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Tag: involuntary commitment


The high price of saving money on mental health

This editorial will appear in Tuesday’s print edition.

The fate of people with severe psychiatric disorders in this state has traditionally been driven by two factors:

Washington hates to spend money treating the mentally ill.

Washington also hates to commit them to involuntary treatment unless they’re on the verge of killing themselves or others.

The two are closely connected. Those who don’t want to spend much on the sick may find it especially easy to give them the “freedom” to live on the streets.

As The News Tribune’s Sean Robinson and Jordan Schrader reported Sunday, this state’s economy-minded approach to mental illness carries an appalling human cost.

Washington ranks at or close to the bottom of all states in hospital capacity for the mentally ill. There aren’t near enough beds for patients who need intensive care in a secure setting.

The scarcity backfires in nasty ways.

Some people with severe but untreated illnesses act out in fear, anger or delusion and wind up in jail. They may commit crimes they wouldn’t have committed had they gotten enough care.

A jail is a miserable – and extremely expensive – substitute for a psychiatric hospital.

Other sick people wind up languishing in emergency rooms awaiting an opening at Western State Hospital or other appropriate setting.

On one day two weeks ago, for example, 11 patients with mental illnesses were rolled into Pierce County’s involuntary commitment court on gurneys. They’d been more or less warehoused in conventional hospitals­ – receiving minimal mental health treatment – under a system misleadingly named psychiatric boarding.
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Finally, a sane involuntary treatment policy

This editorial will appear in tomorrow’s print edition.

Give Isaac Zamora credit for something: His killing spree in 2008 is helping persuade lawmakers that it shouldn’t be next-to-impossible to get an obviously dangerous and unbalanced man into psychiatric treatment.

Before Zamora exploded and shot six people to death in Skagit County, his family pleaded repeatedly for professional intervention. Red flags had been waving for years. He was delusional, suicidal, aggressive and threatening.

Yet he couldn’t be detained long enough for successful treatment because Washington’s Involuntary Treatment Act sets such a high bar for involuntary commitment or enforced therapy.

The current trigger for commitment requires that a mentally ill person pose an “imminent” danger to self or others, or else be “gravely disabled.” As interpreted by the courts, the “imminent” standard almost requires that someone be chasing people with a knife – not two weeks ago, but right now – before he or she can be forced into therapy.
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