009
I had him removed by the civil mental health unit and reported to the Secret Service. He called the next day and said, "Do you know where I am? I am in a Mental Institution."
Today, I feel driven to help find solutions to a serious problem in our society.
Now, over 40 years later, hopefully I've gained some wisdom and perspective in the area of mental illness -- not the least of which comes from calling the Bexar County mental health docket for 60 months. (We see the mentally ill today in our Probate Court as well, usually in our guardianship proceedings.)
Perhaps my personal involvement in cases dealing with the mentally ill has given me more impetus to take action.
I feel driven now to try and contribute as best I can towards finding solutions to problems I see in how our society deals with its mentally ill citizens. Particularly so, after reading things like the July 2009 murder here in San Antonio of a 3 1/2 week old newborn baby boy by his mother, who decapitated him with a steak knife and then skinned and gutted him. The mother also reportedly ate some of the baby's toes and part of his brain.
The decapitation of a newborn by his mother here in San Antonio gained worldwide media coverage.
This local story gained international media coverage. The issue of the mother's mental illness received small mention as the gory elements of the event took most of the word count; nevertheless, we do know that Otty Sanchez had a history of mental illness, and told law enforcement that she was hearing voices: the devil made her kill her little boy.
The reality is a "Revolving Door" without a workable treatment plan.
Here's the reality: if a mentally ill individual in this county is actually taken into care involuntarily, Bexar County is good about quickly admitting an individual needing treatment. However, that admittance isn't long: currently, the process is merely a "revolving door" that quickly releases the individual back into the community without a workable treatment plan.
The failure to identify, segregate, and treat the violently mentally ill is the most tragic flaw in our system. It is the chief part of my frustration as a Judge with more than 25 years of experience serving the bench.
I am passionate about doing something to help find a solution here.
Why? Because all too often, the untreated, violently mentally ill precipitate true tragedy, in sometimes horrific circumstances. And, although only 20% of violent crime is committed by mentally ill individuals, one untreated, violent mentally ill person truly can destroy lives and even change world history (e.g., assassination attempts of Pope John Paul; President Reagan; John Lennon; Robert Kennedy; and the catalyst for World War II, the assassination of Archduke Ferdinand).
We can no longer avoid use of the word "violent" because of a fear of stigmatization.
Many advocacy groups abhor the word "violent" because it tends to stigmatize all mental illness. Still, there is a fraction of mentally ill patients who are best described that way: violent. It is my opinion that it is in their best interests -- as well as our community's -- that the violently mentally ill be identified, adequately treated, and adequately medicated.
What about the cost? Heck. Right now, one violent mentally ill patient can cost up to $1.5 million to treat over a lifetime if continuously rotated through hospitals.
Our current system of dealing with the mentally ill is not acceptable.
Our current system of laws in dealing with this reality is not acceptable. Judges have no discretion over whether to admit or to decline the release of a patient. Currently, psychiatrists control everything in this area. And while violent offenses themselves are commonly reported, the fact that these offenses are committed by the mentally ill isn't. Why not? Violent offenses by the mentally ill come under the protection of certain state and federal privacy laws.
I'll be working on many fronts - and reporting about things on this blog.
I'll be writing more -- and asking others to provide their opinions and insights -- here on this blog, on a regular basis. I'll also be working in other areas to find answers to this serious and real problem that impacts not just our community, but our nation as a whole. Periodically, I'll provide updates here regarding all that I'm doing.
I'm not alone -- Judge Yvonne Rodriguez takes a stand today.
And, I will look for -- and support -- others who share my concern, such as Judge Yvonne Rodriguez of El Paso County's Probate Court No. One (1).
Judge Rodriguez wrote an excellent article for the El Paso Times today on this issue, where she concludes by writing, "I for one am ready to take a stand."
As am I.
-- Judge Tom Rickhoff
Wednesday, September 16, 2009
For those of us working in this court, Herb wasn't just a co-worker: he was our friend, too. Everyone walking in our doors could expect to see a smiling face when they came upon Herb Schaefer ....
Herb Was Always Smiling
Only 63 years old, Herb passed away this past Monday -- the day after his birthday --thankfully, with family by his side. He'd worked at this big, red courthouse for over 44 years. Think of how things have changed since Herb first walked up those big stone steps ....
