They also do a lot of compulsory psychiatric detention: https://www.cambridge.org/core/journals/psychiatric-bulletin...
> Finnish mental health legislation takes a medical approach to compulsory measures, emphasising the need for treatment of psychiatric patients over civil liberties concerns... Finland has the highest rates of detention per 100 000 inhabitants, about 214 compared with 93 in the UK and 11 in Italy.
> If at the end of the 3-month period it is considered likely that detention criteria are still fulfilled, new recommendations MII and MIII are filed and the renewed detention is then valid for 6 months. However, this second period of detention has to be immediately confirmed by a local administrative court.
edit: I should mention that I've seen fairly convincing cross-sectional evidence that homelessness is more related to the housing market than mental illness: https://www.ucpress.edu/books/homelessness-is-a-housing-prob... , https://www.nahro.org/wp-content/uploads/2022/08/NAHRO-Summi...
> I should mention that I've seen fairly convincing cross-sectional evidence that homelessness is more related to the housing market than mental illness
This is absolutely the right diagnosis. For instance, SROs used to be very affordable.[1] Placing someone into housing was well within the means of local governments and non-profits.
In Coppola's 1974 movie The Conversation, a large portion of the titular dialogue is about a homeless person Williams' character spots while walking around a crowded Union Square. That's how much homelessness stood out back then.
Fifty years ago in Ontario, Canada if you were a single adult destitute with no income you would be eligible for general welfare which would pay about $180 a month, when the average rent on 1 bedroom apartment in Toronto was about $150 a month. Today, an adult in the same position gets about $800 while rent is $1300. It used to be possible to afford (slummy) housing at market rates, even for the very poor. Now it is not. It can be viewed either as a housing price issue or an income inadequacy issue.
Fifty years ago Montreal was the business centre of Canada, now that’s Toronto. That $800 rate might actually be more affordable in a less business oriented city, or even Montreal itself since it’s seen a lot of decline in that time. Having said that, there’s zero debate rents are out of control. I own a triplex and every time a unit turns over and i do my research on rent i get a bit shocked. I’ve found myself legitimately concerned how someone can ask for full “market” rate when i know it’s simply not affordable.
"Finland has the highest rates of detention per 100 000 inhabitants, about 214 compared with 93 in the UK ..."
Wow those numbers seem high if they're counting unique people and not admissions and re-admisisons.
Just for comparison, some data (2011-2018) for some USA states [1], show an even higher number:
> In 24 states-accounting for 51.9% of the U.S. population-591,402 emergency involuntary detentions were recorded in 2014, the most recent year with most states reporting, a crude rate of 357 per 100,000.
Notably, California with 400/100k. Florida with 900/100k. I think the why would make these numbers more interesting. How many are drug detox/recovery?
[1] https://psychiatryonline.org/doi/epdf/10.1176/appi.ps.201900...
But by their own admission, other than for two states they don’t uniquely count people, it’s counting admissions. That could skew the numbers meaningfully.
Yeah, I think this is a big factor. I only know maybe 1 or 2 people who had been committed. They definitely have multiple commitments though. That seems to make sense as it's similar to some other medical issues where once you have one problem there can be second admissions if it's unresolved or encounter secondary issues.
That's fascinating because those percentages almost match exactly the incarceration rates of thisy two states. Florida imprisons away its problems at double the rate if they can't bus them to Oregon.
> edit: I should mention that I've seen fairly convincing cross-sectional evidence that homelessness is more related to the housing market than mental illness: https://www.ucpress.edu/books/homelessness-is-a-housing-prob... , https://www.nahro.org/wp-content/uploads/2022/08/NAHRO-Summi...
The problem is that there are very different groups of people we're talking about, so much so that throwing them all under the "homeless" umbrella doesn't make sense. It's like saying car accidents are a traffic design problem, not an alcohol problem. Sure, both things can lead to traffic accidents, but they're pretty different problems.
People who temporarily need some assistance to get back on there feet are in a categorically different group than the people who are currently unable to function in society. These are fundamentally different problems.
I've seen how D.C. has tried housing first. It's given thousands of individuals free apartments, for life as far as I can tell, some in very expensive areas. It's been an enormous failure, since housing doesn't actually solve the very serious underlying problems that many of these people have. A lot of long-term residents to flee places that were once (comparatively) affordable because of rising crime and violence. The Washington Post has occasionally covered this [1][2].
