fishin wrote:dlowan wrote:fishin wrote:ossobuco wrote:Fishin, I think there is probable legal trouble with just tasking anyone pulled in for a hold, voluntary or not (think, hundreds of thousands of scenarios.)
Agreed! My concern is that most of teh federal and State laws in this area were written in the 1930s and earlier when the standard practice was to put pretty much everyone who was mentally ill in an "institution". I still remember a lot of them being aorund in the 1960s but we prettuy much did an about face an decided that the mentally ill had the right to live in open society with everyone else. We closed the asylums and sanitariums and moved to more of a short-term critical care and shelter workshop/independent living situation for long term care.
But the laws haven't changed to reflect that and IMO, something needs to change there.
IMO, the one and only good thing that is going to come out of all of this is a long hard look at mental heath systems in this country - at least I hope it does.
I think the laws changed in reaction to the awful abuses of mentally ill people in the times you speak of.
De-institutionalisation came a bit later......and was, while speaking rights based language, at bedrock more about cost-cutting...at least in practice.
There is certainly a problem with finding beds for people, but I do not think the problem with committing unwell people is so much resource based, as law based.
At least here...
Often, I know that professionals may believe a person should be committed for longer than they are, or ought, at least, to have well policed treatment orders in the community, but know that the laws as they stand will not allow this...or that the custodians of the appeal processes will not support the families and mental health practitioners in their treatment plans.
This is often an ENORMOUS problem for families, or friends, or people like university staff, who may well see signs of deterioration in people before professionals pick it up, but cannot get treatment orders.
Sigh....I don't know......these balances of people's rights to self-determination vs need for treatment/committal for safety reasons, are extremely difficult ones, and mental health professionals cop enormous anger whichever way they go.
I hope the "long hard look" doesn't result in what it normally does....scape-goating of the people directly involved in the case, with recommendations for better care, which the resources and laws do not allow for.
I agree whole-heartedly Ms. Wabbit. I don't think that we need to go back to an age where everyone with a mental illness is locked up. But, just as one might "baby-proof" their home when a todler comes to visit, I think we need to ensure that "reporting" is both useful and purposeful and serves the needs of the greater society.
The mental health professionals need a way to "alert" the appropriate authorities if a patient is a danger and maintain their professional obligations to the patient at the same time. All of that, of course, on top of ensuring they have the tools to do what they can to help the indivual move away from a destructive state of mind to begin with.
Well, we have obligations to warn authorities if someone is making threats...especially if they have means. And to warn the subject of the threats. THAT'S fun, I can tell you...turning up on some person's doorstep whom you have never met, and telling them about threats! I would assume similar ethical rules apply in the US?
Here, as I said, weapons can be removed by police.
Let's face it though, the most common thing is it's some man threatening to kill his ex, and, while guns can be removed, if the police can find him and are prepared to act, all too often he does exactly what he has said he will do.
Mostly the people making the threats are not insane enough to commit, and threats alone cannot generally get people imprisoned.
The stuff being dealt with on this thread is, while awful, relatively uncommon.
The mind numbing violence that happens every day is really a bigger problem.
This stuff just gets people oohing and aahing and noticing.