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Children's Mental Health Site of the Month

 

 

California Senate Backs Forced Mental Care

By Kevin Yamamura -- Bee Capitol Bureau

Published 2:15 a.m. PDT Thursday, August 29, 2002

In a move that some call a civil rights infringement, the state Senate on Wednesday approved a measure allowing courts to force mentally ill patients into treatment.

The bill, AB 1421, moves to the Assembly, where it is likely to pass and head to Gov. Gray Davis, who has taken no position.

AB 1421 would enable county courts to mandate outpatient treatment for those who refuse it and are considered dangerous. Law enforcement and families of the mentally ill, who would have a say in such decisions, are backing the measure.

The bill has been dubbed "Laura's Law" for Laura Wilcox, 19, who was killed in 2001 while working in a Nevada County mental health facility. Accused killer Scott Harlan Thorpe, 41, was found incompetent to stand trial and committed to Napa State Hospital.

In an impassioned Senate debate, lawmakers weighed the rights of the mentally ill against the benefits of treatment that could help the most desperate patients.

Sen. Ray Haynes, R-Riverside, said the measure erodes the freedom of such patients, emphasizing that individuals who have not committed crimes could be forced into treatment by a judge.

"This is how (Cuban leader Fidel) Castro deals with his dissidents," Haynes said. "When you have not committed a crime and you pose no threat to the public health and you pose no threat to the public order, if the government can still lock you away, it is still a very dangerous, dangerous precedent to set."

Sen. Wes Chesbro, D-Arcata, said the state has failed to provide sufficient voluntary care programs, and that expanding those services is a better answer than mandating treatment.

But other lawmakers said the measure would provide numerous patients with necessary medical care that could save them from landing in jail or living on the streets.

"None of us want to see mental health treatment as a disguise for repression," said Sen. Ross Johnson, R-Irvine. "But that's not what this bill is about. It's about avoiding countless tragedies with people who are ill and need help and today aren't getting that help."

Supporters said AB 1421 would help not only the mentally ill but also their families, some of whom suffer because they cannot force sick relatives into needed treatment.

The Senate's 27-8 passage of AB 1421 marked the latest step in a four-year push by Assemblywoman Helen Thomson, D-Davis, for stricter "involuntary care" procedures.

Thomson's measure had fewer civil liberties protections when it left the Assembly last year, but she took several amendments in Senate committees that led to its passage.

Those did not suffice for groups representing mental health patients. Sally Zinman, executive director of the California Network of Mental Health Clients, said strengthening existing mental care programs would be a better solution.

"We think it's the wrong policy direction," Zinman said. "We think it's driven by discrimination, and driven by stereotypes of patients being violent."

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