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Trump thinks building more mental facilities will reduce mass shootings

AP file photo

U.S. President Donald Trump, joined by student Carson Abt, right, and Julia Cordover, the student body president at Marjory Stoneman Douglas High School in Parkland, Fla., left, bow their heads during the opening prayer of a listening session with high school students and teachers in the State Dining Room of the White House in Washington in February 2018.

The Associated Press WASHINGTON (AP) — When shots rang out last year at a high school in Parkland, Florida, leaving 17 people dead, President Donald Trump quickly turned his thoughts to creating more mental institutions.

When back-to-back mass shootings in Dayton, Ohio, and El Paso, Texas, jolted the nation earlier last month, Trump again spoke of “building new facilities” for the mentally ill as a way to reduce mass shootings.

“We don’t have those institutions anymore and people can’t get proper care,” Trump lamented at a New Hampshire campaign rally not long after the latest shootings.

Now, in response to Trump’s concerns, White House staff members are looking for ways to incorporate the president’s desire for more institutions into a long list of other measures aimed at reducing gun violence.

It’s the latest example of White House policy aides scrambling to come up with concrete policies or proposals to fill out ideas tossed out by the president. And it’s an idea that mental health professionals say reflects outdated thinking on the treatment of mental illness.

Trump sometimes harks back to his earlier years in New York to explain his thinking on preventing future mass shootings. He recently recalled to reporters how mentally ill people ended up on the streets and in jails in New York after the state closed large psychiatric hospitals in the 1960s and 1970s.

“Even as a young guy, I said, ‘How does that work? That’s not a good thing,’” Trump said.

As the White House looks for ways to fight gun violence, officials have looked at Indiana as one potential model in addressing mental illness.

The state opened a new 159-bed psychiatric hospital in March, Indiana’s first in more than 50 years. The hospital is focused on treating patients with the most challenging psychiatric illnesses and then moving them into treatment settings within the community or state mental health system.

Plans for the hospital were announced when Vice President Mike Pence was the state’s governor.

“Our prisons have become the state’s largest mental health provider,” Pence said in 2015. “Today, that begins to change.”

But Trump’s support for new “mental institutions” is drawing pushback from many in the mental health profession who say that approach would do little to reduce mass shootings in the United States and incorrectly associates mental illness with violence.

Paul Gionfriddo, president and chief executive of the advocacy group Mental Health America, said Trump is pursuing a 19th century solution to a 21st century problem.

“Anybody with any sense of history understands they were a complete failure. They were money down the drain,” said Gionfriddo.

The number of state hospital beds that serve the nation’s most seriously ill patients has fallen from more than 550,000 in the 1950s to fewer than 38,000 in the first half of 2016, according to a survey from the Treatment Advocacy Center, which seeks policies to overcome barriers to treatment.

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