Homelessness: Is There a Conservative Answer?

 

US subsidized housing policy has produced expensive failures for a long time.  Democrats invariably favor spending on bad ideas because they invariably create a need for lots of consultants, studies, government employment, and non-profit grant sponges.  In contrast, typical Republican policy goals are to cut spending on bad ideas by three percent to eight percent then declare victory.

As efforts based on the faddish “housing first”  approach to homelessness crash and burn, I wonder whether there can be a conservative solution to homelessness?  [Feel free to replace “solution” with “favorable tradeoff” before answering.]  If we really think about it, the answer to that question is much more important than just checking a box on an issue list.

I do not deny that jeering Democrats’ policy failure from the stands is great fun.  And finding instances of spectacular past and ongoing social welfare policy failures does not require a lot of arcane research.  Tents, feces, needles, trash, and corpses accumulating in once sparkling upscale downtown areas appear to be the predictable outcome for au courant homelessness policies.

Not surprisingly, the “housing first” approach has not been the rousing success it was predicted to be just a couple of years ago.  The costs are vastly higher than projected and execution far slower than hoped. Government-funded housing construction is always hideously expensive because of the government agencies, outside consultants, non-profit groups, lawyers, insider bid winners, and other political beneficiaries who all feed at the same trough.  Government-sponsored housing of all kinds has almost always been a rip-off for both taxpayers and program beneficiaries.

Forty years ago, the Reagan Administration issued a report that found that maintaining our existing shoddily built stock of public housing units is more expensive than buying units in high-priced condos.  The Bush 41 administration received requests (more like loud begging) from state and local authorities for permission to demolish hundreds of thousands of units that were a financial hemorrhage as well as a blight.  Those requests were denied mostly because it would look bad (i.e., not “kinder and gentler”) to reduce the stock of public housing.

When Jack Kemp was Bush 41’s HUD Secretary, there was a lot of buzz about a push to homeownership, about using federal funds to subsidize homeownership as a path upward for people on the bottom rungs.  Some public housing projects with unusually effective tenant leadership and management (DC’s Kenilworth Gardens under Kimmy Gray, for example) were heavily funded as possible showcases for such transitions.  Kemp’s renovation of Kenilworth Gardens cost an eye-popping average of $77,000 per unit (around $160,000 in 2021 dollars).

I was part of an outside group that sought to organize private sector involvement in privatization conversions.  An old mortgage executive who had been enthused soured quickly when I brought him to the sites. He pointed out in detail the construction and design flaws in Kenilworth Gardens (shared to a greater or lesser degree by all public housing) that would severely cap its value even with rehab and even if the surrounding area rebounded.  The projects could never really become market housing and their very existence meant the surrounding area would always be devalued.

Broader proposals and approaches floated in those years to radically change housing policy were doomed because (a) Democrats instinctively hate the idea of reducing dependency and (b) Republicans don’t really believe the federal government could ever pull off using federal money to get people off of dependency on federal money.  And in truth, the Kemp approach did not make a lot of fiscal sense.

So what should be done if not in the larger housing policy area but just with respect to homelessness?

A wise old policy wonk once told me that defining “homelessness” too literally, i.e., “the lack of access to physical shelter” made it harder to understand much less address the real problem.  He said we should think of homelessness as a symptom of “a lack of affiliative bonds”, that is, not having connections to people willing to take you in (family, friends) or socioeconomic connections to make it possible to provide for oneself or others.  In this view, addiction and mental illness sever those bonds and cause the isolation that leads to homelessness.  And once so completely isolated, those pathologies are unchecked and run rampant.

Because of the social isolation created by behavior pathologies, the homeless are perfect prospective clients of the welfare state.  The lefty ideal has always been a comprehensive political structure determining and providing what we need, ruling over atomized individuals without any tiresome interference from all those intermediate entities like family, church, fraternal societies, or local government. (I want some credit for not saying “little platoons” and thus pretend to have read everything from Burke to Kirk as some people do.)

How do we help people get in shape to reconnect?  What can and should we provide in the meantime?  And who should provide it?

