The Federal Government proudly announced that it was the 84th nation to ratify the International Covenant on Human Rights for Persons with Disabilities. In the same breath, they pat themselves on the back to announce how much of a leader Canada is in implementing equality provisions as cited in our Charter of Rights and Freedoms, and administratively through our Human Rights Codes. While political commentators, including this one, are pleased this was done, the plight of persons with disabilities is far from improved. In fact, many uninformed bigots continue to try to attack what few rights we have, as cited in a recent letter of mine in the local newspaper. Carol Goar acknowledges that we still have a very long way to go before people with disabilities have equal citizenship rights.
What is telling in particular are the comments that readers are allowed to contribute to any article, editorial or news items of interest to my local paper. In this paper, probably like most online newspapers, the same few seem to contribute. An individual identifying himself as "seekthetruth" and another individual that are both white males, espousing a Christian view and somehow feel that Christians are somehow under attack by human rights commissions. This is far from the truth as I am aware of Christian issues being raised in workplaces, and the rulings favouring the worker that was discriminated against due to their beliefs (such as a Jehovah's Witness' right to refuse to participate in decorating a store with Christmas decorations, and in another case, an employee denied the Holy Day off from his job to partake in his worship). As another poster stated, it is people like "seekthetruth" and people like him why we need human rights commissions. Both individuals were well-employed and never personally experienced discrimination, and at least one is enjoying a healthy retirement income. The myth that people are hired on the basis of merit has been quashed awhile back, while all the intolerant were asleep.
People with disabilities are drummed out of the workplace in many ways, which white males who are secure in their jobs, do not see or understand. Injured workers get refused a modified work position. Some are ultimately put out of a job because the worker is deemed unable to perform the essential duties of their job, so instead of trying to find alternative work for them, the person is "separated" from their job instead. They end up on welfare or if they are really lucky, Ontario Disability Support benefits, and denied even the basic tenets of the dignity of a decent job. It is not all white males that are like this, as I have represented many white males before the Human Rights Tribunal for various reasons, e.g. disability discrimination, age, sexual harassment by a female boss.
Connection to a full-time decent paying job is too often the only key to social and community participation for people. Once separated from the job, the person's self-esteem and their overall health is impacted. People with disabilities do not want to be on social assistance any more than anybody else does. Many are over-educated and well-qualified to take on work that seems to be available only to "relatives" of the boss, or to able-bodied persons that are screened in through seemingly innocuous criteria, such as a valid driver's license and a vehicle, and other potential criteria that persons with different types of disabilities cannot manage. These screening mechanisms serve to keep people out of jobs, not put them in. Then, folks question why more than half of persons with disabilities are "out of the paid labour force", or unemployed. Regardless of education level, a person with a disability does not enjoy equality to their non-disabled peers. The Canadian Association of Professional with Disabilities has formed for the purpose of promoting their members into getting into jobs they are qualified for instead of being steered by employment counselors to low-wage call centre and retail jobs.
I know many well-educated persons with disabilities who are stuck on ODSP: social workers, lawyers, former civil servants, a librarian, a forensic accountant, among many others, that employers claim they need, but refuse to look beyond their nose to seek people who may speak, move or communicate differently to join their staff and offer their many varied talents. Last summer, I sat in a circle around a food stand downtown, where I regularly met with people with disabilities: one in a wheelchair who taught martial arts as well as is a licensed social worker, another attending school for forensic psychology, and another one who was an engineer in his day ... all of whom on welfare or ODSP. Somebody needs to look at these things and take responsibility for this great loss to society.
I read an article today about older drivers. Competing interests include safety and the right to live independently. I reviewed the article in depth, and it does not say how many younger people are subject to the same removal provisions for their driver's license. It is not only a senior's issue. To me, it is fine to take somebody off the road, but you need to provide alternative transportation so the person can continue to live out their lives with relative independence. As a non-driver in Niagara, apart from work related travel, which is hugely expensive, I am house-bound. I would love to travel to my in-laws, to the beach, to Fort George, to Niagara Falls, and just hop in a car and go ... but these things taken for granted by people who drive, is another area where ignorance also plays a major role in keeping people with disabilities down.
