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Inside North Carolina's mental health maze

My conversation with Rep. Timothy Reeder shows why the state has to intervene earlier, smarter and more safely.

I talked this week with State Rep. Timothy Reeder, an emergency room doctor from Greenville who chairs the House Committee on Involuntary Commitment and Public Safety.

The subject was House Bill 1104, the bill moving through Raleigh to reform part of North Carolina’s involuntary commitment system.

Reeder was blunt. North Carolina’s mental health system is struggling, and it is worse for people already in jail or moving through the courts. The bill does not try to fix all of that. But it does try to fix one important failure point.

When someone is arrested for a violent crime and there is reason to suspect serious mental illness, the state needs a real evaluation quickly. Today, Reeder said, that does not happen in any systematic way.

HB 1104 would push those evaluations into jails through telehealth and mobile crisis teams. The bill also strengthens court-directed outpatient treatment, extending the window from 90 days to 180 days. That gives people more structure, more time to stabilize, and a better chance to stay on medication and out of the revolving door.

This bill will not fix the mental health system. But it asks the right question: What if we stopped waiting for the next crisis?

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