I was pretty with it until 4 and 5. The premise that certain groups of people without housing "can't survive without the kind of assistance that money can't buy" is condescending and elitist at best.
The crisis in mental health care in the US is shameful. It is true that in the bad-old-days people were over institutionalized. So the pendulum has swung, and now unless a person is very clearly dangerous to themselves or others, it is nearly impossible to get a person resistant to treatment the help that they really need.
We talk about people "falling through the cracks", but the "crack" is a mile wide. It is pretty hard to convince me that a cardboard box under a freeway overpass is better housing than the mental institutions of old. That said, I don't think many of the mentally ill need to be forced into an institution under the old model, but we really do need a mechanism to deal with ill people resistant to treatment.
[edit: spelling]
This is the mission statement right here. Very well said.
There are quite a few articles/blogs/etc out there from psychiatric professionals who were practicing before deinstitutionalization, many of whom were champions of the reforms, but who in retrospect question whether it should have happened (or at least how it was executed and how ‘community mental health’ never really took off).
Maybe it’s time to revisit the concept of mental institutions, albeit a more humane model.
There isn't a more humane model. If you're forcing people into an institution you're also going to be forcign them to take medication and if you're not very careful there's a bunch of other restrictive practice and other bad stuff that happens. The main ones would be use of rapid tranquilisation, use of prone restraint and supine restraint, and sexual assualt from staff and other patients.
A better model would be correctly funded assertive outreach teams.
Can you tell me more about assertive outreach teams?
He’s not exceptional. Psychotic disorders do that.
That you think that /describing their existence/ is “condescending and elitist” speaks mostly to the ridiculously privileged bubble you live in.
My point wasn't articulated well in my first comment. I am worried more about painting homeless people with such a broad stroke. Getting a roof over someone's head is entirely different from getting them mental health services -- we need to fix both to actually solve the problem. And the specific language around "ruiners" in the post really struck a nerve with me... I think that everyone is deserving of some degree of help and shouldn't be thrown in prison like OP suggested.
That said, I don't appreciate the personal attack. While I did find reading about your experience helpful and appreciate you sharing, I think your comment at the end is part of what makes the internet bad. Look to some of the other comments critical of my post for some better examples.
Anyway, these people would have been on the street, if the state hadn't provided a place for them. I particularly remember a schizophrenic guy. In the right circumstances, on safe topics, he seemed pretty sharp. But then, he was well medicated.
It seems accurate to me, at least for America today. It's quite a tall order to ask society as a whole to change, though that would make life more manageable for some people currently unable to make their lives work.
Sure, you can "survive", technically speaking. But living for days, weeks, years as an animal, fighting sometimes to the death for scraps, and god knows what else, it's definitely the comforts of friendship and human civility (that "money can't buy") that you're in the most need of.
There are many veterans out there who will tell anyone that they just don’t know what to do once they leave the forces. They need to have their entire weekly schedule planned out and someone to help them with that planning. Many ex-cons have the same problem, and you’ll find a similar issue with 18 year olds who are fresh out of school and pushed out their parents’s home.
This phenomenon, institutionalization, is a very real issue. For guys who have their whole life planned out daily for them and superiors to assist them with finding housing and dealing with medical care, having a load of freedom tossed at them when they’re over 40 is overwhelming. They’re not dumb. It’s just that humans have trouble adapting as we get older.
A considerable number of veteran support networks and veteran-oriented jobs exist to help people adapt to retiring during middle age.