I was an elder for many years, and dealt with numerous cases of depression among the friends in literally dozens of congregations in about 7 or 8 states. Once it got around that there was an elder willing to listen and who had a little understanding and empathy - well, you could find yourself overwhelmed by the need among the friends. Midnight phone calls were a common occurence in my house for years - many from elders or their wives, trying to sort out their own issues.
But the number of elders that I knew who were willing to deal with this, and could do it with some success, was very limited. Most are no longer serving, and the few that still are have been pretty much beaten down.
The comment that most elders will not consider mental problems as factors in wrongdoing is by far the view of the majority of elders I knew. In many cases, the elders really look down on "worldly" counselors and therapists. Hey, when you've got God and His Spokesman directing your every move and decision, you can certainly consider yourself superior to mental health professionals, even if you are a window washer.
And like Prisca, I also sent a letter to Bethel. I sent mine to Colin Quackenbush (Colin was supposedly the author of one of the best articles that the Society printed in the early 80's on abuse and depression, and I had just met him) - four single spaced pages outlining what we as elders were running into at the time. This was in the early 1980's. Shortly after this we started getting some pretty well-researched material on sexual abuse, etc.
But to say there were very differing viewpoints on this at Bethel is true. There was a real struggle going on at the time about how to deal with friends with mental health issues - and it seemed that the focus swayed back and forth between a more liberal and open view and one that was controlled by Bethel hardliners. At the time Jim Howard, a physician who was also an excellent psychiatrist, was a Bethel doctor, and I think Jim's knowledge and background helped Bethel make at least a few good changes. But then he left Bethel with his family.
How things have gone in the ten years since I stepped down, I'm not certain. Everything seems so wishy-washy that I read in the literature, and the few elders I still know about are sort of what's left after most of the good ones stepped down - in other words, pretty clueless.
Not a promising situation.
S4