On a group that I help run called odspfireside, I have heard from persons living on ODSP who are forcibly single because if they as much enter into a relationship with somebody else, that other person is forcibly included on ODSP, without choice. The "spouse" ends up having to work enough to support both of them, even if it means they have to work two or three jobs to keep things afloat, until the benefit unit ends up with two disabled persons, instead of just one. ODSP recipients are put under scrutiny, and treated as non-citizens through various fraud prevention initiatives, which has only led to fear and loss of integrity on the part of those entangled with what was called the "800 rules". While the focus of the report is Ontario Works, ODSP is just as much part of the suspicious trap people are placed in.
In recent days we had a positive decision concerning special diets by the Human Rights Tribunal of Ontario, stating that the 2005 amendments to it were unfair and discriminatory in many cases. In the legislature, Minister Madeleine Meilleur, who has among her different portfolios, social assistance, persons with disabilities and AODA, had mused about how expensive the program is, and has not quelled any of the rumour that the government is about to scrap it so it can cut the deficit.
Because the case came through the Human Rights Code, it is likely that many of us may attempt to press the reprisal provisions of the Code if the government considers this tactic, but these things are barely scraping the surface of all the discrimination persons with disabilities encounter, simply because they have the same desires and interests everybody else has. I found myself, if I chose to sit at home and do nothing, I am left alone, but when I wanted something, whether that be an education, a job beyond Mickey D's, transportation, the right to participate fully in the community, etc., then it was like asking for a constitutional amendment just to get what others don't even have to beg for.
I also encounter persons with disabilities that actually believe they should just play the game, accept the 800 rules of abuse, and just let things go. They would rather not fight, as they fear losing what little they have. Unfortunately, this is they attitude that they want us to have. It is easier for those doing the discriminating to continue to do so without as much of a whimper from most of the people they are attacking. It only makes it easier to push for even more cuts, perhaps even a change in the definition of disability and cuts to other benefits, as those not fighting back are allowing this to happen.
How did the gays and lesbians do it? How did the blacks do it? How did the women do it when they wanted to have the right to vote? They organized and made it bloody hard for politicians and others to continue to do business as they always have, and they cannot not notice what people with disabilities are doing ... we have to move away from the charity model to the entitlement and rights-based model, where persons with disabilities have entitlements and rights, and are equal with respect to their right to citizenship ... hell, many of us don't even vote! I fail to see how that is helpful. It is time we wake up with a more definitive and radical strategy to build out rights to the point of not only recognition, but obligation on the part of others ... the same way others and the media will not print negative things about gays, Jews, blacks, and so forth ... we need to have this discussion. We need to move ahead.
Your thoughts?
Showing posts with label citizenship rights. Show all posts
Showing posts with label citizenship rights. Show all posts
Sunday, March 21, 2010
Friday, August 28, 2009
STIGMA AS THE ENEMY -- MENTAL HEALTH CONSUMER/SURVIVORS BEWARE
There was a major series on Mental Health in the Globe & Mail recently.
There was a lot of discussion about how painful the stigma is. Many people do not seek treatment because of stigma. They may notice issues happening within themselves, and then the TV begins to repeat stories about people like Vincent Li that stabbed Tim McLean to death, or about some other killer that ended up happening to have a diagnosis ... smaller headlines accompanying the same story try to repeat that people with mental health problems are LESS likely to be violent than people with mental health problems. So, if this is the case, why mention the mental health diagnosis at all? We certainly don't refer to people's hemorrhoids or gastritis when it comes to reporting their crimes, so why do they beat the mental health dead horse?