Healing, strengthening, restoring, or recreating human bonds is the essence of conservative social welfare policy.  With all due respect to the notion of detached reliance on market forces as articulated by the pre-Christmas Eve Ebenezer Scrooge, don’t we need a more affirmative approach even if it is a just matter enhancing the utility of conferring benefits on others so as to incentivize freely chosen decisions to do so?  (Economists can make even compassion and charity sound inhuman and bloodless.)

Substantive actions to the benefit of the people most difficult to help would not be just doing the right thing but a political revolution that breaks the unwarranted rhetorical monopoly on “compassion” that is the wellspring of leftist power.

I thought I had all the right ideas thirty years ago.  I am starting over. What do you think?

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  1. I Walton Member
    I Walton
    @IWalton

    Singapore solved the problem of homelessness quickly and easily.  They built low cost housing, rented it at cost.   As it filled up they upgraded the next batch and sold them, and so forth.  Nothing was free.  Anyone who abused their housing, vandalized etc. was kicked out.  Accountability actually works.  Singapore was tiny but the principle is pretty basic. Free stuff without responsibility has never worked anywhere ever. 

    • #61
  2. Charlotte Member
    Charlotte
    @Charlotte

    I Walton (View Comment):
    kicked out

    And then what? Aren’t you back to square one, then?

    • #62
  3. Jan Inactive
    Jan
    @ChileGirl

    Retail Lawyer (View Comment):

    Heather Mac Donald recently opined that the homeless need to be removed out of urban areas and put into some sort of internment. As hard as it is to imagine, the homeless lifestyle is not so bad that some people will not choose it. The lifestyle needs to be less comfortable than it is now.

    Society needs to be less tolerant of deviancy. We are no where near there yet.

    By the way, two of my high school neighbors were actually arrested and jailed for vagrancy. It was 1970.

    You are right.  The reason homelessness has grown in the US is that we tolerate it and in efforts to be compassionate we support it. Unintended consequences of kindness and lack of foresight. Can we stop being do-gooders?

    • #63
  4. I Walton Member
    I Walton
    @IWalton

    Charlotte (View Comment):

    I Walton (View Comment):
    kicked out

    And then what? Aren’t you back to square one, then?

    Yes you go back to the tail of the line, but you’re still in line.   People learn rather quickly.   The cheaper apartments  were torn down after a decade, replace by much better apartments until eventually there were no subsidies and no low end apartments.  Economies grow that are well run.   Now it’s one of the richest countries on earth.

    • #64
  5. I Walton Member
    I Walton
    @IWalton

    Jan (View Comment):

    Retail Lawyer (View Comment):

    Heather Mac Donald recently opined that the homeless need to be removed out of urban areas and put into some sort of internment. As hard as it is to imagine, the homeless lifestyle is not so bad that some people will not choose it. The lifestyle needs to be less comfortable than it is now.

    Society needs to be less tolerant of deviancy. We are no where near there yet.

    By the way, two of my high school neighbors were actually arrested and jailed for vagrancy. It was 1970.

    You are right. The reason homelessness has grown in the US is that we tolerate it and in efforts to be compassionate we support it. Unintended consequences of kindness and lack of foresight. Can we stop being do-gooders?

    It’s not being do gooders.  It’s rewarding builder friends and buying votes.  

    • #65
  6. Bryan G. Stephens Thatcher
    Bryan G. Stephens
    @BryanGStephens

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    To address it, we have to address those things, and that means not just money for treatment, but using force to make people engage. I have seen drug courts and mental health courts really work.

    You can only force people to engage for so long. What happens when you stop forcing them?

    After two years people are now not being forced. They have changed.

    That is good to hear. Truly. And if you’re doing this work, thank you for your service.

    What were they forced to engage in?

    They plead guilty to a felony, so they court has control. They can always leave and go to prison. They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team. Most clients have sanctions from time to time, which means a week or two in jail. The Treatment Team monitors progress. Family is involved as possible, which can be hard when people have burnt family out. Drug screens are par for the course. 

    It is amazing, but forced treatment does work. I have seen clients who cursed and yelled at the judge come back and hug the judge at graduation. Hard not to cry at graduation. 

