making amends, 358–59
marriage of, 15–16, 345–48
at Mayo Clinic, 3, 215–17, 221–23, 235, 237–39, 245, 295–99
medications of, 78–79, 88–89, 208–9, 221–22, 313
military and, 125–26
mother and, 121
narcotic painkillers and, 126, 157–58, 206–7, 215, 229
parents’ separation and divorce, 46, 50, 66
plea deal of, 243–45, 249–50
privacy concerns of, 47–48, 208–9, 222
psychiatrists and, 67, 86, 87, 206, 229
public drinking of, 173–75, 179, 184
rage and, 222
relapse of, 291–92
relationships of, 133–34, 146, 148–49, 329, 332
sailing trip of, 178–80
shame and, 95
shingles and, 367–68
at Sierra Tucson, 208
sleep problems of, 232–34
sobriety and, 339
spinal cord tumor of, 20–21, 89
spiritual search of, 271, 301
at Spofford Hall, 79, 100
in state legislature, 22, 89–90, 91–92, 94
suicide hotline and, 85
support for, 236–37, 239–40, 246
Susman incident and, 323, 358
Vicki and, 189, 292
at Virginia Beach Psychiatric Center, 335
wedding of, 347–48
Kennedy, Robert “Bobby” (uncle)
assassination of, 33–34, 73, 166
civil rights and, 14
on mental health institutions, 29
Kennedy, Rory (cousin), 166
Kennedy, Rose (grandmother), 38–39, 72, 124
Kennedy, Rosemary (aunt)
death of, 210
developmental disability of, 24–25, 39–40, 210
lobotomy of, 25, 74, 210
Kennedy, Victoria “Vicki.” See also Reggie, Victoria
Patrick and, 189, 292
Ted Kennedy and, 188, 189, 251, 265, 292
Kennedy Forum
five major priorities of, 372–73
founding of, 354–55
inaugural meeting of, 364–65, 366
Kennedy Foundation. See Joseph P. Kennedy Jr. Foundation
Kennedys: An American Drama, The, 74
Kerry, John, 287
Kesey, Ken, 29
Kirk, Paul, 307
Kopechne, Mary Jo, 34
Koplewicz, Harold, 163
Kraepelin, Emil, 70
Kramer, Peter, 20, 87–89, 111–13, 115
Labor, Health and Human Services, Education, and Related Agencies Subcommittee, 186
Lamictal (lamotrigine), 206, 339, 356, 368
Lawford, Chris (cousin), 74, 328
Lawford, Patricia Kennedy (aunt), 4
Let’s Play to Grow (organization), 86
Lewis, John, 175
Lieberman, Jeffrey, 361–62, 366
life coaches, 312
Listening to Prozac (Kramer), 20, 88, 111, 113–15
lithium, 58, 88, 206
lobbying, 194, 195
lobotomy, 25
Lowenstein, Allard, 133–34
Lowenstein, Kate, 133–34, 146
Magaziner, Ira, 116–17
Malibu Model, 81, 82
managed care, 85, 93
mania, 70, 327
Manji, Husseini, 344
Marcella, Tony, 119, 125, 180, 190–91, 279–80
marijuana, 50, 357–58
markup, 259
Marshall, Brandon, 365
Maternal and Child Health and Mental Retardation Planning Amendment (1963), 28
Mayo Clinic
Intensive Addiction Program at, 222, 237
process groups at, 6, 239, 243, 271, 301
McCain, John, 140
McCall’s magazine, 53
McDaid, Carol, 270
media, 43–44
coverage of Kennedy family, 41, 43
Joan Kennedy and, 43–44
Mudd interview, 59–60, 214
scrutiny of, 214
Medicaid, 30
medical guardianship, 201–3, 211, 273
medical insurance, 92–93, 267
Medicare, 141–42
medication-assisted treatment, 209
medications. See also names of medications
adverse reactions to, 204–5
antipsychotics, 108, 151
direct-to-consumer advertising for, 114
discontinuing, 337–38
for medication-assisted treatment, 209
new classes of, 108
off-label uses of, 151, 152–53, 157
primary care physicians and, 114
