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Trump calls for the return of mental institutions
(www.axios.com)
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this post was submitted on 31 Oct 2023
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The issue with institutionalization (besides SCOTUS ruling it violates the ADA in 1999’s Olmstead v LC, rendering it illegal for anyone with a disability), is that it’s expensive. That’s why Reagan defunded them all.
To be clear, deinstutionalization was a good idea, but unlike JFK’s push, Reagan pushed for it without replacing institutions with well-funded community services. Which would be cheaper than institutions, most of which sit unoccupied and decaying, so there’s also the question of where Trump wants to put these people.
This doesn't get said enough. Getting rid of them was a legitimately good idea, the some of the abuses in those places was hair-raising. We just didn't replace them with anything, so the mentally ill all just turned into homeless mentally ill, which just made more people miserable, which in turn probably contributes to more individual incidents of mental illness occuring.
Many also ended up in jails and prisons
And many more simply died. As it turns out, releasing the disabled onto the street, surprisingly, wasn’t a perfect option.
Canada did the same damn thing at the same damn time with the same damn repercussions because our PM followed Reagan around like a damn lapdog. 🤬
Getting rid of them was a SHIT idea what are u talking about?!?!
Exactly what I said. Needed to be done, just needed an improved plan instead. Choices were No Plan, A Bad Plan, and A Good Plan. Mental institutions were a bad plan. We got rid of them and went with no plan. We need a third possibility nobody tried--a good plan.
It comes down to the same issue with the police. When you look at the effort it would take to reform what was wrong, it would be nearly impossible. A better idea would be to toss out everything and start from scratch.
Just take a look at how mental institutions were in the last moments before they were closed: https://timeline.com/willowbrook-the-institution-that-shocked-a-nation-into-changing-its-laws-c847acb44e0d?gi=187e20cd91e2
https://www.thirteen.org/metrofocus/2016/01/the-story-that-revealed-willowbrooks-horrors/
https://www.geraldo.com/willowbrook-ii/
Im in the disability field and honestly I feel like we need something and need it bad. Not institutions, at least not like they were, but I honestly wouldn't be surprised to see some people in the disability community respond positively to this with the hopes that its different this time, lord know the people who like him don't believe his words at face value. I can also tell you thers definitely is a not insignificant amount of people in the community who have a neutral to faborable feeling on Trump.
The key here I think is that during the pandemic, even before mask mandates, we started seeing services get cut, orgs defunded, and staff reduced. So much of the disability community right now is relying on support staff and self directed program funding, which is essentially the disbursement of medicare and medicaid funding to one individual, not necessary with a medical background, to help the person with the disability with their day to day stuff and goals stated in their Individual Service Plan. The flexibility is great but its just one person at a time, they don't even get a budget to do things typically.
A lot of people with disabilities are missing the structure of actual organizations that has the resources to do more than what a one on one support worker can, and someone on Trumps team is either smart enough to know that, or quite lucky.
Nice, I also used to work in the disability field (ID/A). And you’re right, although at least in my state we haven’t had cuts, more so just a lack of sufficient new funding.
I will say that I don’t think many in the disability will support this, but some do seem ignorant of the past and the old realities of institutionalization.
And yeah, self-directing is a double edged sword. I’ve seen it done well and I’ve seen it abused by families just to get some extra money, while not really sufficiently meeting the needs of their family member with disabilities. I also think it’s nearly inescapable in the future, given the staffing shortages we already see in direct care and the aging boomer population that will require even more staffing.
Self directed seems to be the answer to budget problems, but there should be pooled resources that all support staff can tap into if we want to even keep the same level of service we had pre pandemic, and honestly the disability community still deserves more than that bar. Hopefully we get there.
Decriminalize/legalize all drugs, transfer all for-profit prisons back to the government and/or not for profit charities, shuffle prisoners around to free up prisons to be converted to mental healthcare and drug rehabilitation facilities, and fund it with a taxed and regulated drug market.
