iPhone app iPad app Android phone app Android tablet app More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Josh Horwitz

GET UPDATES FROM Josh Horwitz
 

Aurora's Hard Truth: Mental Health Screening for Gun Buyers Is Nearly Non-Existent

Posted: 08/01/2012 8:21 am

If you learn only one new thing about America's gun laws after the gruesome mass shooting in Aurora, Colorado, learn this: Even when individuals do undergo a background check when buying a gun in this country, the screening for mental health history is cursory at best.

You don't need to submit to a background check to buy a gun, of course. Currently, Americans can buy firearms through "private sales" in more than 40 states without undergoing any type of screening at all. The law requires background checks only for guns sold by federally licensed firearm dealers (FFLs), allowing those not "engaged in the business" of dealing firearms to do so without conducting background checks or maintaining any records of sale. How do we know who is "engaged in the business"? We don't (the IRS isn't looking at anyone's tax returns to find out), at least until guns start turning up at crime scenes and an investigation is opened by law enforcement. One study estimated that private sales account for 40% of all gun sales in the United States.

When an individual purchases a firearm from an FFL, however, he must undergo a criminal background check. First, the buyer fills out a Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) Form 4473 by hand, providing simple yes or no answers to a series of questions about criminal, mental health and substance abuse history. The dealer then queries the National Instant Criminal Background Check System (NICS) database maintained by the FBI via a toll-free telephone number or through the NICS E-Check System online (in a handful of states the dealer contacts the state police who in turn contact NICS). This instant computer check searches the NICS database for any disqualifying records that would prohibit that individual from buying a gun. During the check, the system does not disclose to gun dealers any actual information about these records. Dealers are simply seeing one of three responses from NICS on their computer screen: proceed, denied or delayed. If a potential gun buyer is denied, the FFL is never informed of the reason.

The specific disqualifications related to mental health are quite narrow. Under federal law, an individual is prohibited from buying or possessing firearms if they have been "adjudicated as a mental defective" or "committed to a mental institution." A person is "adjudicated as a mental defective" if a court -- or other entity having legal authority to make adjudications -- has made a determination that an individual, as a result of mental illness: 1) Is a danger to himself or to others; 2) Lacks the mental capacity to contract or manage his own affairs; 3) Is found insane by a court in a criminal case, or incompetent to stand trial, or not guilty by reason of lack of mental responsibility pursuant to the Uniform Code of Military Justice. A person is "committed to a mental institution" if that person has been involuntarily committed to a mental institution by a court or other lawful authority. This expressly excludes voluntary commitment. If a person falls under one of these two categories, they are prohibited from purchasing and possessing firearms for life -- although federal law now allows states to establish procedures for such individuals to restore their right to purchase or possess firearms. Many states have done so at the behest of the National Rifle Association, with questionable results.

There is no guarantee, however, that a formal record of adjudication or involuntary commitment will find its way into the NICS database. Often disqualifying mental health records go unreported by the states. In Colorado, for example, only about 1% of people who have disqualifying mental health histories have been reported to NICS.

Another problem is that few Americans suffering from serious mental illness ever come into contact with the "system" or receive treatment for their condition(s). According to the National Alliance on Mental Illness (NAMI), approximately 10% of children and adolescents suffer from mental illnesses. Yet only 20% of this group have been diagnosed and are receiving services. Looking at adults, approximately 1 in 17 live with a serious mental disorder such as schizophrenia, major depression, or bipolar disorder. Yet less than one third receive mental health services.

James Holmes, the gunman who allegedly killed 12 people and injured 58 others in just two minutes at a crowded midnight screening of The Dark Knight Rises in Aurora, appears to possibly be one of those Americans suffering from serious mental illness. Holmes was seeing Dr. Lynne Fenton, a psychiatrist at the University of Colorado who specializes in schizophrenia. Prior to the shooting, he sent her a notebook detailing his plans for the massacre. In June, Holmes applied to join a gun range but was rejected because the range's owner was disturbed by the "weird and bizarre" behavior Holmes exhibited on his voicemail recording. Immediately after the shooting on July 20th, Holmes told police officers that he was The Joker, a villain from Batman comic books and movies. We will undoubtedly learn many additional details about Holmes' mental health history in the months ahead.