There were a number of panelists and presenters that told their stories or spoke about potential solutions for the mental health crisis in Canada which resulted in a report from the Senate Committee on Social Affairs, Science and Technology entitled Out of the Shadows at Last. I read the entire report. While it did highlight some important components to mental health, it did not really give a lot of answers as to what to do about the stigma, other than suggested the latter established Mental Health Commission to embark on some campaign to end it. There are some attempts out there to try to compare people with mental health problems with persons with diabetes, but unfortunately, that isn't working. If it worked, it would have worked a long time ago, and we not be faced with a continued stigma that even prevents many persons with mental health disabilities from entering the workforce, engaging in relationships or doing other "normal" things. The media images don't show mental health clients doing "normal" things -- they are always portrayed as violent or completely incapable of looking after themselves.
In Helen Henderson's regular Toronto Star column, she referred to a British study where it was shown that one in eight persons stated they did not want to knowingly live next door to a person with a mental health diagnosis. Further, this same study revealed that over one third indicated they did not believe people with mental health issues were entitled in the same way as others to a paid job. Similar studies have been done in Canada that have also revealed that many people would not knowingly engage a professional like a doctor or a lawyer if it was known that the person had a mental health diagnosis. So, what incentive is there to get help anyways?
There are a large number of working people I know, many in the professions, that have told me in confidence that they have suffered from depression, bipolar disorder or some other diagnosis for many years, and to maintain confidentiality, they seek help from a professional in another region, as opposed to getting it here. These people are not homeless. They are not on ODSP (although a couple of them I am aware have been receiving a partial supplement from ODSP, as they work -- but they keep that to themselves too). These people are living independently and do not need "special housing" of any kind. They, like everybody else, needs a home that is affordable, with a door that locks, a roof that doesn't leak and enough space for them to enjoy their day to day living activities.
One of them was in my office the other day and we were talking about the Registered Disability Savings Program and he wanted to know how to get it. I advised him that he would need to qualify for the Disability Tax Credit first, then I explained what happens once they become eligible for the program. It is actually not a bad program for people with serious physical disabilities, as they do not need to stigmatize themselves by applying. However, for somebody with a mental health problem, they need to show that 90% or more of the time, they have a marked restriction in thinking, perceiving and/or remembering, which would reflect more of a neurological condition, although the examiners for the purposes of qualifying people would accept arguments involving problem solving, capacity to live independently, etc. as part of their evaluation for eligibility for mental health disability.
The problem with this is that if one values their status as a professional, a student or perhaps, even an executive or manager of an organization, accepting this definition of themselves would render them unemployable, which is something most of my professional friends do not want. They do not want to face a Fitness to Practice committee of the Teacher's College or other professional regulator that would somehow question one's capacity to carry out their profession, if they allegedly have "marked restrictions" in these areas. Of course, as soon as my friend went through my literature on the topic, the whole question of the RDSP became moot. The one gentleman who receives a partial ODSP now knew this would not work well for him, thus forcing him to live within the restricted means of that benefit.
People with mental health problems CAN get the Disability Tax Credit. I have appealed many cases successfully in the past; however, in not one of these cases, was the subject able to work. In fact, even in these cases we had to prove severity. These folks had problems managing their money, handling their personal hygiene, using public transportation independently, as well as being unable to handle stress - thus, the problem-solving issue. Some of these people were relatively high functioning, such as the case with Buchanan v Attorney General of Canada, but in the end, his case was proven but he was not able to work, and had to be cared for by his wife. The new 'mental health consumer/survivor' as they call themselves today wants to be independent, competent and functioning as a human being to the extent possible, and in most cases - if analyzed at the surface, they certainly wouldn't be eligible unless they met the criteria of my successful appellants in the matter.
