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.
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.
I would agree such people are a danger to themselves or others, but this law goes beyond that. Here’s the text of it if you’re interested. One need only be using drugs or alcohol or have a mental illness while being homeless.
Being “gravely disabled” means that someone is no longer able to provide for their own food, clothing, or shelter because of a mental health disorder. WIC § 5008(h). A person may be considered gravely disabled if, for instance, they are no longer eating enough to survive, or they have become unable to maintain housing.
So being homeless is being gravely disabled and can be used as a reason to forcibly commit the homeless if they use drugs or have a mental condition, regardless of whether they are a danger to themselves and others.
Actually it defines being unable to provide your own shelter as the litmus test for being gravely disabled.
This law is designed to force homeless people into treatment so CA can look good by getting homeless people off the streets. There’s softer and cheaper ways to do this, outlined in my many posts above. But it basically comes down to using housing as an incentive for treatment. Real housing staffed with social workers. Not locked down treatment facilities which don’t work well because patients get wise to treatment when it’s forced down their throats.
But it isn’t just being gravely disabled that puts you into custody.
And people keep asking for a kinder method, but what do you do when a person refuses the kinder method? From the looks of it, it sounds like California is trying to build the real housing staffed with social workers to go along with compulsory treatment.
It’s being gravely disabled while having a substance use disorder or mental illness. So being depressed because my wife died and I lost my house because of the medical and funeral bills around my wife’s death is enough. Being caught with a bottle while homeless is enough.
I’m not against forcing people with chronic mental illness, especially untreated psychotic disorders, into treatment.
But this law casts a wide net and it will be abused. Because it’s not designed to help people, but to clean up CA’s image as having too many homeless drug addicts on the streets.
Per your example, I would hope the state steps in to help the guy down on his luck. And if he says no to help due to depression and possibly starting to become suicidal, then it is absolutely a good idea for the state to force him to get treatment before he becomes worse.
How is letting him drink himself to death on the street the humane option?
Being suicidal is already a means we have of placing people on a psych hold.
And yes, the state should intervene by offering help before the situation gets to this point, but we don’t actually have these social safety nets.
If we did, and if we had means of getting people open to housing as an incentive for treatment, we could get a lot of willing people off the streets, into treatment, and housed, without force.
This would serve 90% of people on the streets, in my experience from being in this situation myself and around other homeless addicts/mentally ill.
For the reminder, we already have these laws. If a person is an immediate danger to themselves or others, it’s very easy to get a psych hold. Do we really need to extend this to everyone on the streets using substances to make their existence a bit more comfortable?
This law might do more good than harm, I’m just concerned about its potential to be abused. Certainly there are a lot of homeless people who aren’t capable, need help, and aren’t getting it.
The law is definitely going to be used for surprise sobriety checks in cities as an excuse to begin to remove homeless encampments. However, it creates a standard of care to deal with some homeless as being sick instead of committing a crime.
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.
I would agree such people are a danger to themselves or others, but this law goes beyond that. Here’s the text of it if you’re interested. One need only be using drugs or alcohol or have a mental illness while being homeless.
What is a grave disability?
So being homeless is being gravely disabled and can be used as a reason to forcibly commit the homeless if they use drugs or have a mental condition, regardless of whether they are a danger to themselves and others.
But it is along with mental health issues or substance abuse problems. It isn’t like only being homeless gets you into custody.
And custody includes putting a roof over a person’s head.
I don’t see how leaving these people in their current condition is the humane option.
Actually it defines being unable to provide your own shelter as the litmus test for being gravely disabled.
This law is designed to force homeless people into treatment so CA can look good by getting homeless people off the streets. There’s softer and cheaper ways to do this, outlined in my many posts above. But it basically comes down to using housing as an incentive for treatment. Real housing staffed with social workers. Not locked down treatment facilities which don’t work well because patients get wise to treatment when it’s forced down their throats.
But it isn’t just being gravely disabled that puts you into custody.
And people keep asking for a kinder method, but what do you do when a person refuses the kinder method? From the looks of it, it sounds like California is trying to build the real housing staffed with social workers to go along with compulsory treatment.
It’s being gravely disabled while having a substance use disorder or mental illness. So being depressed because my wife died and I lost my house because of the medical and funeral bills around my wife’s death is enough. Being caught with a bottle while homeless is enough.
I’m not against forcing people with chronic mental illness, especially untreated psychotic disorders, into treatment.
But this law casts a wide net and it will be abused. Because it’s not designed to help people, but to clean up CA’s image as having too many homeless drug addicts on the streets.
Per your example, I would hope the state steps in to help the guy down on his luck. And if he says no to help due to depression and possibly starting to become suicidal, then it is absolutely a good idea for the state to force him to get treatment before he becomes worse.
How is letting him drink himself to death on the street the humane option?
Being suicidal is already a means we have of placing people on a psych hold.
And yes, the state should intervene by offering help before the situation gets to this point, but we don’t actually have these social safety nets.
If we did, and if we had means of getting people open to housing as an incentive for treatment, we could get a lot of willing people off the streets, into treatment, and housed, without force.
This would serve 90% of people on the streets, in my experience from being in this situation myself and around other homeless addicts/mentally ill.
For the reminder, we already have these laws. If a person is an immediate danger to themselves or others, it’s very easy to get a psych hold. Do we really need to extend this to everyone on the streets using substances to make their existence a bit more comfortable?
This law might do more good than harm, I’m just concerned about its potential to be abused. Certainly there are a lot of homeless people who aren’t capable, need help, and aren’t getting it.
The law is definitely going to be used for surprise sobriety checks in cities as an excuse to begin to remove homeless encampments. However, it creates a standard of care to deal with some homeless as being sick instead of committing a crime.
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