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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.
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/