If somebody were injured in a car accident, for example, and ended up in a wheelchair, or if they had only 20% of their hearing and required sign language or other adaptations, then the stigma of applying for and receiving something like this isn't there. The examples given in the Canada Revenue Agency guide appear to favour physical disability over mental disability and this is post-review of the criteria, despite what some progressive mental health organizations might like to pretend they have accomplished on people's behalf. To me, this should be based exclusively on additional costs - direct or indirect - as a result of having the disability. This was in fact the original purpose of the credit. However, a high functioning consumer/survivor that is working, but needs to pay out of pocket for psychological counseling services isn't eligible. A high functioning professional with epilepsy that cannot drive due to seizures is not eligible. This can be a very long list indeed, as we can all cull out examples from our own experience.
One of the other issues faced by consumer/survivors is that they are too often chronically unemployed or under-employed regardless of their educational attainment. In a study cited by the Global Business Roundtable on Mental Health, employers tend to under-estimate the number of people they have working for them that could possibly be consumer/survivors. In this study, the figure estimated was almost always under 5% - when the general figure given is that one in five persons at one time or other experience a mental health problem, according to the Canadian Mental Health Association. When they do have problems, they are not usually accommodated, but instead sent on disability leave. If the employee is fortunate enough to have a long-term disability insurance plan, they will at least not be forced into poverty, like so many thousands of others. The loss of productivity is shameful and dispiriting.
Some consumer/survivors think it is a good idea to get consumer/survivors to work in a consumer/survivor-run business. To most of my friends I spoke of earlier, this is NOT a good idea, as one is permanently labeling themselves and later restricting their employment options, as research and experience has shown that society has not yet progress far enough to recognize the skills and talents of people without the label first. However, for those consumer/survivors who may never work again in a "normal" job, it may be an option for them. If they can be taken off or substantially off disability benefits, that is even a better thing over the long run.
So, it seems that people still do not want to accept people who directly experienced the services of the mental health system. How does one go about resolving that? This is an age-old question.
I, for one, do not like the term "mental illness", not only for its logical inconsistency, but it does contribute to the stereotype of incapacity. Moreover, there is no actual peer-reviewed research that definitively ties mental health diagnosis with a specific physiological cause. This is not to say there is no value in the use of medication, as many consumer/survivors are helped by the different medications prescribed for their condition. Because a medication may "work", it does not mean it corrects a physiological condition, but may provide symptom relief in other ways, such as a person suffering from a major headache taking an Advil. Again, as always, one needs to be informed about their medications and ensure they try different ones before they settle on a cocktail that may eventually be proven to be most effective over time.
But not all so-called "mentally ill" respond to medication or need it. Medication is just one part of an array of services, or weapons, against the problems of the condition. Alternative therapies help many consumer/survivors, as does some forms of psychotherapy. When given a wide range of choices, understanding the benefits and drawbacks to each, a consumer/survivor will eventually find their way. But, to label them "mentally ill" automatically generates a picture of somebody who is "mentally defective" or "mentally incapable", whereas the focus is on what the person cannot do, as opposed to what they can. Advocates attempting to "educate" on mental health issues and to eradicate stigma should take this issue into account.
Nor are persons with "mental illness" likely to be homeless as a direct consequence of their condition either. Unfortunately, the media and even many social workers tend to paint this picture of their clients, as people who are not capable of caring for themselves. Earlier, I referred to the Out of the Shadows at Last report from the Senate. Various deponents slated the percentage of persons with mental health disabilities as unemployed or underemployed as 75 - 90%, which also explains a lot. When you are unemployed, especially chronically so and without access to long-term disability under a private plan, you are forced to impoverish yourself in order to be eligible for the remaining programs, Ontario Works and Ontario Disability Support Program. Neither program pays well and a single person, even on ODSP is several thousands of dollars below the poverty line.
I spoke to a homeless gentleman named John, here in the city. He supposedly had a mental health "history", but he chose homelessness over starvation, because he knew he could not afford both housing and other basic needs on ODSP. As such, most times when I seen him, he was enjoying a meal of sorts. To me, it's the consequent poverty that often arises out of discrimination and stress from the job market that leads to homelessness, not the other way around. Can you live on $572 a month and cover housing, groceries, clothing, transportation and other needs with that? My suspect is that most of the homeless are like John. The only ones where I actually feel their disability itself may have played a part are those that are addicted, as many would "blow their rent money on drugs". For those folks, we simply dry them out and get them treated and housed, but for somebody with only a mental health problem, get them enough money to live on or housing they could afford - period.