I watched a neighborhood meeting recently about the issue. The city does wellness checks on the people in the program - but they can just completely ignore them, and nothing happens. Long term residents have been forced out after people in the program have attacked them or threatened to kill them and the city doesn't do anything, and doesn't even remove them from the program. A councilmember was taking part in the meeting, and had nothing to say other than he was looking into ways that the city could provide more help to people in the program.
The linked article is bordering on misinformation by not mentioning Finland's compulsory commitment, and also ignoring the failures of housing first in the U.S. like D.C.'s that haven't included that aspect. That's why a lot of these programs end up failing - people try to pick and choose the elements that they want, and ignore necessary elements that they find inconvenient. In the end, that doesn't help anyone.
[1] https://www.washingtonpost.com/local/dc-politics/dc-housed-t...
[2] https://www.washingtonpost.com/dc-md-va/2023/08/08/dc-paid-h...
"Life, liberty, and the pursuit of happiness" does not automatically mean "good, moral, and upstanding lifestyle."
To the extent that people have a natural right to exist and society does not I think it should be contingent on administrators to prove the standard they're applying is actually reasonable and non discriminatory.
The standard ought to be they have or imminently are going to harm others. Like actually harm a real victim, criminally by violence or taking property. If they want to live in a gutter worshipping lizard king, well, not everyone has the same idea of the pursuit of happiness.
What about babies and children? What about enfeebled old people? Clearly some people can't take care of themselves. Presumably you don't think babies and alzheimers patients should be left to roam free. Why are severely mentally ill people any different?
I might be misunderstanding what timewizard is saying, but it seem to me that they're saying "One doesn't need to lead a good, moral, and upstanding lifestyle to qualify for life, liberty, and the pursuit of happiness. That's just what you get for being alive.".
Is there something unreasonable or discriminatory in taking care of children and elderly in need? I'm not sure what I said that would lead you to this uncharitable conclusion. Of course I don't think they should "roam free," but that doesn't mean I think your comparison is fair. Are mentally ill people automatically feeble to the point of requiring full guardianship?
If you're not quite sure what I'm getting at then you should examine the practice of institutionalization that used to occur in the United States and all the many great reasons we have not continued with it. Or the many famous examples of writers attempting to become involuntarily committed so they can detail just how difficult it is to get out and prove to these often unaccountable organizations that you are not, in fact, "severely mentally ill."
I wonder about the jurisprudence of other nations that use these practices in ways which a US citizen might find decidedly uncomfortable, as was pointed out by the OP, particularly when it comes to the nature of involuntary patient /treatment/ and not just simple social separations for the good of the community.
We aren’t talking about one flew over the cuckoos nest here.
We’re talking about people walking around shoeless covered in dirt and open sores talking to themselves or screaming obscenities in public while walking into traffic. They are public safety risks - to the community and themselves. Not to mention it truly is inhumane to let them live like this.
You have to realize in threads like this you are likely talking to people that live in a community plagued by this extreme of circumstances. Living in San Francisco I saw what I just described just this afternoon outside my own window…
Are you suggesting state guardianship is not warranted in situations like I have mentioned above? Or are you just not aware that in many US cities things truly are this bad?
Edit - ok, I see the mistake. Thanks.
"Finland has the highest rates of detention per 100 000 inhabitants, about 214"
If by detention you mean incarceration, that is still shy of half of the US rate https://en.wikipedia.org/wiki/United_States_incarceration_ra...
They're referring to psychiatric civil commitment
No, these aren't criminals. Finland doesn't think mad people have somehow committed a crime, it just won't let them leave. They're detained against their will until the doctors decide they've fixed the problem.
Compare the decision not to let your five year old have pudding because she hit her brother and refused to apologise, versus the decision not to let her jump into the tiger pit because she might die. These are both restraints on this kids' freedom, but they come from very different places.
Incarceration and detention are totally different things. Incarceration is generally for things that have already happened. Detention is for things that might happen in the future. A convicted criminal is incarcerated. A dangerous patient is detained to prevent them hurting themselves or others going forwards.