Almost all Americans would agree that dangerously mentally ill individuals, possibly like James Holmes, and like Tucson shooter Jared Loughner (who was found incompetent to stand trial because of paranoid schizophrenia) should not be able to legally purchase firearms. And it's not like this is a problem without a solution -- there is no other high-income nation on the face of the earth in which Holmes and Loughner could have legally purchased such weapons. So how can we provide for the public's safety while at the same refraining from the stigmatization of those suffering with mental illness (because, to be fair, research has made it clear that the vast majority of the mentally ill will never be violent)?

Several states have enacted laws that could serve as models for federal legislators. California, for example, takes a graduated approach to the problem, prohibiting the purchase and possession of firearms by individuals who:

• Have been voluntarily admitted to a psychiatric facility and are receiving inpatient treatment for a mental illness and the attending mental health professional states that the individual is a danger to self or others. Once an individual has been discharged from the facility, the prohibition no longer applies.

• Have communicated to a licensed psychotherapist a serious threat of physical violence against a reasonably identifiable victim or victims. This prohibition applies for six months after the report of a threat is made. The subject of the prohibition may petition to have it removed.

• Are currently under a court-ordered conservatorship because they are "gravely disabled" as a result of a mental disorder. The prohibition expires when the conservatorship ends, though the subject of a conservatorship may ask the court for a hearing to contest the prohibition.

• Are receiving involuntary mental health treatment as part of a 72-hour hold (also known as a 5150) because they are a danger to themselves or others. The individual is prohibited from purchasing or possessing firearms while they are in the facility and for five years from the date of admission to the facility. The subject of the prohibition may go before a state court to petition for the restoration of their right to purchase and possess firearms.

New Jersey has created a model where any person seeking to purchase or possess a firearm must obtain either a permit to purchase a handgun or a Firearms Purchaser Identification Card (FPIC) to purchase a long gun. Applicants for a permit to purchase a handgun or FPIC are required to provide two character references and must agree to waive confidentiality and disclose their mental health records. No permits to purchase a handgun or FPICs are issued to individuals who:

• Have been confined for a mental disorder to a hospital, mental institution or sanitarium.

• Refuses to waive confidentiality and agree to disclosure of their mental health records.

In addition, the New Jersey state police can deny the issuance of handgun permits and FPICs when they feel it would not be "in the interest of the public health, safety or welfare." Individuals can appeal to a state court if they feel the state has abused its discretion in denying a permit or FPIC.

It's not difficult to see how such processes might have thwarted severely mentally ill individuals like Loughner and possibly Holmes. Would either have been able to provide character references? What would a careful and confidential analysis of their mental health records have uncovered?

The bottom line is that it's been almost 45 years since federal legislators defined mental health disqualifications for gun buyers in the Gun Control Act of 1968. It's time to see what else we can do to save lives. Providing law enforcement and mental health professionals with more tools won't stop every shooting, but -- combined with a policy of universal background checks on all gun sales -- could certainly lead to a future where grotesque acts of gun violence are not a daily feature of American life.

 

Follow Josh Horwitz on Twitter: www.twitter.com/CSGV

FOLLOW POLITICS
 
 
  • Comments
  • 121
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
Page: 1 2  Next ›  Last »  (2 total)
This user has chosen to opt out of the Badges program
photo
molonlabe
Before you ban it, at least learn what it is.
08:55 AM on 08/17/2012
Josh,

Just wondering when you're going to update the CSGV "insurrectionist timeline" to include the DC shooting.

We're waiting.