One of the consequences of linking so-called "mental illness" itself to homelessness is the danger of it translating into social policy, whereby one's liberties are once again at stake. Proponents of this "model" tend to favour forcing people into mental health treatment -wanted or not - effective or not - on such persons and keeping them under some kind of prison-like condition in the community. They would be under curfew, forced to share their accommodation with others, often with worse problems than their own, and forced to take medication at the risk of being evicted if they don't. While this policy may keep some people on their medication, it does not necessarily "cure" them, nor does it help them progress to citizenship status that we all take for granted. You need to ask yourself if YOU want that kind of quality of life FIRST, before you suggest imposing it on others. Nevertheless, liberalizing mental health incarcerations and follow-up supervision has NOT reduced the homeless numbers one bit.
Instead of attacking people for what they are labeled as, one needs to view all people for who they are. People sharing the same diagnosis are two very different people with different needs, interests and abilities. But nevertheless, they are people first. It is high time we start to demand treatment from mental health professionals and their advocates that assume they can eradicate the stigma by telling everybody how poor John is crazy, hopeless, incapable and delusional, so he becomes homeless ... How does this advocacy make John look like a person, other than distance his problems from those of yours and mine? Instead we need to stop the labeling and let John speak for himself. We might learn something.
Your thoughts?
There was a lot of discussion about how painful the stigma is. Many people do not seek treatment because of stigma. They may notice issues happening within themselves, and then the TV begins to repeat stories about people like Vincent Li that stabbed Tim McLean to death, or about some other killer that ended up happening to have a diagnosis ... smaller headlines accompanying the same story try to repeat that people with mental health problems are LESS likely to be violent than people with mental health problems. So, if this is the case, why mention the mental health diagnosis at all? We certainly don't refer to people's hemorrhoids or gastritis when it comes to reporting their crimes, so why do they beat the mental health dead horse?
There were a number of panelists and presenters that told their stories or spoke about potential solutions for the mental health crisis in Canada which resulted in a report from the Senate Committee on Social Affairs, Science and Technology entitled Out of the Shadows at Last. I read the entire report. While it did highlight some important components to mental health, it did not really give a lot of answers as to what to do about the stigma, other than suggested the latter established Mental Health Commission to embark on some campaign to end it. There are some attempts out there to try to compare people with mental health problems with persons with diabetes, but unfortunately, that isn't working. If it worked, it would have worked a long time ago, and we not be faced with a continued stigma that even prevents many persons with mental health disabilities from entering the workforce, engaging in relationships or doing other "normal" things. The media images don't show mental health clients doing "normal" things -- they are always portrayed as violent or completely incapable of looking after themselves.
In Helen Henderson's regular Toronto Star column, she referred to a British study where it was shown that one in eight persons stated they did not want to knowingly live next door to a person with a mental health diagnosis. Further, this same study revealed that over one third indicated they did not believe people with mental health issues were entitled in the same way as others to a paid job. Similar studies have been done in Canada that have also revealed that many people would not knowingly engage a professional like a doctor or a lawyer if it was known that the person had a mental health diagnosis. So, what incentive is there to get help anyways?
There are a large number of working people I know, many in the professions, that have told me in confidence that they have suffered from depression, bipolar disorder or some other diagnosis for many years, and to maintain confidentiality, they seek help from a professional in another region, as opposed to getting it here. These people are not homeless. They are not on ODSP (although a couple of them I am aware have been receiving a partial supplement from ODSP, as they work -- but they keep that to themselves too). These people are living independently and do not need "special housing" of any kind. They, like everybody else, needs a home that is affordable, with a door that locks, a roof that doesn't leak and enough space for them to enjoy their day to day living activities.
