Mayor Adams’s new initiative aimed at helping New Yorkers grappling with serious mental illness on our streets includes involuntarily hospitalizing them at times. Does he understand the challenges he’ll face? ErrolLouis reports
Mayor Adams’s new initiative aimed at helping New Yorkers grappling with serious mental illness on our streets — includingthem at times — might be the single most difficult effort of his administration. More than anything else he has attempted in his first year in office, it will test the mayor’s promise to cut through bureaucracy and successfully tackle problems that his predecessors failed to fix.
This is one of the rare instances where it might make sense for the mayor to appoint a blue-ribbon committee to draft a set of recommended actions. And who is supposed to sort through all these issues and coordinate the alphabet soup of city and state agencies that might be engaged? Merely removing a disturbed but disruptive person from the subway system could easily involve the MTA, NYPD, EMS, the district attorney, Health & Hospitals, and the Department of Homeless Services.
Vasan agrees. “Let’s start with the acceptance that this is really hard. It’s very hard work to do, especially in the moment, to try to assess things like imminence of threat and all of these things. What we as doctors do is look at a person and we say, ‘Is that a person that seems to be hurting in some way, in need in some way, in pain in some way, unable to live a life that is by any shared definition dignified, and are there ways we can help?’ That’s all this is about.
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