Thanks.
05:54 PM on 08/15/2012
https://www.fbo.gov/index?s=opportunity&mode=form&tab=core&id=bfd95987a1ad9a6dfb22bca4a19150cb&_cview=0 and https://www.fbo.gov/index?s=opportunity&mode=form&id=6c39a2a9f00a10187a1432388a3301e5&tab=core&_cview=0&fb_source=message
For someone who is against gun violence and wanting to take the people's constitutional rights away. Explain this please, if I am wrong I will be happy to admit it. I really do not understand why these people need so much ammunition. The way I am understanding this is, you want to take law abiding citizens rights away but then it is alright for the Department of Commerce and the SSA to load up on ammunition. Tell your person on CSGV facebook thank you for blocking me for freedom of speech for giving my opinion :)...
photo
HUFFPOST PUNDIT
Rooster Coburn
Less Gov't + More Responsibility = A Better World
12:52 PM on 08/07/2012
They don't check for colo-rectal polyps or hepatitis either. What's your point?
This user has chosen to opt out of the Badges program
08:07 PM on 08/06/2012
You, sir, are walking a very thin, fine line. It seems you believe all mentally ill people are violent monsters and that all people who perform mass shootings MUST be mentally ill. Thank you SO much for continuing the stigma and erroneous, illogical beliefs of mental illness that is so pervasive in this country. We cannot even have a legit discussion about why shootings happen and anything about gun laws UNTIL we have a discussion as to why we as Americans hate our sick citizens so incredibly much to the point of making sure they have zero rights/privileges even when they have not done a single thing to harm a single soul.
10:27 AM on 08/03/2012
"Using armed violence in any context is flat out wrong and only serves the interest of the NRA."

Official CSGV position.

Get that? 'Using armed violence IN ANY CONTEXT is flat-out wrong'...

So the widowed mother who shot the goblin breaking into her home w/ a shotgun?

She was 'wrong' according to the CSGV.

Jeanne Assam who shot the Colorado Springs shooter?

She was also 'wrong' according to the CSGV.

The police? Military? Wrong.

They are all just puppets of the NRA.

There is nothing you can say to these people because they don't live in a rational world. They live in a world of hate and anger. A world where despair and negative feelings are valued over civility and mutual enjoyment. A world where the death of a child (or anyone for that matter) is chance to promote their personal agenda (as long as it's done w/ a gun).

http://daysofourtrailers.blogspot.com/2012/04/hands-and-feet-only-please.html
10:53 PM on 09/25/2012
After reading all of this I'm going out to buy a gun...
10:22 AM on 08/03/2012
A quote from CSGV:

"but we take no issue with those owning firearms in their homes for legitimate self-defense. "

Outside of their belief that tyrannical dictators slaughtering millions of people can be reasoned w/, one wonders how they define 'legitimate'. It doesn't include a woman defending themselves against serial abusers, they, according to the CSGV, have a 'duty to retreat' from their own homes. It doesn't include even their own homes as Ladd Everitt states:

"The risk of them gaining access to those weapons, or some other unauthorized party gaining access to them, is far greater than the chance of me ever having to play John McClane defending against some faceless home invader. "

It doesn't include even legally adjudicated cases of self defense (note the use of quotes to disparage the concept). It doesn't even include the people of Washington DC as the CSGV filed a brief in support of the handgun ban and disabled firearm requirements stating in response:

" the United States Supreme Court departed from over 100 years of earlier judicial decisions and held that the Second Amendment protects an individual right to possess firearms for self-defense purposes unconnected with service in a militia. "

So what instance would be a 'legitimate' case of self defense w/ a firearm for the CSGV?

Could it possibly be because they really don't care about 'violence' and only about restricting guns ?

