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Tuesday, March 13. 2018Deinstitutionalization of the impaired
I see no future for help-rejecting mentally-dysfunctional. Currently, jails are said to be the largest mental health facilities in the US. Have we have returned to Bedlam? More likely, family homes are the largest, jails second, and the streets third. Rightly or wrongly, government-coerced "help" was politically and morally abandoned. If you are a parent or relative of an impaired person, and have some assets, best thing is to make a trust for them with a good trustee. The low-functioning relative might reject all that, but it's all one can do. Once upon a time, there were permanent "retreats" and "homes" for such people, but when government got in the game they became hellholes. I have no solution. Functioning at a high level is challenging enough for all of us even without tragic difficulties.
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“In loco parentis.” There are times when the policy of non-governmental interference is what’s truly “loco”:
https://www.nytimes.com/1987/11/13/nyregion/homeless-woman-sent-to-hospital-under-koch-plan-is-ordered-freed.html Involuntarily hospitalizing the severely mentally ill who refuse treatment potentially saves not just the life of a possible victim of very rare violence, but the life of the patient, when treatment can offer them a life off the streets or not incarcerated, "Involuntarily hospitalizing the severely mentally ill who refuse treatment potentially saves not just the life of a possible victim of very rare violence, but the life of the patient, when treatment can offer them a life off the streets or not icarcerated."
------------------------------------------------- It's not "rare." The streets are becoming quite dangerous. My wife recently was physically assaulted by a violent crazy person while walking down the sidewalk at 5 p.m. in the financial district. If I had seen it, I would have beat the crap out of the person until he was no longer low-functioning, but non-functioning. Police and building security said they could do nothing since they didn't witness it and the psycho would immediately be let out again even if arrested because there is nowhere to put them. Many of them are violent, especially when cranked up on meth or skunk. She now won't go outside if she's still at work when it starts getting dark without my escorting her. Every time I go outside now to pick her up from her building I see 4 or 5 of these wackadoodles ranting and raving, hitting things, yelling and screaming, or defecating on the sidewalk. Institutionalize them, incarcerate them, or euthanize them. I have no patience any longer with the mentally ill or the homeless. They are a serious threat to civil society and need to be removed. We also need to implement the death penalty for drug pushers and dealers who put many of these people into the states they are in. There's no question in my mind that the large majority of mental illness is the result of drug abuse. The original sense of the word "asylum" was a place where a dangerous crazy person could go and not be in danger of being shot down in the street when he threatened someone vulnerable.
But it is realistic. You obviously don't live where you are threatened with violence from these folks every day. The mentally ill are dangerous animals and should be treated as such, and put down if necessary. Just the latest here, yesterday. Let's stop it with the compassion, already, and get rid of these people--permanently.
------------------------------------------------ http://www.hawaiinewsnow.com/story/37785238/man-accused-of-putting-woman-in-chokehold-holding-box-cutter-to-neck-in-waikiki Police: Man who attacked woman with box cutter in Waikiki chose victim at random Police: Man who attacked woman with box cutter in Waikiki chose victim at random 02:29Police: Random box cutter attack in Waikiki leaves woman injured In the latest of a string of violent crimes in Waikiki, a woman is recovering after a man allegedly attacked her with a box cutter, leaving her with gashes to her hands, neck and chin. It happened in broad daylight — about 1:30 Wednesday afternoon — in front of the Longs Drug Store on Kalakaua Avenue. Sources say the victim works in the area and was sitting at one of the tables in front of Longs when a man randomly came up behind her. The two exchanged a few words then, police say, he put her in a chokehold and tried to cut her throat. It took less than an hour for police to arrest Andrew Davis just blocks from the scene near Royal Hawaiian and Kuhio. Pama Kanehailua was in his office doing paperwork when he noticed a patrol car stop in the intersection. "When I looked to see where the officer was looking at I saw the guy standing by the tree," said Kanehailua. "He basically put his hands up and laid on the ground and stayed there. He just gave up." Police say during the attack a bystander heard the woman