Not that he thinks far enough to come up with that.
Decriminalization of all drugs is a terrible idea. Ask Oregon how that's working out for them.
Edit For the downvoters, come on out to Oregon and see it first hand.
https://www.theatlantic.com/politics/archive/2023/07/oregon-drug-decriminalization-results-overdoses/674733/
Most reputable sources have reported decriminalization in Oregon did not lead to an increase in overdoses, which correlates with the rest of the fucking planet and isn't surprising.
However, your source is behind a paywall, so I can't check it out.
And archived version of the article.
(Not that I'm arguing Death_Equity's claim, just wanted to help.)
No increase in overdose DEATHS. Massive increase in overdoses in general, and crime, and homelessness.
https://www.kgw.com/article/news/local/the-story/portland-downtown-firefighter-overdose-calls-narcan-deaths/283-a37b7402-c199-40ce-a120-bb6aec149365
https://www.ems1.com/overdose/articles/ore-first-responders-rescue-8-in-suspected-fentanyl-overdose-dUthcbYwMyyUwYSp/
https://www.portlandoregon.gov/police/news/read.cfm?id=472810
Decriminalization in Oregon has been a massive failure.
Yeah, after reading each link provided, you're reaching. I'm not sure if you're paid to be a shill or just brain washed, but the decriminalization is overwhelmingly recognized as a benefit to humanity.
Not in Oregon it's not. Source: I live here. I watch it DAILY.
The #1 problem we have is that there's NO incentive to get treatment. If you get caught with drugs it's a $100 fine and that fine gets waived if you call a toll free number and ask about treatment. You don't actually have to GET treatment, all you have to do is ASK about getting treatment.
16,000 people ticketed, 137 called the treatment line. Tons of people using the free needle exchange and naloxone though.
https://www.opb.org/article/2022/02/14/oregon-drug-decriminalization-measure-110-grants-treatment-recovery-services/
It's just not working. Likely it will be repealed in the next election.
https://philomathnews.com/drug-decriminalization-stumbled-in-oregon-and-other-states-are-taking-note/
https://www.kgw.com/article/news/local/the-story/oregons-drug-decriminalization-flaws/283-6b5c022f-f437-4476-ba44-c6d163ca6d7b
If the entire world does something successfully and you don't. Where do you think the problem lies?
The entire world has universal healthcare, think that might be the difference? 🤔
That's definitely part of it. Decriminalization was always supposed to be paired with treatment.
Supporters here all talk about "the Portugal model" but completely forget that Portugal forces people into treatment.
If there's no real incentive to get treatment, addicts will not get treatment. (Shocked Pikachu Face).
I suddenly can't see the comment chain where we were having a conversation. Did you delete your comments as after I posted the law that you said didn't exist?
No? I still see my comments
Weird. I can't access that comment chain anymore, but I can see the comments in our history. Maybe it's a Sync issue (the platform I'm using)
Memmy master race
Doesn't seem to be available for Android
It's because Lemmy is broken-ass piece of shit garbage. Comments I wrote and deleted still show up for other people, too.
Feel free to leave
😆
A typical and predictable response from someone selfish and immature enough to knowingly do nothing about serious and exploitable bugs on a platform they choose to be wholly dependent on for online discourse. And they expect people to blindly go along with it simply because they did.
If we were on a spaceship, and I was telling you about serious air leaks in the hull, would you look at me and tell me to my face "Feel free to leave" as you suffocate? Or would you go patch the holes?
What a massive edit you've made to your comment.
Your metaphor is really shitty though. Feel free to leave :)
Nope. I'll feel free to continue complaining about it as that's the only way it's ever going to be acknowledged or addressed.
Feel free to put up with it.
Or feel free to pretend you're accomplishing something through unwarranted loyalty to a platform run by jackasses who couldn't give less of a shit about you as you do about them. Whatever you think will accomplish more.