We Need to Establish a Legal Right to Treatment

Last week, I explained why I believe the “dangerousness” criteria is an impediment to getting people the help that they need. One reason why civil rights activists pushed hard in the 1970s to get “dangerousness” established was because forcing someone into a state mental hospital was a draconion move.  Being committed was often a de facto life prison sentence. Barbaric treatments, such as forced lobotomies, destroyed lives.

What happens today if someone is forcibly committed?

 In Virginia, on average, you will spend five days or less in a locked mental ward. Your “treatment” will be medication and, if you are willing, therapy in groups where the topic will center almost exclusively on the importance of taking medication. After your five days end, you will be discharged. If you are fortunate, you will be linked to community services. But there’s a good chance that you will be released without any serious follow up.

In short, your life will have been disrupted — not only by your illness — but by the state. Yet, little will be done to actually help you recover from your disorder or help you better handle your symptoms.

This is not meaningful treatment. It explains why some critics are so adamant about clinging to the “dangerousness” criteria. Deep down, they do not believe involuntary commitments benefit anyone. Click to continue…

Why is “Dangerous” the Criteria?

      I receive emails and letters from parents and family members who have tried to get their loved ones help by having them involuntary committed into a hospital only to be stopped by our legal system. One of the sadder notes came this week from a father whose daughter was so sick that the psychiatrist who first examined her and the independent examiner appointed by the court to review her case quickly agreed that she needed to be hospitalized.

     But when the young woman appeared before a special justice here in Fairfax County, Virginia,  he ignored the two professionals’ recommendations and released the woman because, in his opinion, she did not pose a danger either to herself or to others.

    “Where did this dangerousness criteria come from?” the frantic father asked me in an email.

Click to continue…