scream and knocked Davis to the ground. Sources say he dropped the box cutter and ran, but a good Samaritan followed him and called police. People who work in the area say Davis has been homeless for some time and is often seen walking the streets acting strangely. "Kind of really sketchy, dodgy," said Crystal Palacios. "One of those characters you kind of want to veer away from." Kanehailua added: "I see him singing loud to himself. Talking to himself. You could tell he wasn't all there." Now the 49-year-old is accused of attempted murder. He remains behind bars. A check of Davis' criminal history shows a violent past dating back nearly three decades. He has 19 convictions, including for manslaughter, robbery and drug crimes. Palacios said the attack has left her rattled. "There's been so much bad stuff happening. Especially in this area," she said. A string of violent attacks in Waikiki date back to September, when a man was fatally shot outside club Alley Cat near Kuhio and Seaside. In early October, a woman visiting from Canada was beaten in an apparent random attack in the area of Kuhio and Kaiulani. Later that month, a teenager was charged with stabbing a Marine to death outside a night club in Waikiki near Kalakaua and Royal Hawaiian. Then, just after the new year, a woman was raped, burned and brutally beaten by a man she met outside a bar near Ala Moana and Hobron. And in February, a man was killed in an apparently unprovoked assault outside another bar close to Ena and Kalakaua. In response to the attacks, police have pledged to beef up police presence in the state's no. 1 tourist destination, and tourism industry leaders have sought to assure visitors that Waikiki remains a safe place to visit and stay. There are numerous reason for the homeless on the streets and the solution is to start incarcerating them in order to even determine their problems. A few decades ago they WERE put in institutions and treated. On occasion they would be short term released to see if they could function on their own which also included self medicating for psychiatric problems. If not they were kept in the institutions on a permanent basis. In our boomer utopian vision of the world the lawyers decided that all should be released if they appeared functional at the institution. Bad, bad, bad, move...many soon became dysfunctional out of the institution and it soon became a catch and release game that failed entirely. Get the lawyers out of the homeless game and go back to what worked.
One of the problems in dealing with people who are mentally ill is that they often do not see their own acts as wrong or crazy. They will, on the other hand, see most form of help as being intrusive and contrary to what they want. They, many, not all, develop coping mechanisms to this help to allow them the best chance of escaping the help. It does not matter usually if the help is from family, friends, do-gooders or the government. They have learned to take what they want from offered help and get away.
Also, many of them are quite smart, street smart and game smart and THEY are playing a game all the time. That is how they cope with the world. When you encounter them they will be playing and you will be ignoring them or simply unaware. You must play the game or you are the game. However you choose to address them or act towards them they have seen it before and are one or two steps ahead of you. Confidence works. Talking to them and treating them as though they are totally normal can work, somewhat. Do not accept their act and keep it real. But do not disrespect or talk down to them because that is what they experience from almost everyone they meet. Mostly though they are broken. You cannot fix them. Those who are not badly broken or have at the least learned effective coping skills can be brought into the real world. There are of course those who are dangerous and these people are really dangerous. There are no guarantees in those cases and you are better off not befriending them or trying to help them. How can you tell who is dangerous? You can't usually. Look for very charming, very slick orfriendly. They have a story; they will try to play you, tell you a sad story, offer you something for something in return. Watch how they study you or others. They are often loners or have one friend who may be much like them or even scarier. Your best defense against this is to not be there with them. First you ask people if they need help. Then you tell them they help. Then you force them to accept help. That’s the way of the world.
Think about the fact that Russia just used nerve agent to kill a old spy in London. Think about how easy that was for them. Is this the new terrorist potential?
Made me think how easy it would be for a terrorist or anyone trying to kill a lot of people could create a mixture of Fentanyl and DMSO and disperse it as an aerosol into a HVAC system in a large building. No fancy chemistry just a delivery and absorbtion system. |