Herb Worked in This Big, Red Courthouse for 44 Years
Herb Schaefer was a Longhorn, graduating from UT - Austin and starting work here at the Bexar County Courthouse. His first job was in the office of Hart McCormick, who was then serving the county as its District Clerk. Herb would go on to work as a court clerk for Judge Anees Mann; he would serve as District Clerk; and he would serve in the Court of Appeals for the Fourth Circuit of Texas (located in the Bexar County Courthouse, with a region covering a large portion of South Texas), before joining our court. We were lucky to have him here, and he will be missed.
Herb Leaves Behind a Loving Family
Herb leaves behind wife, Joan Schaefer; daughter, Taryn Schaefer; step-daughter, Robynne Paugh (John); sister, Shirley Fox; and brothers, James Schaefer and Richard Schaefer. Everyone here offers our sincerest condolences to all of Herb's family as well as his extensive circle of friends.
Funeral Information and Memorial Online Guestbook
Visitation will be held this evening, from 5:00 to 9:00, at Porter Loring Mortuary, 1101 McCullough, San Antonio, Texas, 78212. Funeral services will follow tomorrow morning (Thursday, Sept. 17th) at eleven o'clock (11:00) with interment to follow at Holy Cross Cemetery.
If you would like to sign the online memorial guestbook, you may do so here.
Friday, September 11, 2009
How We Currently Deal with the Violent Mentally Ill Here in Texas - The Short Term Involuntary Commitment
The Legal Balance is Freedom versus "Dangerous to Themselves or Others"
If facts can be placed into evidence that support the individual is "dangerous to himself or others," then the law allows their rights to freedom to be curtailed as they are involuntarily placed into a facility where they can receive assistance and support. However, we are a country that values freedom, and perhaps no state is more passionate about liberty, freedom, and the independence of the individual than Texas.
Legal Limitations on Involuntary Civil Commitments in Texas
Involuntary commitment flies in the face of the law's stringent protection of freedom. As well it should. Accordingly, limitations are placed upon civil commitments.
After being committed, the law allows these acutely ill patients to depart just two weeks later. During their commitment, they will have been seen by health care professionals and treated by therapy and medication. Hopefully, there will have been some success, and the individual patient is no longer a danger for suicide or homicide, or some other violence danger. They are then released, after only a short stay in a treatment facility.
What Happens After the Civil Commitment?
And, here's the rub. It may not be enough. Too many mentally ill patients complain that the medications that help them have unbearable side effects. They become sleepy, they feel like "zombies," they feel like they are living in a bubble. The result? They stop taking the drugs. Many start to self-medicate with illegal drugs or alcohol.
And soon, with a few weeks time, that same individual is once again a serious threat to himself, or others, and we're back to square one and hoping that no one is hurt or killed before this sick person -- suffering from an illness -- can get real, substantive treatment.
-- Judge Tom Rickhoff
Tuesday, September 08, 2009
Caregiver burnout is a real and continuing concern.
This month, there will be an event recognizing the caregiver's needs. It costs $10 (which includes breakfast and lunch) and lasts five hours -- and it might make a major difference in the lives of caregivers here in our area.
The 2009 OLLU Spirituality and Aging Conference
This year's Spirituality and Aging Conference will be held from 8:30 a.m. to 1 p.m. on September 19, 2009, in Our Lady of the Lake University's Providence Hall (click for map). It will be telecast live in both Spanish and English (go to http://www.mmlearn.org/), and there are already remote locations set up for the Conference in Uvalde, Del Rio, Eagle Pass, and Carrizo Springs.
Dr. James Huysman of Leeza's Place / Leeza Gibbons Memory Foundn Will Speak
The Conference's Keynote Speaker will be Miami's Dr. James Huysman. Dr Hysman is co-founder of The Leeza Gibbons Memory Foundation (which provides Leeza's Place here in SA) and the co -author of Take Your Oxygen First: Protecting Your Health and Happiness While Caring for a Loved One with Memory Loss. He will speak on "The Ten Commandment of Careglving," with a focus on how people can help care for the caregiver.