One of them was in my office the other day and we were talking about the Registered Disability Savings Program and he wanted to know how to get it. I advised him that he would need to qualify for the Disability Tax Credit first, then I explained what happens once they become eligible for the program. It is actually not a bad program for people with serious physical disabilities, as they do not need to stigmatize themselves by applying. However, for somebody with a mental health problem, they need to show that 90% or more of the time, they have a marked restriction in thinking, perceiving and/or remembering, which would reflect more of a neurological condition, although the examiners for the purposes of qualifying people would accept arguments involving problem solving, capacity to live independently, etc. as part of their evaluation for eligibility for mental health disability.
The problem with this is that if one values their status as a professional, a student or perhaps, even an executive or manager of an organization, accepting this definition of themselves would render them unemployable, which is something most of my professional friends do not want. They do not want to face a Fitness to Practice committee of the Teacher's College or other professional regulator that would somehow question one's capacity to carry out their profession, if they allegedly have "marked restrictions" in these areas. Of course, as soon as my friend went through my literature on the topic, the whole question of the RDSP became moot. The one gentleman who receives a partial ODSP now knew this would not work well for him, thus forcing him to live within the restricted means of that benefit.
People with mental health problems CAN get the Disability Tax Credit. I have appealed many cases successfully in the past; however, in not one of these cases, was the subject able to work. In fact, even in these cases we had to prove severity. These folks had problems managing their money, handling their personal hygiene, using public transportation independently, as well as being unable to handle stress - thus, the problem-solving issue. Some of these people were relatively high functioning, such as the case with Buchanan v Attorney General of Canada, but in the end, his case was proven but he was not able to work, and had to be cared for by his wife. The new 'mental health consumer/survivor' as they call themselves today wants to be independent, competent and functioning as a human being to the extent possible, and in most cases - if analyzed at the surface, they certainly wouldn't be eligible unless they met the criteria of my successful appellants in the matter.
If somebody were injured in a car accident, for example, and ended up in a wheelchair, or if they had only 20% of their hearing and required sign language or other adaptations, then the stigma of applying for and receiving something like this isn't there. The examples given in the Canada Revenue Agency guide appear to favour physical disability over mental disability and this is post-review of the criteria, despite what some progressive mental health organizations might like to pretend they have accomplished on people's behalf. To me, this should be based exclusively on additional costs - direct or indirect - as a result of having the disability. This was in fact the original purpose of the credit. However, a high functioning consumer/survivor that is working, but needs to pay out of pocket for psychological counseling services isn't eligible. A high functioning professional with epilepsy that cannot drive due to seizures is not eligible. This can be a very long list indeed, as we can all cull out examples from our own experience.
One of the other issues faced by consumer/survivors is that they are too often chronically unemployed or under-employed regardless of their educational attainment. In a study cited by the Global Business Roundtable on Mental Health, employers tend to under-estimate the number of people they have working for them that could possibly be consumer/survivors. In this study, the figure estimated was almost always under 5% - when the general figure given is that one in five persons at one time or other experience a mental health problem, according to the Canadian Mental Health Association. When they do have problems, they are not usually accommodated, but instead sent on disability leave. If the employee is fortunate enough to have a long-term disability insurance plan, they will at least not be forced into poverty, like so many thousands of others. The loss of productivity is shameful and dispiriting.
Some consumer/survivors think it is a good idea to get consumer/survivors to work in a consumer/survivor-run business. To most of my friends I spoke of earlier, this is NOT a good idea, as one is permanently labeling themselves and later restricting their employment options, as research and experience has shown that society has not yet progress far enough to recognize the skills and talents of people without the label first. However, for those consumer/survivors who may never work again in a "normal" job, it may be an option for them. If they can be taken off or substantially off disability benefits, that is even a better thing over the long run.
