5 ms·

> The mentally handicapped used to receive treatment I think you meant to say “used to be locked up”

• jojobas 3y ago
  Provided with shelter? Check. There's only so much you can do, no brain debugger+hot patcher invented yet.
  • gattilorenz 3y ago
    It’s not a binary choice between living on the street and mandatory internment in something that resembles a prison, which is what I suspect was happening earlier. Other countries solve it by having protected communities, with more or less supervision and independence depending on the condition.
    • jlawson 3y ago
      What do those communities look like for people whose "condition" is the worst? The ones who won't accept treatment but desperately need it, and are a danger to themselves and others.
• raverbashing 3y ago
  It's hard for some to accept that yes, some people do need in-patient mental care and possibly for an extended period of time "prayer" or "social support" or whatever isn't a substitute for IV anti-psychotics Yes there was abuse, and yes that should have been curbed.
  • ransackdev 3y ago
    But it wasn't curbed. Unless I’m way out of the loop, there are still facilities for extreme cases, no? I think the difference is that patients cannot be detained there against their will, vs asylums were full of people who wanted to leave, after being forced there by someone else, and being treated like shit every step of the way
    • willcipriano 3y ago
      It's so much better now that these people receive treatment on the street, you can tell they are being treated because of all the hypodermic needles they leave laying around that formerly contained medcine.
      • ransackdev 3y ago
        I thought we were talking about mentally ill people, not drug users. The two are not mutually exclusive. You’re not necessarily mentally ill if you shoot dope, and shooting dope isn’t only done by mentally ill people. This is part of the problem. People think that homeless people are all drug users, and that’s not accidental. I bet if you ended up on the street, couldn’t get a leg up to get off the street, you might eventually turn to drugs to help forget that you’ve been abandoned by society and a government that will bail out car companies and banks but won’t establish better systems to get people up and running again.
      • morelisp 3y ago
        Comments like this definitely give the impression you're serious about making sure institutionalization is reintroduced for the benefit of the few patients needing intense interventions and not just out of concern for your fucking property values.
  • jdietrich 3y ago
    >It's hard for some to accept that yes, some people do need in-patient mental care and possibly for an extended period of time Some people, yes, but an incredibly small minority. The vast majority of people with severe and enduring mental illness can be managed perfectly well in the community if you have adequate community-based mental healthcare provision. The choice between asylums and people fending for themselves on the streets is a false dichotomy. >"prayer" or "social support" or whatever isn't a substitute for IV anti-psychotics We have a wide range of long-acting injectable antipsychotics that can be administered on a fortnightly or monthly basis. You do not need to lock someone up indefinitely in order to administer an injection once every few weeks. Some people will inevitably need to be compelled into treatment, but that number is much smaller if a) you have a mental healthcare workforce who have the time and training to establish rapport and build trust with patients and b) you use early intervention to reach people before they are in crisis.
    • raverbashing 3y ago
      Definitely not disagreeing with you, it does work like that in an ideal case/with a strong community/MH worker support And you know how the story of "I don't need/don't like the meds/they're out to get me" story goes within the community of people who definitely needs that kind of treatment