psychiatric, 58, 88, 108, 151
side effects of, 142–43, 152, 204–5
mental health
national security and, 193
Surgeon General’s report on, 167
Mental Health America, 195, 218, 256, 270
mental healthcare
funding cuts in, 225–26
Gores and, 176–77
increasing caregivers in, 228
insurance coverage for, 92–93, 228
in military, 126, 268
mental health courts, 201–2
Mental Health First Aid, 77
Mental Health Leadership Roundtable, 373
mental health parity
as amendment to HIPAA, 135
attached to veterans appropriations bill, 142
Bush support for, 198
competing bills for, 260–62, 270–71, 284–87
conference committees on, 195–96
congressional hearings on, 163
coverage in, 135–36
Domenici-Wellstone bill for, 190, 194–95, 198, 259
ERISA and, 141
hearings on, 193, 255–56
initiatives during Bush term, 217–19
as medical civil rights, 13–14
Medicare and, 141–42
“moral hazard” in, 227
one percent cost threshold of, 194, 195–96, 217, 228
opposition to bills for, 195
Ramstad-Kennedy bill for, 5–6, 254–55, 277–79
role of DSM in, 285
states’ role in, 109–10, 254–55, 286
substance abuse and, 142, 194–95
Ted Kennedy and, 253, 261
treatment limits in, 285
utilization in, 228
Mental Health Parity Act (1996), 5–6, 141, 189
Mental Health Parity and Addiction Equity Act (2008)
competing bills for, 260–62, 270–71, 284–87
as medical civil rights, 13
passage of, 293–94
rules for, 360, 361, 365, 366–67
signing ceremony for, 295–97
Mental Health Systems Act (1979), 58, 62–64
mental illness
“bad parenting” and, 51, 57
as biological brain disorder, 171–72
as chronic, 258
as common problem, 269
gap in untreated, 371
perceptions of, 247–48
reimbursement system for, 30
Mentally Ill Offender Treatment and Crime Reduction Act, 202
methadone, 209
Metzenbaum, Howard, 183
military
mental healthcare and, 126, 268
suicides of veterans, 268, 325–26
military, mental healthcare in, 126, 268
Miller, George, 266
“moment of clarity,�
�� 98–99
Moments of Engagement (Kramer), 111
Mondale, Walter, 200
mood disorders
head trauma and, 75
substance abuse and, 172
suicide and, 143
triggers of, 279–80
mood stabilizers, 88, 339
moon shot anniversary, 340–41
“moral hazard,” 227
Mudd, Roger, 59–60, 214
Murphy, Tim, 219
Myth of Mental Illness, The (Szasz), 113
naloxone, 209
naltrexone, 209, 215, 312
NAMI. See National Alliance on Mental Illness
narcotic painkillers, 157
Nardil, 88
NARSAD, 340
Nash, John, 109
National Alliance on Mental Illness (NAMI)
parity bills and, 195, 218, 272
schizophrenia focus of, 110, 225
National Association of Psychiatric Health Systems, 195
National Association of State Mental Health Program Directors, 218
National Council for Behavioral Health, 232
National Enquirer, 48, 100, 176
national health insurance, 116, 317
National Institute of Mental Health (NIMH)
brain research and, 344, 361
Decade of the Brain and, 107
DSM-5 and, 216
funding cuts and, 64, 225
increased funding for, 131, 137
parity cost study of, 217
reorganization of, 108
Research Domain Criteria and, 361
study by, 163–64
National Institute of Neurological Disorders and Stroke (NINDS), 107
