[quote]chinadoll wrote:
Magarhe wrote:
18 years is a very long time in psychiatric medicine and it is likely in my opinion that the guy has been adequately medicated and observed for 18 years and been OK in prison (or wherever he was).
I very much suspect that the system that let him out is convinced he is OK to let out.
It is also pretty crap that the boss at least wasn’t somehow informed by the system.
The system is forced to release stable mental health people because they’re legally bound to do so.
Also, especially with the Mental Health industry, confidentiality laws are one of the main issues, in terms of legalities/liability. And this is moreso significant with the recent emphasis on HIPAA.
The Mental Health System, because of the laws that are in place, has to be very mindful of their clinical decisions in terms of Mental Health patients, as these patients have lots of special rights under the laws of this land. For example, there are time limits and specific indications as to how long and why facilities can hold patients coming from the streets to the ER’s, the ER’s to the Psych Units, the Psych Units to the Psych Hospitals. The same criteria apply to the police finding an actively psychotic person on the streets and bringing the person to a facility-- they have to walk a very straight, thin legal line, otherwise they technically are violating the person’s rights. And the patients have to be reassessed within these time limits and assessment/indication parameters, otherwise their rights are being violated as well.
And remember that simply someone being mentally ill doesn’t mean that they can be taken into custody, or ever kept in custody or kept in a facility once they’re there…there has to be specific criteria met at any one time, and if the indications have resolved, the MH facilities must release the patient.
Very very often, these parameters and time limits can conflict with what’s in the best interests of society, although they are conducive to protecting the mental health patient’s rights. Therefore, when a patient who had subsequently been very unstable, has been in a facility for a certain amount of time and is stable, insightful, etc…the MH clinicians are forced, because of the laws of this land, to release the person back into society. The common thing is for an MH person to have some kind of stressor- a life change, drug use, etc… or to feel “normal” again and decide that he/she is cured and stop taking the meds, thereby becoming again Psychotic, Delusional, Decompensated, Homocidal, Suicidal, etc…again, and hopefully end up in the system again before being able to inflict much harm upon society.
Hence, this is one reason why people in the field have long referred to it as the “Revolving Door of Mental Health”. The MH industry, because of the many laws that very closely regulate MH practice, is forced to abide by these laws in order to protect the rights of MH patients.
I only post this because I know a lot of people will ask why this person with a history of xyz behavior but stable today, is able to be released back into the community, and the thin line of legalities that regulate the mental health field enables much of this.
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We all can thank Ronald Regan for the stupid laws we have now regarding mental health. Before Regan when someone was determined to have a mental disorder that impaired their judgment they could be placed in a hospital for treatment until they were stable. Now, thanks to Regan, a person can be psychotic as hell, but if they are not a danger to themselves or others they have the choice to not be hospitalized. Giving someone who doesn’t have the ability to make choices the choice to treatment or not was not a bright move by Regan.
So if you want to know why there are more homeless now after Regan it is mostly because these are mental health patients who have been given the choice to be on the streets or in a hospital and most have chosen the streets!