When We Closed the Hospitals
The story out of Michigan is not unusual, which is part of the trouble.
A man with a long history of psychosis walks into a hospital asking for help. Within days he is dead outside that same hospital after officers open fire, believing he is pointing a gun at them. It turns out to be a lighter shaped like a handgun. In his pocket are a will, a crayon apology to the police department, and years of paperwork from a life spent circling psychiatric systems that never held long enough to keep him safe.
Another man, also known to the system for years, is legally back in the community. Court oversight has expired. The forensic committee that once monitored him no longer has authority. Prior petitions for treatment have run out. He is sleeping outside, refusing medication, talking about poison and World War II, and alarming the people around him often enough that police know his name. Two days later, he walks through a Walmart with a folding knife and leaves 11 strangers bleeding on the floor and sidewalk.
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