National Institute on Alcohol Abuse and Alcoholism (NIAAA), 87, 107, 108, 216, 226, 344
National Institute on Drug Abuse (NIDA), 87, 107, 108, 216, 225, 344
National Institutes of Health (NIH), 107, 108, 344
National Mental Health Association, 195
National Mental Health Awareness Campaign, 177
National Organization on Fetal Alcohol Syndrome, 349
National Press Club, 225, 360
NBC, 9–10, 77
Neurontin (gabapentin), 368
“Neuroscience ‘Moon-shot’“ (speech), 333
neuroscience research plan, 344
New England Journal of Medicine, 227
New Freedom Commission on Mental Health, 198
New Freedom Initiative, 198
New York Times, 4, 251–53, 262, 361–62
NIAAA. See National Institute on Alcohol Abuse and Alcoholism
Nickles, Don, 204
NIDA. See National Institute on Drug Abuse
NIH. See National Institutes of Health
NIMH. See National Institute of Mental Health
NINDS. See National Institute of Neurological Disorders and Stroke
9/11 terrorist attacks, 129, 193
Nixon, Richard, 107
No Child Left Behind law, 193
Obama, Barack, 276, 287, 294, 297, 363–64
Obamacare. See Affordable Care Act
O’Donnell, Kelly, 340, 349
Office of Management and Budget, 277–78
O’Malley, Martin, 184
One Flew Over the Cuckoo’s Nest (Kesey), 29
O’Neill, “Tip,” 77
One Mind, 340–41, 344–46, 351, 355
Onesti, Silvio, 67
On the Beach (Shute), 328
opiates, 8, 208–9, 215
OxyContin, 157–58, 207, 220, 322
Pallone, Frank, 279, 318
parenting, bad, 51, 57
Parity Implementation Coalition, 360
Parity Now Coalition, 270
partial hospitalization program (PHP), 226
Pastore, John, 91
patient advocacy groups, 195
Patrick Kennedy: The Rise to Power (West), 178
Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (2008). See Mental Health Parity and Addiction Equity Act
Payne, Donald, 322
Pell, Claiborne, 90–91, 121
Pelosi, Nancy
parity bills and, 266–67, 293, 317
qualities of, 200, 253
support by, 237, 315, 316
People (magazine), 43–44
Percocet, 159, 215, 282
Perry, Rhoda, 109–10
pharmaceutical companies, 142–43, 151–53
Phenergan, 2, 231
PHP. See partial hospitalization program
Positive Aging Act, 218
post-traumatic stress disorders (PTSD), 129, 143, 193, 215, 334, 351
Potomac School, 37
prayer meetings, 271
prednisone, 34, 49, 83
President’s Commission on Mental Health, 55–56
Price, David, 322
privacy and confidentiality, 47–48, 208–9, 222, 241
process groups, 6, 239, 243, 271, 301
Project SAM, 356–57
Providence College, 19, 83, 94
Providence Journal, 95–96, 170–71, 183, 196, 246
Prozac (fluoxetine), 88, 108–9, 113–14, 142, 152
Psych-Appeal, 360–61
psychiatric drugs, 58, 108, 337–38
psychiatry and psychiatrists, 25–26, 40, 222–23
psychotherapy, 87, 114, 223, 281
PTSD. See post-traumatic stress disorders
Rabin, Yitzhak, 127
Ramstad, Jim
as AA sponsor, 4, 237–38, 241, 249–50, 263
addiction care initiatives and, 248
coming out, 213–14
field hearings and, 360, 361
as recovering alcoholic, 212–13
retirement of, 270
Rangel, Charles, 266
RDoC. See Research Domain Criteria
Reagan, Nancy, 64
Reagan, Ronald, 63–64, 85, 92
recovery. See twelve-step programs
Reed, Jack, 118
Regan, Ken, 38
Reggie, Victoria, 102, 111–12. See also Kennedy, Victoria “Vicki”
rehab. See treatments
Reid, Harry, 140, 203–4, 293
