无家可归和无助:美国如何让那些患有严重和持续性精神疾病的人失败。

Journal of law and health Pub Date : 2020-01-01
Ashley Gorfido
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引用次数: 0

摘要

美国辜负了患有严重和持续性精神疾病(SPMI)的公民。无家可归就是这种失败最明显的表现之一。缺乏有效的治疗,不充分的福利项目,如社会保障残疾保险(SSDI),以及低于标准的住房选择,形成了系统性障碍,使患有精神疾病的人无法获得适当的住房。在美国,关于谁是无家可归者以及无家可归意味着什么的文化信仰也在积极影响社会福利计划的发展中发挥着重要作用。本报告的第二部分回顾了SPMI患者的治疗历史——特别是治疗是如何演变的,关于SSI、SSDI和住房的联邦政策的历史,以及关于无家可归和精神疾病的社会观念,这些观念影响了政策的制定。第三部分从当前的角度审视这些领域,并解决当前的问题和一些可能的解决方案。第四部分讨论了缺乏有效的治疗、糟糕的残疾项目和更好的住房选择的需要如何共同形成SPMI患者的系统性障碍。第四部分还讨论了美国对患有SPMI和无家可归者的文化信仰如何成为政策变化的独立障碍。最后,本文认为,无家可归是制度失灵的产物,而不是个人因素。
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Homeless and Helpless: How the United States has Failed Those With Severe and Persistent Mental Illness.

The United States has failed its citizens who suffer from severe and persistent mental illness (SPMI). Homelessness is one of the most obvious manifestations of this failure. The combination of a lack of effective treatment, inadequate entitlement programs such as Social Security Disability Insurance (SSDI), and subpar housing options form systemic barriers that prevent people suffering from mental illness from being able to obtain adequate housing. Cultural beliefs within the United States regarding who is homeless and what homelessness means also play a significant role in the development of positively impactful social welfare programs. Part II of this Note reviews the history of treatment for persons with SPMI--specifically how that treatment has evolved, the history of federal policies regarding SSI, SSDI and housing, and societal beliefs regarding homelessness and mental illness that have impacted policymaking decisions. Part III looks at these same areas from a current perspective and addresses the current issues and some possible solutions. Part IV discusses how lack of effective treatment, poor disability programs, and the need for better housing options work together to form systemic barriers for people with SPMI. Part IV also address how the cultural beliefs in the United States regarding people who have SPMI and are homeless serve as an independent barrier to policy change. Ultimately, this Note argues that homelessness is a product of system failures rather than individual factors.

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