So, it seems that people still do not want to accept people who directly experienced the services of the mental health system. How does one go about resolving that? This is an age-old question.
I, for one, do not like the term "mental illness", not only for its logical inconsistency, but it does contribute to the stereotype of incapacity. Moreover, there is no actual peer-reviewed research that definitively ties mental health diagnosis with a specific physiological cause. This is not to say there is no value in the use of medication, as many consumer/survivors are helped by the different medications prescribed for their condition. Because a medication may "work", it does not mean it corrects a physiological condition, but may provide symptom relief in other ways, such as a person suffering from a major headache taking an Advil. Again, as always, one needs to be informed about their medications and ensure they try different ones before they settle on a cocktail that may eventually be proven to be most effective over time.
But not all so-called "mentally ill" respond to medication or need it. Medication is just one part of an array of services, or weapons, against the problems of the condition. Alternative therapies help many consumer/survivors, as does some forms of psychotherapy. When given a wide range of choices, understanding the benefits and drawbacks to each, a consumer/survivor will eventually find their way. But, to label them "mentally ill" automatically generates a picture of somebody who is "mentally defective" or "mentally incapable", whereas the focus is on what the person cannot do, as opposed to what they can. Advocates attempting to "educate" on mental health issues and to eradicate stigma should take this issue into account.
Nor are persons with "mental illness" likely to be homeless as a direct consequence of their condition either. Unfortunately, the media and even many social workers tend to paint this picture of their clients, as people who are not capable of caring for themselves. Earlier, I referred to the Out of the Shadows at Last report from the Senate. Various deponents slated the percentage of persons with mental health disabilities as unemployed or underemployed as 75 - 90%, which also explains a lot. When you are unemployed, especially chronically so and without access to long-term disability under a private plan, you are forced to impoverish yourself in order to be eligible for the remaining programs, Ontario Works and Ontario Disability Support Program. Neither program pays well and a single person, even on ODSP is several thousands of dollars below the poverty line.
I spoke to a homeless gentleman named John, here in the city. He supposedly had a mental health "history", but he chose homelessness over starvation, because he knew he could not afford both housing and other basic needs on ODSP. As such, most times when I seen him, he was enjoying a meal of sorts. To me, it's the consequent poverty that often arises out of discrimination and stress from the job market that leads to homelessness, not the other way around. Can you live on $572 a month and cover housing, groceries, clothing, transportation and other needs with that? My suspect is that most of the homeless are like John. The only ones where I actually feel their disability itself may have played a part are those that are addicted, as many would "blow their rent money on drugs". For those folks, we simply dry them out and get them treated and housed, but for somebody with only a mental health problem, get them enough money to live on or housing they could afford - period.
One of the consequences of linking so-called "mental illness" itself to homelessness is the danger of it translating into social policy, whereby one's liberties are once again at stake. Proponents of this "model" tend to favour forcing people into mental health treatment -wanted or not - effective or not - on such persons and keeping them under some kind of prison-like condition in the community. They would be under curfew, forced to share their accommodation with others, often with worse problems than their own, and forced to take medication at the risk of being evicted if they don't. While this policy may keep some people on their medication, it does not necessarily "cure" them, nor does it help them progress to citizenship status that we all take for granted. You need to ask yourself if YOU want that kind of quality of life FIRST, before you suggest imposing it on others. Nevertheless, liberalizing mental health incarcerations and follow-up supervision has NOT reduced the homeless numbers one bit.
Instead of attacking people for what they are labeled as, one needs to view all people for who they are. People sharing the same diagnosis are two very different people with different needs, interests and abilities. But nevertheless, they are people first. It is high time we start to demand treatment from mental health professionals and their advocates that assume they can eradicate the stigma by telling everybody how poor John is crazy, hopeless, incapable and delusional, so he becomes homeless ... How does this advocacy make John look like a person, other than distance his problems from those of yours and mine? Instead we need to stop the labeling and let John speak for himself. We might learn something.
Your thoughts?
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