Naaah.

http://daysofourtrailers.blogspot.com/2012/05/legitimate-self-defense.html
HUFFPOST SUPER USER
denimpowell
02:21 AM on 08/02/2012
Still can't stop crazy from being crazy
photo
HUFFPOST SUPER USER
BayBeauty467
10:49 AM on 08/02/2012
Nope. But we can stop them from buying guns like every other democracy does.
11:35 AM on 08/02/2012
Only using the CSGV's very limited definition of 'democracy and restricting firearms from the majority of the population.
HUFFPOST SUPER USER
David Carson
01:39 PM on 08/02/2012
draconian restrictions in DC and Chicago are still a huge failure Everett--stop channelling kelli fandances and guffy
photo
Blamegirl Roberts
Who's to Blame?
09:23 PM on 08/01/2012
I think that a logical solution is to at least have better mental health screening when it comes to purchasing. But even suggesting that we are accused of wanting to take their guns. We only want to take crazy people's guns!
HUFFPOST SUPER USER
David Carson
11:51 PM on 08/01/2012
that qualifies as prior restraint--would you accept a psych exam before you voted or were allowed to post here at HP
photo
Blamegirl Roberts
Who's to Blame?
12:26 PM on 08/04/2012
If it were that important to me to vote or post, then yes.  If you really got nothing to hide.
photo
HUFFPOST SUPER USER
marathag
02:35 AM on 08/02/2012
Define crazy. Sociopath? Ok, but how far to draw the line.. OCD? Anorexic? not too dangerous with firearms, I think.

But OK, you come up with a SCOTUS approved criteria on what too 'Crazy' for Guns is.

Then define a series of Tests that can determine it.

And have those tests be able to applied by government workers, like the fine folks at TSA, because you will need a lot of eager, quickly trained Government psychiatrists to deal with
90 million gunowners.

I'm sure it would work just fine, like the Post Office
photo
Blamegirl Roberts
Who's to Blame?
12:27 PM on 08/04/2012
I don't think I should come up with the litmus test for crazy on my own, what if I am crazy, lol.
09:21 PM on 08/01/2012
It's all just rac.ist code language.

http://daysofourtrailers.blogspot.com/2012/06/super-sekrit-codes.html
HUFFPOST SUPER USER
steve-in-abq
07:36 PM on 08/01/2012
Yes, a mental health check for gun buyers is something that deserves debate. Another topic of debate is the lame stream media's bias about guns. I posted the following on July 27; "I'm guessing the liberal media will not give this story much coverage. If they do, the Aurora incident will be referenced." I was referring to the knife-wielding nut in Salt Lake City being subdued by an armed citizen. That story did not get much coverage. It's unlikely the Libs will run a headline, 'Armed Citizen Saves the Day'.
HUFFPOST SUPER USER
heikhali
05:25 PM on 08/01/2012
What is wrong with providing mental examinations to anyone who needs them, whether they are shopping firearms or not?
As long as the politicians are interested in "grandstanding" about gun murders, instead of actually solving the problem, they might just as easily make people illegal, since people pull the triggers.
The real problem is that mentally ill people who seek psychiatric help, because they know they are about to erupt, are declined treatment on an 'emergency" basis all the time, and there is no help available to them when they need it, even when they are not having an "emergency."
America NEEDS a psychiatric health network that works, just as it needs a functional and reasonable national health care system, not the ACA. Psychiatric emergency facilities are needed as badly as medical emergency facilities. A method to pay for all this is necessary, also, for everyone.
Most murders are NOT committed with guns, and very few with assault weapons.
Outlawing assault weapons, limiting magazine capacity, limiting the purchase of ammunition bought by internet, or etc. will not solve "the emergency human psychiatric state of murder" problem.
It never has in the past.
Look at the variety & nature of the laws that have been passed that don't work!
The laws do not alleviate the problem: therapy for the homicidally insane who might use any means to kill.
photo
HUFFPOST SUPER USER
Susan Shaffer
watching you...
12:47 AM on 08/02/2012
Sounds like a good idea...but who is going to pay for the mental health check?
Secondly something like depression can be endogenous or it can be reactive. Eg death of a family member, financial ruin. You might be fine for your yearly check up and then a month later your life goes down the toilet.
This user has chosen to opt out of the Badges program
photo
06:44 PM on 08/02/2012
From a pragmatic standpoint, it would not work... for the same reason just about anyone can get a marijuana card. You will find a doctor who will prescribe it to anyone.
HUFFPOST SUPER USER
heikhali
12:08 AM on 08/06/2012
Substance dependent people may not be homicidals.

