Voluntary care is preferable but, in our sickest that we see suffering on our streets every day, that is not happening.
Do we, as a society, want to continue to leave very sick, treatable people deteriorating, suffering and dying on our streets and in our jail cells, and ultimately winding up in the morgue?Compassionate involuntary intervention for people suffering from untreated psychosis is getting an undeserved bad rap these days.
In effect, they are promoting the status quo. Do we, as a society, want to continue to leave very sick, treatable people deteriorating, suffering and dying on our streets and in our jail cells, and ultimately winding up in the morgue? I certainly do not. Every day a person is in untreated psychosis more brain damage occurs with a resultant increase in disability. Psychosis is like a slow-moving stroke. This limits a person’s chance of a robust recovery. Because most people with schizophrenia suffer from the cruel symptom of anosognosia, which is lack of awareness they are ill, they will never seek care voluntarily. This is not denial — they “know” they are not sick.
Do we leave Alzheimer’s patients on the streets to fend for themselves? No, of course we don’t — that would be cruel. Voluntary care is always preferable, but in this population of our sickest that we see suffering on our streets every day that is not happening and will not happen.
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