California Gov. Gavin Newsom has signed a bill that makes it easier for authorities to compel treatment for people with mental illness or addiction issues. The proposal is partly aimed at addressing the state’s growing homelessness crisis.
Stress is the number one contributing factor to addiction. You know alcoholism is going up in much of the world due to climate change, and going up faster in parts of the world most affected?
Getting someone into housing is an incentive we haven’t tried. Okay, free housing if you get into treatment and take your meds? It reduces stress too, which makes treatment more likely to work. And demonstrates compassion, making therapeutic relationships easier to form and thus, makes treatment more likely to work.
Force doesn’t work. You destroy all trust in the therapupitic process before you even begin.
I agree with you, except free housing should be available without conditions. Isn’t the threat of homelessness just another form of coercion? Americans have more than enough existing housing and food production to provide for everyone. We force artificial scarcity into both markets to preserve profits, because it’s harder to raise rents when a free option exists.
Mental health and addiction are both medical problems. Trust is always an important part of medical treatment, but trust runs both ways. Can we trust people with those issues to seek treatment on their own? Doesn’t society have a compelling interest in treating their conditions?
I’m not advocating for the police to start rounding up homeless people and dumping them in overburdened psych hospitals. I’m not even advocating for this law. We need far better treatment options, healthcare in general, and economic reform before we should ever expect to address homelessness and mental health. I just don’t think we should take anything off the table when it comes to ensuring people get treatment. Force might work for some people. It might make things worse for others. The goal, however, is worthy of discussion and the methods cannot be dismissed out of hand.
In my experience force doesn’t work very well for actually treating people. It works well to protect society. And short holds can create a situation for someone needing help to seek it in the future (because they didn’t kill themselves or someone else.)
But as a means of getting people help that’s going to improve their mental capacity, it generally doesn’t help most people. It can help society and if it’s used as an alternative to prisons and jails, that’s an improvement.
My fear is that it will actually further stigmatize mental illness, and force people into the shadows. When using incentives could be a far superior option.
Plus, low income housing with a few staffed social workers is far cheaper for tax payers than prisons and jails.
You are underestimating the type of people this law is targeting. Nobody who is just stressed out is going to be forced into an institution (although I agree the law should be carefully written to guarantee that). This is meant to get people who are full-on batshit insane off the streets and in an environment where they at least have a CHANCE of getting sorted out.
For example, I have a friend who is psychotic. No, I’m not misusing the word or exaggerating, this is a person who is sincerely and obviously psychotic, diagnosed as such by a psychiatrist, sees and hears things that are not there, believes that the government is all rape-demons from hell that are out to harvest our sanity.
When unmedicated, that is.
Once medicated, she is like “holy shit clarity thank god, keep giving me the medicine.” But if there’s ever a lapse, we go right back to the rape-demons from hell trying to force pills down her throat and the only way to save her is to, essentially, violate her by being the rape-demon from hell that forces pills down her throat. Which is of course very illegal but people care enough about her to do it anyway.
It would be very nice for it to NOT be illegal to save people from the rape-demons from hell, to have a support system in place aside from what is basically a secret cabal of friends and family as a safety net should this person end up somewhere alone and unable to access their meds.
I think you’re underestimating who this law will target.
Addicts it says. Yes, people with other chronic mental health conditions too. But it sounds to me like California’s plan to deal with the opioid crisis is to start locking addicts in rehab facilities until they figure out how to be treatment wise if they’re not already (this is a term meaning, play the treatment game with therapists without doing the work).
Treatment really requires people to be willing. And unless they’re an immediate danger to themself or others, I don’t agree with forcing people into treatment. On both moral grounds and practical ones.
If this is an alternative to prison or jail, for crimes aside from drug charges, then great! But from what I could gather from the article, this isn’t really what’s going on.
It looks like they are also trying to implement funding for medical treatment as well, which is why the plan can be delayed up to two years.
But there are grey areas to being an immediate danger to themselves or others. If someone is walking into traffic because they are too high to be aware of their surroundings or a schizophrenic homeless man is randomly yelling at people in a park he lives in, there is a danger.