The issues are unrelated.

Emergency psychological clinincs will work, as a part of the ACA.
04:53 PM on 08/01/2012
i agree with MR. Horwitz. everyone in America should be tested for mental capacity and be label accordingly. if they are found to be mentally deficient then they are to be institutionalized. in a lot of cases, they will have to be sterilized. Also they should be marked in some way to keep up with them, maybe some letters on their hands so that no one could sell them a gun. Even though some might be shunned it is for the greater good
photo
HUFFPOST SUPER USER
Susan Shaffer
watching you...
12:48 AM on 08/02/2012
Wow, I don't know ow to take your post.
11:16 PM on 08/02/2012
what do you think it means?
This user has chosen to opt out of the Badges program
Berettasskeeter
For what we are about to receive, may we be truly
08:12 AM on 08/03/2012
Agreed. And since they are a potential danger, they should be housed in a facility outside some major city. We could make it comfortable, and pretty. We could encourage them to start their own orchestra, and give them limited authority to police themselves. Of course, those doing the policing will have to have slightly better living conditions. And, lest anyone think this is cruel, we should post a sign at the entrance, "Work will set you free"!
Yep, I think that would just about do it, and everyone would be happy. No???
Semper fi
08:41 AM on 08/03/2012
I think you understand BERETTA. we should threat assess whom is a danger to the collective. so everyone that is in the government school system will be evaluated and labeled. we must do everything we can to make sure that weapons do not get in the hands of any one that is possible a threat to the collective. especially those that speak out against the government
07:08 PM on 09/19/2012
Brilliant satire, Berettasskeeter. Aktion T-4esque.
04:39 PM on 08/01/2012
Even as a 2nd amendment/gun-rights supporter, I am open to serious discussion about further gun restrictions and even a discussion about taxes for more accessible mental health facilities ( which have been squeezed dry since Reagan )...but there ain't NO WAY I will submit to government mental screening/approval in order to use my Constitutional rights. That is such an odious, dark path it's frightening.
photo
HUFFPOST SUPER USER
BayBeauty467
05:05 PM on 08/01/2012
Not really. Every other free nation on earth does it, and there people have yet to be put into FEMA camps.
HUFFPOST SUPER USER
David Carson
06:59 PM on 08/01/2012
Missy Sahib Ladd--you make fluffy guffy look good
This user has chosen to opt out of the Badges program
photo
02:42 PM on 08/02/2012
I guess Canada is not a free nation (Criminal Code, R.S.C., ch. C-46, Part III, §84 (1)),...

Nor is Austria (Waffengesetz [Weapons Act] Bundesgesetzblatt [RGB1 I] No.12/1997)

Nor Germany.(Waffengesetz [Weapons Act], Oct. 16, 2002 BGBl. I at 3972,(F.R.G)) or Italy (Regio Decreto [R.D.] 18.6.1931, N.773)...

But France might be one as they require you to be "21 years of age or older, having no criminal history and not being found to be “mentally deficient”.(Law No. 95-589, Decree of May 6, 1995 (no 95-589), Journal Officiel de la Republique Francaise [J.O][Official Gazette of France]. Not real sure if that is merely something akin to the US requirement of not being adjdicated insane or whether it requires a psych exam when you purchase.

Now the Soviet Union had such restrictions and they applied even if you were merely "Monitored in the hospital". But no, they did not send em to FEMA Camps, they sent em to Siberia.
03:45 PM on 08/01/2012
Not how it works in California.
photo
HUFFPOST SUPER USER
Nicon
03:11 PM on 08/01/2012
Increased mental health screenings for the general and gun buying public is just one more benefit to single payer health care in the United States.

If only that idea caught on.