Volunteer to V.P.: Margot Dashiell Fights for Families Dealing With Mental Illness, Trauma 

Bo Tefu | Impact Alameda

Margot Dashiell became an activist advocating for people living with mental illness in Alameda County following her career as a Sociology and African American Studies professor at Palo Alto Community College.

The community leader has committed more than 20 years of her life and career to supporting people with severe mental illnesses and their families. Her track record as a volunteer working to improve the quality of life for mentally ill individuals and their families has helped improve the behavioral healthcare system in Alameda County. As the vice-president of the National Alliance on Mental Illness, East Bay, Dashiell has leveraged her network to spearhead behavioral health initiatives and programs.

“It’s in my DNA. I’ve been an activist all of my adult life. A lot of it was around racial justice and equity. It’s just in my nature to try to work on behalf of change,” said Dashiell.

The retired professor worked on the Mental Health Services Act (MHSA), a California landmark ballot initiative approved in 2004 that has helped to fund mental health services across Alameda County. Titled Proposition 63 voters approved the legislation that has contributed to mitigating the lack of funding for mental health services in California state hospitals. Thirty years ago, the state cut back on funding services that treat individuals with severe mental illnesses. The MHSA places a 1 % tax on personal income above $1 million, the funds get redirected to mental health services across the state. It has generated more than $15 billion for individuals with mental illnesses and disabilities.

According to Mental Health Services Oversight and Accountability Commission (MHSOAC), more than 2 million people in California are affected by potentially disabling mental illnesses every year.

The lack of resources to support African American families who take care of relatives with mental illnesses inspired Dashiell to work as a facilitator in the African American Family Outreach Program. The program hosted by the Mental Health Association of Alameda County is a support group for Black families with mentally ill relatives. The program, funded by the Alameda County Behavioral Health Agency is one of many projects which aim to reform the behavioral healthcare system for underserved communities.

“I became involved in mental health issues working on behalf of families and people who have a serious mental illness. Having it in my family for over three generations, I became involved in trying to support not only in my own family but family members in the community,” said Dashiell.

The limited resources in the behavioral health care system make it hard for Black families to best care for mentally ill relatives which can be catastrophic for their family dynamic.

“I work with families to support individuals within the family and to navigate the very complicated and inadequate system of mental health in the county,” she said.

The outreach program hosts public meetings five times a year for the families of people with mental illness. Each of the meetings includes psychiatrists and other mental health service providers specializing in crisis response, substance abuse, and mental illness.

People struggling with mental illness are still stigmatized although mental health support in Alameda County has improved. The negative perceptions associated with behavioral health are also connected to social justice issues that disproportionately affect Black and Brown people from low-income communities.

The War on Drugs inflicted harm on many Black and Brown families across the United States. The trauma criminal justice system-imposed trauma on Black and Brown families which catalyzed mental health challenges in diverse communities.

According to a research report by the MHSOAC, 17 % of people incarcerated in local jails have a serious mental illness, a rate more than three times that of the general population.

The research report stated that people with mental health needs or experiences of trauma often have addictions to drugs or alcohol and are vulnerable to poverty and homelessness. Researchers of the report claimed that major consequence of the criminal justice system that is overwhelmed by a population it was never designed to serve.

“Mental illness is connected to very serious social problems, it impacts the community in very deep ways. The homeless are living with mental illness, a large proportion of the people in the county jail, are living with mental illness,” said Dashiell.

“Support and adequate resources for people with serious mental illness are very critical,” she said.

Dashiell also works to dispel misconceptions about mental illness that prevent Black people from receiving the help they need to overcome mental illness.

“Mental illness is very hard on the individuals who are afflicted,” said Dashiell.

“It’s a misconception that people are in control of mental illness. People often think they are in control, they don’t realize the depth of the illness,” she said.

The stigma associated with medical treatment for severe mental illness is another point of concern among Black families. However, experts say, receiving professional help is the best option for both the individual and their family. Medication is often necessary for severe conditions such as schizophrenia and bipolar disorder. Skilled psychiatrists work closely with individuals to prescribe medication that helps improve the quality of life for someone who is mentally ill.

“It’s important to notice early symptoms so people can get early treatment and offset some of the severe symptoms of mental illness,” said Dashiell.

“Social relationships and cognitive processes are not functioning when people experience hallucinations, delusions, the inability to concentrate or have difficulty working. And it’s not the person’s fault,” she said.

The intersection of homelessness and mental illness is pivotal for the advancement of behavioral health in Alameda County. Dashiell is currently working with East Bay Supportive Housing Collaborative (EBSHC) to offer mental health support for homeless people in Alameda County.

The project aims to build housing units with support programs that serve the homeless population. A long-term goal of the project is to create social impact through public policy to eradicate homelessness in Alameda County.