纽约精神健康指令非自愿搬迁:患有严重精神疾病的无家可归的纽约人的交叉风险

Lanya Snyder
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摘要

行为健康护理,更常被称为精神科护理,一直是一个长期而复杂的问题,尤其是对边缘化的纽约人来说。处理和照顾被诊断患有严重精神疾病的人的保健政策对基本人权至关重要;与此同时,这也是一个微妙的问题。围绕贫穷和住房不稳定等经济问题的政策与身心保健等社会问题有着密不可分的联系。医疗政策和无家可归的经历密切相关,原因有二:首先,高昂的医疗费用导致许多美国人陷入贫困;其次,穷人和老年人最有可能遭受疾病和高昂的医疗费用(Martin, 2015)。本文将根据市长埃里克·亚当斯最近关于精神健康非自愿搬迁的指示,考虑患有严重精神疾病的无家可归的纽约市居民的交叉风险。这项新指令允许当局强行将无家可归的纽约人送往医院,将他们从公共场所转移出去。尽管现任市长将其定义为代表患有严重精神疾病的纽约人采取行动的道德义务,但这远远不是确保每个人都有住房和获得基本医疗保健的努力。亚当斯被误导的政策是一种隐蔽的尝试,试图使城市看起来更安全,而对那些受苦的人却没有什么帮助,也没有解决手头的真正问题:住房。
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New York's Directive for Mental Health Involuntary Removals: The Intersectional Risk for Unhoused New Yorkers with a Serious Mental Illness
Behavioral health care, more commonly known as psychiatric care, has been a longstanding and complex issue, especially for marginalized New Yorkers. Healthcare policy addressing and caring for people diagnosed with a serious mental illness is fundamental to basic human rights; at the same time, it is a nuanced matter. Policies surrounding economic issues of poverty and housing instability are inextricably linked to social issues of mental and physical healthcare. Healthcare policy and the experience of homelessness are closely linked for two reasons: first, the high cost of healthcare contributes to poverty for many Americans; and second, the poor and the aging are the most likely to suffer from illness and high medical expenses (Martin, 2015). This paper will consider the intersectional risk for unhoused New York City residents with a serious mental illness in light of Mayor Eric Adams’ recent directive for Mental Health Involuntary Removals. This new directive enables authorities to forcibly transport unhoused New Yorkers to hospitals to remove them from public areas. Although the current mayoral administration frames this as a moral obligation to act on behalf of New Yorkers with a serious mental illness, it is far from an effort to ensure that everyone has housing and receives basic healthcare. Adams’ misguided policy is a veiled attempt to make the city appear safer while doing little to assist those who are suffering and fails to address interventions for the real issue at hand: housing.
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