For those who don't understand how the treatment modality works...
Psychiatric illness used to be treated across a number of 'insane asylums' in a given state, such as Victoria where i grew up
This was from the 1800's all the way into the 1970's and 80's. The Kew Asylum being the best example, I've heard stories about how my great grandfather took his children their on weekends....as if it were some kind of public circus
Eventually society began to suggest that these facilities were dehumanising, and so they were shuttered in favour of a hybrid, 'community integrated living' approach.
This meant 'wards', dedicated psychiatric wings attached to major hospitals, combined with dedicated housing facilities and, where possible, treatment in their own home... invariably their family's home, because few such people can maintain employment
Despite not being as bad as the asylums, these wards could still be shocking places (not an intended pun).
I worked in one as a security guard whilst undertaking psychology as one major in my undergrad.
Potentially violent perpetrators were sedated most of the day. Suicide attempts, despite best efforts in design and practice, were a weekly thing.
Invariably, for those in integrated living, patients would be found wandering the streets of their neighbourhood, barking religion at nobody in particular, until the CATS, or crisis assessment teams, would coerce them into an ambulance, under police guard, back to the hospital ward.
When you walk the streets of any CBD in the early morning you'll see those with psychiatric conditions wondering the streets, shouting to themselves.
They are highly dangerous, but usually to themselves, simply because they cannot be inconspicuous, and so will frequently get dropped by a big fella who doesn't understand why they're yelling at him.
The real tragedy here will be when this happens in the regions...where services are spread thin. For someone like Brendan Nugent, the poor parents are left to wear the impact. Some parents disown their children and shun them, others do their very best in near helpless circumstances.
But as we now see, Nugent was highly agitated and aberrant for several years at least. A powder keg waiting to explode or implode at any time. It doesn't always happen, but it's ugly when it does.
Sadly, the fix isn't easy, because the catalyst isn't uniform. In my limited experience, and in talking to the psychiatrists on the ward:
- usually their is an underlying congenital, neurological illness. But it can remain dormant, potentially forever
- drugs, especially marijuana, and to a lesser degree meth, can easily trigger this, or without the underlying trigger given sustained use. I never saw inpatients from coke, MDMA, gbh, etc
But here's an interesting pivot. If it weren't so hard to find work in the regions and, moreso, if welfare wasn't so lucrative for so many, it's highly likely that the rigour, disciplines and self esteem effects of being in work would significantly reduce these impacts