Other topics to be covered at the conference include dealing with grief and loss; the basics of dementia; and finding meaning in caregiving.
Here's hoping local caregivers and their loved ones can attend the Conference
Sounds like a very informative Saturday for everyone, and we hope that local caregivers and their families can find a way to attend.
Wish there were more events like this during the year....
[Click here to print the Conference Brochure.]
Friday, September 04, 2009
You can order online and choose where you will pick up your order from several different sites, all within a 20 mile radius of your zip code entry.
You can apply for food stamps via the Angel Food website, and they will coordinate through the USDA to have a case worker in your area contact you, to finalize things.
You can get a nice magazine, The Servant --a free copy is placed with every order.
You have a bigger selection. The menu selections have really expanded -- there's a lot more to choose from, and a real variety of menu options for different needs (allergen free, seniors, etc.)
The Angel Food Selections Have Lots of Choices Now
For example, the Seniors Box for September 2009 provides the following for $28.00: ten (10) meals on cute, round plates that are nutritionally balanced, seasoned, and pre-cooked with seniors in mind. Each meal has 3 oz. of protein, a starch, and two veggies/fruit. Assorted desserts come, too -- applesauce, cookies, fruit cups, and juice.
September's ten Senior Box meals include: (1) country herb chicken w/mashed potatoes, broccoli and green bean blend; (2) swedish meatballs with pasta, broccoli, carrots, and red pepper; and (3) breaded baked fish with wild rice, corn and peas. [See the above image.]
The Signature Box provides food (meat, veggies, etc.) to feed a family of four for one week. It costs $30.00. You do have to know how to cook, the meat is raw and the ingredients are staples, not ready-to-heat items.
There's three choices in meat boxes (7 lbs, 11 lbs, 5 lbs) and a produce box to choose, as well as an allergen-free option. Each is under $24.00.
Order Now for Thanksgiving!!!
Thanksgiving Meals can be ordered now. The Thanksgiving Box provides all this for $36.00:
7 lbs. Roaster
2.5 lbs. boneless ham
2 lbs. frozen diced sweet potatoes
3.5 lbs. corn on the cob
2lbs. green beans
1 lb. frozen cranberries
17oz. ready to cook cornbread dressing
8 ct. heat and serve large dinner rolls
4. 5 oz. brown gravy mix
1 dessert (a pie or a cake)
1 recipe sheet with scripture.
What is Angel Food Ministries? From their website:
"By buying food from first rate suppliers at substantial volume discounts,Angel Food Ministries is able to provide families with approximately $65 worth of quality nutritious food for $30. Angel Food Ministries does not use out-of-date food or inferior products.
"Each month's menu is different and consists of fresh, frozen and packaged food. Angel Food is purchased from the nation’s top food suppliers. Providing quality,
nutritious food at significant discounts on a regular basis is one practical way to give people a “hand up” during difficult times. The cost for a box of Angel Food is $30. There is no purchase limit for boxes of Angel Food.
"There are no applications or qualifications necessary to purchase. Comparison shopping nationwide in various grocery stores has revealed that the average retail value for the same food items would be approximately $65. Generally, one box of Angel Food assists in feeding a family of four for about one week or a single senior citizen for almost a month.
"Each month, Angel Food Ministries also offers “specialty boxes” of steak, chicken, pork or other foods. This bonus program affords participants additional food choices at a great value. There is no purchase limit for specialty boxes or bonus foods. There are no applications or qualifications necessary to purchase. There are no restrictions, conditions or forms to fill out to purchase Angel Food. The food relief program is open to one and all. Anyone may purchase an unlimited number of boxes of Angel Food by placing an order with a local Angel Food host site."
Order. Order for whomever you choose, and buy as many boxes as you like. Go to the designated site with stuff to carry your goodies off (bring a cooler!) and your money or food stamps. That's it. No applications, no questions asked.
Tuesday, September 01, 2009
1. Reduce the stigma on the mentally ill;
2. Protect the public, particularly law enforcement; and
3. Relieve treating psychiatrists from sole responsibility for release of committees.
I will be discussing these in detail over the next few months, and welcome your comments and contributions.
-- Judge Tom Rickhoff