Stress is the number one contributing factor to addiction. You know alcoholism is going up in much of the world due to climate change, and going up faster in parts of the world most affected?
Getting someone into housing is an incentive we haven’t tried. Okay, free housing if you get into treatment and take your meds? It reduces stress too, which makes treatment more likely to work. And demonstrates compassion, making therapeutic relationships easier to form and thus, makes treatment more likely to work.
Force doesn’t work. You destroy all trust in the therapupitic process before you even begin.
I agree with you, except free housing should be available without conditions. Isn’t the threat of homelessness just another form of coercion? Americans have more than enough existing housing and food production to provide for everyone. We force artificial scarcity into both markets to preserve profits, because it’s harder to raise rents when a free option exists.
Mental health and addiction are both medical problems. Trust is always an important part of medical treatment, but trust runs both ways. Can we trust people with those issues to seek treatment on their own? Doesn’t society have a compelling interest in treating their conditions?
I’m not advocating for the police to start rounding up homeless people and dumping them in overburdened psych hospitals. I’m not even advocating for this law. We need far better treatment options, healthcare in general, and economic reform before we should ever expect to address homelessness and mental health. I just don’t think we should take anything off the table when it comes to ensuring people get treatment. Force might work for some people. It might make things worse for others. The goal, however, is worthy of discussion and the methods cannot be dismissed out of hand.
I agree mostly with what you’re saying.
In my experience force doesn’t work very well for actually treating people. It works well to protect society. And short holds can create a situation for someone needing help to seek it in the future (because they didn’t kill themselves or someone else.)
But as a means of getting people help that’s going to improve their mental capacity, it generally doesn’t help most people. It can help society and if it’s used as an alternative to prisons and jails, that’s an improvement.
My fear is that it will actually further stigmatize mental illness, and force people into the shadows. When using incentives could be a far superior option.
Plus, low income housing with a few staffed social workers is far cheaper for tax payers than prisons and jails.
You are underestimating the type of people this law is targeting. Nobody who is just stressed out is going to be forced into an institution (although I agree the law should be carefully written to guarantee that). This is meant to get people who are full-on batshit insane off the streets and in an environment where they at least have a CHANCE of getting sorted out.
For example, I have a friend who is psychotic. No, I’m not misusing the word or exaggerating, this is a person who is sincerely and obviously psychotic, diagnosed as such by a psychiatrist, sees and hears things that are not there, believes that the government is all rape-demons from hell that are out to harvest our sanity.
When unmedicated, that is.
Once medicated, she is like “holy shit clarity thank god, keep giving me the medicine.” But if there’s ever a lapse, we go right back to the rape-demons from hell trying to force pills down her throat and the only way to save her is to, essentially, violate her by being the rape-demon from hell that forces pills down her throat. Which is of course very illegal but people care enough about her to do it anyway.
It would be very nice for it to NOT be illegal to save people from the rape-demons from hell, to have a support system in place aside from what is basically a secret cabal of friends and family as a safety net should this person end up somewhere alone and unable to access their meds.
I think you’re underestimating who this law will target.
Addicts it says. Yes, people with other chronic mental health conditions too. But it sounds to me like California’s plan to deal with the opioid crisis is to start locking addicts in rehab facilities until they figure out how to be treatment wise if they’re not already (this is a term meaning, play the treatment game with therapists without doing the work).
Treatment really requires people to be willing. And unless they’re an immediate danger to themself or others, I don’t agree with forcing people into treatment. On both moral grounds and practical ones.
If this is an alternative to prison or jail, for crimes aside from drug charges, then great! But from what I could gather from the article, this isn’t really what’s going on.
It looks like they are also trying to implement funding for medical treatment as well, which is why the plan can be delayed up to two years.
But there are grey areas to being an immediate danger to themselves or others. If someone is walking into traffic because they are too high to be aware of their surroundings or a schizophrenic homeless man is randomly yelling at people in a park he lives in, there is a danger.
The schizoid homeless this law is targeting ARE imminent dangers to themselves and others.
Read the bullet points someone posted in these comments.
Just being homeless and having a substance use disorder is enough.
It goes way behind a psych hold.
I’d have to read the text of the bill