relapses, 51, 53, 181–82
Remembering Garrett (Smith), 205
research
conferences about, 245–46, 344–45
funding for, 64, 131, 137, 186, 225
“moon shot” speech for, 331, 333–34
Research Domain Criteria and, 361
ten-year plan for, 344
Research Domain Criteria (RDoC), 361, 362
Rhode Island Monthly, 316
Rhode Island state legislature, 22
Richardson, Sean, 199, 206–7, 220–21, 349
Risperdal, 151
Rivers, Lynn, 163
Robert Wood Johnson Foundation, 217
Rocks, Joe, 353
Rodriguez, Arturo, 305
Romney, Mitt, 119, 121
Ronan, Larry, 303
Rosenberg, Linda, 232, 353
Roukema, Marge, 142, 198
Rush, Benjamin, 326
Sabet, Kevin, 356
sailing, 36–37
SAMHSA. See Substance Abuse and Mental Health Services Administration
Samuels, Paul, 353
Satcher, David, 162, 164, 190, 366
Saturday Evening Post, 27
Savell, Amy
courtship of, 318–21, 323–25, 329–30, 332
engagement of, 342–44
Kennedy family and, 334
schizophrenia and schizoaffective disorders
new medications for, 108–9, 151
prodromal period in, 341
Schwartz, Allyson, 322
Sebelius, Kathleen, 365, 366
secrecy
about relationships, 321
as common problem, 5
as “enemy within,” 14
in Kennedy family, 47–48, 54, 67, 370–71
self-medicating, 220
Selig, Matt, 353
Senate Bill 543, 190
Senate Health, Education, Labor and Pensions (HELP) Committee, 61, 193, 253
Senator Paul Wellstone Mental Health Equitable Treatment Act, 217
“serious mental illnesses,” 6, 56, 136, 137, 142, 195, 216, 225
Seroquel, 151
Shaffer, Ian, 353
shame, 95, 263–64, 273
Sheen, Martin, 344
Shelton, Hugh, 126
Shriver, Anthony (cousin), 5, 239
Shriver, Eunice Kennedy (aunt)
accomplishments of, 304
illness and death of, 303, 305
Kennedy Foundation work of, 23, 24, 25
at medical bill signing, 63
Special Olympics and, 27, 56, 86, 239
Shriver, Maria (cousin), 5, 239
Shriver, Sargent (uncle), 239, 303
Shriver, Tim (cousin), 77, 238–40, 279, 370–71
Shute, Nevil, 328
side effects, 142–43, 152, 204–5
Sierra Tucson (rehab facility), 208
Silver Hill (rehab facility), 43, 44
Simpson, Alan, 139–40
Sirleaf, Ellen, 322
sleep-driving, 233
slip (in recovery), 53
Smith, Garrett Lee, 203
Smith, Gordon, 203, 205
Smith, Jean Kennedy (aunt), 183, 349
Smith, Ronald, 241, 249, 252, 264, 291, 297, 301, 335
Smith, William Kennedy (cousin), 94–95, 100
Smithers Rehabilitation Center, 48
sobriety, 339
Society for Neuroscience, 331–34, 344
Solomon, Gerald, 132–33
“Special Message to the Congress on Mental Illness and Mental Retardation” (address), 28
Special Olympics. See also intellectual disabilities
Eunice Shriver and, 27, 56, 86, 239
inclusiveness of, 371
spin-offs from, 27, 56, 86, 239
Tim Shriver and, 238–39, 240
Specter, Arlen, 97, 273–74
spectrum disorders, 216–17
Sperling, Andrew, 259, 353
spirituality, 271, 301–2
Spitzer, Robert, 57, 58
Spofford Hall (rehab facility), 79, 100
sponsor, 4, 241, 249–50, 263
SSRIs (antidepressants), 112–13
Stabenow, Debbie, 314
Staglin, Brandon, 340–41
Staglin, Garen, 340–42, 351
Staglin, Shari, 340–41
Stark, Pete, 141, 150
“State of Depression in America, The” (report), 225–26
A Common Struggle: A Personal Journey Through the Past and Future of Mental Illness and Addiction Page 41