Quote:
Originally Posted by fauve
Hmmm...you may want to lay this on Kennedy, but I honestly never saw the homeless in Manhattan at least, before 1973 or so. All the talk in the paper and in school at the time was about the budget crisis being the cause. I'm just guessing, but maybe they were dumped on the street by these community homes when they stopped receiving their funding.
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Uh no, it's well documented. I'm not trying to "lay this" on Kennedy but it was part of the Great Society movement.
This is the problem when [liberal]....since you're taking a political stance on it apparently....decisions are made based on social PHILOSOPHIES before there are any PRACTICAL PLANS and ECONOMIC solutions.
Not unlike the "closing of Guantanamo" ...we're going to close it down...but we have no idea what to do after announcing it.
Here's a link from NEW YORK archives. As you can see, exactly what happened was they decided (with good reason) that the mentally ill were being mistreated in institutions.
THEN they made up all these government programs that never came to fruition in a practical way.
You can say it was the catchment areas dumping them due to funding but as you can read, they never HAD it in place to begin with. The COURTS decided on de-institutionalzation. And for that matter the 1950's invented drugs like Thorazine and gave confidence in the concept that mentally ill people could be released. MINOR DETAIL : HOW to MAKE THEM take their meds.
And that's not really true that the people were victims of funding issues because
SSI was enacted during the time you reference, thereby allowing the mentally ill some income to live independently.
AGAIN, YOU CANNOT MAKE A MENTALLY ILL PERSON TAKE MEDS OR GET HELP. THEREIN LIES THE PROBLEM. UNLESS THEY ARE A DANGER TO THEMSELVES AND OTHERS THE COURTS WILL NOT ACT.
So they waive their weens on the street LOL.
This is how our government works. Everything that is institutionalized gets hung up in bureaucratic nonsense. All the noble promises .....
I am a populist not a political ideologue. Not pointing at Kennedy per se but certainly you have to agree that the more academic "liberal" type philosophies promote government as the solution and all based on ideology not really practical methods of execution of said noble goals. No?
Overview of Mental Health in New York and the Nation
{Partial excerpts

)
· Mid 1960's-1970's: Academic attacks on mental health and psychiatry proliferated. Laing, Szasz, Scheff, and others were critical of psychiatry and mental institutions. Their view gained wide acceptance and shaped popular perceptions of the mental health system.
·
Late 1960's-1970's: State and federal courts ruled that the mentally ill had the
legal right to refuse treatment and could not be involuntarily committed to mental institutions unless they posed a clear and present danger to themselves or others. Other court rulings forced New York State and other states to improve the quality of care in the institutions they operated.
·
Late 1960's-1970's: The definition of mental illness expanded to include minor mental disorders and difficulty in coping with life crises. This expansion reflected increasing involvement of psychologists, social workers and other non-psychiatric personnel in treating mental illness.
·
Late 1960's-1970's: The mass political movements of the era were often hostile to the concept of mental health.
·Late 1960's-1970's: The problems associated with the policy of mass discharges (deinstitutionalization) from state hospitals became increasingly evident: lack of continuity of care and failure to meet the needs of the seriously mentally ill.
·1970's: Economic difficulties affected the DMH and hamper its ability to maintain and expand programs.
·
1972: Two new federal Social Security programs, Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI), dramatically altered care for the mentally ill allowing them to live independently.
1973: The New York State Unified Services Act was passed. It was designed
to improve coordination between state and local agencies. However, only five counties put forth acceptable unified services plans.
·
· 1974: The New York State Legislature enacted laws mandating that the state furnish appropriate care for those discharged from state hospitals.
· 1975: The
Federal Mental Health compelled federally funded community mental health centers to care for the seriously mentally ill.
· 1977: Jimmy Carter formed the President's Commission on Mental Health.
·
· 1978: The Civil Service Employees Association’s advertising campaign resulted in an executive-office policy directive instructing the OMH to increase staffing levels in state psychiatric centers.
· 1978: The OMH created the Community Support System, a program designed to furnish treatment and support services to the seriously mentally ill.
ALL THEY DID WAS DE-INSTITUTIONALIZE THE MENTALLY ILL AND DECIDE TO LAY THEM ON COMMUNITY ORGANIZATIONS (AKA MENTAL HEALTH CENTERS)
NOTE: Carter was in office at that time too

Same old thing. The politicians decide to make changes they cannot support. And the FEDS direct the STATEs to carry out UNFUNDED mandates.
Although we can see in NY's case they went right along with it because it's such an academic state.
There is no solution to this problem IMO. If FAMILIES do not help their own, the people are SOL....and look how many families cannot deal with their mentally ill due to their violence and abuse...their lives are in danger allowing the sick one to live in the home etc....
My brother in law in Greece has a schizophrenia spectrum diagnosis. He can throw the sofa across the room through the window out into the street. His family and life difficulties have nothing to do with funding. No amount of money is going to allow him to live a crisis free life. And he had the best of care. We had him here at the Univ of Pa for a complete work up and dx. Even they had to go with a spectrum dx.
My coworker's brother has it too. Usually there are multiple diagnoses not just "schizophrenia". He has been KICKED OUT of about 37 group homes no exaggeration. The parents are dead and it's only two siblings caring for him. He calls her about 20 times per day and her life is completely run by his mental illness. She and her husband are well off. STILL, there is no solution for the guy. His life is a revolving door of group homes she pays for and IF HE were a bit crazier as far as refusing treatment, he'd be the one in Hollywood.
Luckily he does his meds but is still uncontrollable.