Hacker News new | ask | show | jobs
by pjc50 2348 days ago
That's almost what the Finnish system requires: https://helda.helsinki.fi/bitstream/handle/10138/231986/comp...

"The current Finnish Mental Health Act stipulates thefollowing criteria for compulsory admission:

.a person should be found to have a psychotic illness,and

.because of this psychosis, they are

(.in need of psychiatric care as their condition would otherwise worsen [this is the main different criterion], or

.a danger to their own health or welfare, or

.a danger to the health or welfare of others)

.no other mental health services are suitable or adequate

(Finland of course has proper free at the point of use healthcare for all residents, a far more important point for mental health than involuntary commitment.)

2 comments

You can imagine how that’s an artifact of a more socialized health system. Perhaps unintentionally, it would function in many ways as a cost saving feature that would be very difficult to implement in the US system. Think about junkies. Can they be involuntarily committed because their condition would “otherwise worsen”? Imagine the legal implications in a system where hmo and insurers get to influence the decision about who is committed.
Or imagine a woman who has children out of wedlock, causing financial distress. Obviously, if she's not institutionalized she'll continue to have children out of wedlock, which will cause her condition to worsen.

And only a mentally ill person would have children out of wedlock, right?

And before you say that that's unrealistic... I'm pretty sure that that exact logic was used to institutionalize people in the US back in the 20s and 30s.

The main different condition makes all the difference...

That would describe more than two thirds of the homeless.