The “mental health system” isn’t really a system of care. There is no real “system” that exists.

We need funding to be spent on inpatient beds where the SMI (serious mental illness) patient stays until the “right” meds are found and he/she has fully stabilized. Not the treat and street situation we have now.

We need 24/7 intense supportive housing after discharge to keep the SMI on track with meds, shelter, food, and safety.

We need to build our housing infrastructure to accommodate differing levels of care for this population so, as they progress in recovery, they have a home they can afford and remain in.

We need to build outpatient clinics who work closely with the hospitals and residential treatment facilities to continue the same level of care when SMI are outpatients.

We need to change our involuntary civil commitment laws to mandate medication for inpatient and outpatients.

We need to repeal the IMD Exclusion.

We need HIPAA reform.

We need to fund research for schizophrenia and other serious mental illnesses.

We need to stop the discrimination of SMI and call it what it is — a brain disease.

We need neurologists and psychiatrists to work together and we need more of them.

We need clinical nurses and competent case workers.

We need so many vital things that aren’t currently in place, or they are failing miserably, and we watch our loved ones living their lives as the walking dead.

I would love to help everyone with a mental illness, but the truth is the chronically symptomatic SMI have been getting the shaft for generations. Since they can’t usually grasp their own best interests and needs — let alone articulate them in a way that will be heard and respected — they’re easily pushed to the back of the line. 




My book, Sooner Than Tomorrow — A Mother’s Diary About Mental Illness, Family, and Everyday Life, has been six years in the making. In a few days, it will become available on Amazon. The journey continues.


(page 445 in Sooner Than Tomorrow)

First, thank you to my son, Patrick. Thank you for your poetry, your Facebook posts, and your life. You’re the most courageous person I’ve ever known.

Thank you to my daughters, Megan Mace, Marisa Farnsworth, and Kerry Joiner, for reading Sooner Than Tomorrow and giving me permission to put it out there, sharing our family with the world. Your endorsements mean everything to me.

Thank you to everyone I mentioned in the telling of my story. We’re all in this thing we call “life” together.

Thank you to early readers: Ann Hedrick, Pat West Guinn, Kathy Hayes, Mary Lyn Rusmore-Villaume, Rosemary Sarka, and Irene Underwood. You gave me the cojones to believe in myself.

Thank you to the cheerleaders, those of you read my book excerpts week after week at and sent me emails, text messages, cards, and letters: Joan Andersen, Tama
Bell, Chris Biswell, Judy Bracken, Madeleine Cunningham, Bev Chinello, Deborah Fabos, Anne Schmidt Francisco, Heidi Franke, Sheila Ganz, Jeanne Gore, Joyce Herrerias, Swannie Hoehn, Rose King, Nancy Krause, Joan Logue, Grace McAndrews, Jan McKim, Mary Murphy, Fran Neves, Liz Noel, Teresa Pasquini, Den Proudly, Karen Riches, Mary Sheldon, Stace Shurson, Sandy Turner, Kimberlee West, Annette Williamson, and to so many more of you who left comments, likes, and loves on Facebook. You kept me going, especially on the days when I thought, what am I doing?

Thank you to Sharon Lefkov, Kerry Joiner, and Michele Joiner for proofing my pages for spellings and typos. Thank you to my little brother, Jim Moon, for bringing my old photos back to life. Acknowledgments also to Sue Clark, my first editor, who read every page out loud with me and assured me, “Yes, this is interesting.” And to the Lincoln Library writer’s class who listened, in the beginning, when Pat was still with us.

Special hugs to Pat’s Facebook friends.

Thank you to Michele DeFilippo and Ronda Rawlins at 1106 Design for your professionalism and guidance.

And finally, thank you to all of you—those I know and don’t know—who are reading Sooner Than Tomorrow. Readers are the whole point of writing. The why in the what if.

—Dede Ranahan

P.S. Love to my heroes—the millions of mothers of the seriously mentally ill who fight for their children every single day.