    Now, we need something on the order of tens of thousands of these courts across the nation. They are expensive to run and take time. Good luck with that. 

    • #66
  7. Old Bathos Member
    Old Bathos
    @OldBathos

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    To address it, we have to address those things, and that means not just money for treatment, but using force to make people engage. I have seen drug courts and mental health courts really work.

    You can only force people to engage for so long. What happens when you stop forcing them?

    After two years people are now not being forced. They have changed.

    That is good to hear. Truly. And if you’re doing this work, thank you for your service.

    What were they forced to engage in?

    They plead guilty to a felony, so they court has control. They can always leave and go to prison. They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team. Most clients have sanctions from time to time, which means a week or two in jail. The Treatment Team monitors progress. Family is involved as possible, which can be hard when people have burnt family out. Drug screens are par for the course.

    It is amazing, but forced treatment does work. I have seen clients who cursed and yelled at the judge come back and hug the judge at graduation. Hard not to cry at graduation.

    Now, we need something on the order of tens of thousands of these courts across the nation. They are expensive to run and take time. Good luck with that.

    Helping an addict to postpone hitting bottom is often not helping.

    “Forced treatment” also means circumstances which (a) not even the usual delusional thought patterns can ignore or wish away and (b) compulsory removal from the substance(s) of choice so that recovery has a chance. The company of others in the same boat makes self -discovery and clarity much more available.

    Even the best programs see large relapse rates. Because there are no magic bullets we have to bite the bullet and devote resources. What do we do as a society to tighten up human connections? Discourage behaviors and attitudes that tend to have bad outcomes? It is a war with several fronts.

    • #67
  8. Bryan G. Stephens Thatcher
    Bryan G. Stephens
    @BryanGStephens

    Old Bathos (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    To address it, we have to address those things, and that means not just money for treatment, but using force to make people engage. I have seen drug courts and mental health courts really work.

    You can only force people to engage for so long. What happens when you stop forcing them?

    After two years people are now not being forced. They have changed.

    That is good to hear. Truly. And if you’re doing this work, thank you for your service.

    What were they forced to engage in?

    They plead guilty to a felony, so they court has control. They can always leave and go to prison. They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team. Most clients have sanctions from time to time, which means a week or two in jail. The Treatment Team monitors progress. Family is involved as possible, which can be hard when people have burnt family out. Drug screens are par for the course.

    It is amazing, but forced treatment does work. I have seen clients who cursed and yelled at the judge come back and hug the judge at graduation. Hard not to cry at graduation.

    Now, we need something on the order of tens of thousands of these courts across the nation. They are expensive to run and take time. Good luck with that.

    Helping an addict to postpone hitting bottom is often not helping.

    “Forced treatment” also means circumstances which (a) not even the usual delusional thought patterns can ignore or wish away and (b) compulsory removal from the substance(s) of choice so that recovery has a chance. The company of others in the same boat makes self -discovery and clarity much more available.

    Even the best programs see large relapse rates. Because there are no magic bullets we have to bite the bullet and devote resources. What do we do as a society to tighten up human connections? Discourage behaviors and attitudes that tend to have bad outcomes? It is a war with several fronts.

    I am not sure what you mean by postpone hitting bottom. I assure you, a treatment court is not postponing anything.

    Forced treatment does work. I have seen it with my own eyes. And relapse after a treatment court was better than just people coming to treatment. But, it is often 2 years long. That is far longer than most treatment programs. Addiction and severe and persistent mental illness changes the brain. It takes time. 

    • #68
  9. Poindexter Inactive
    Poindexter
    @Poindexter

    I Walton (View Comment):

    Singapore solved the problem of homelessness quickly and easily. They built low cost housing, rented it at cost. As it filled up they upgraded the next batch and sold them, and so forth. Nothing was free. Anyone who abused their housing, vandalized etc. was kicked out. Accountability actually works. Singapore was tiny but the principle is pretty basic. Free stuff without responsibility has never worked anywhere ever.

    As I understand it, being a drug abuser is not a viable option in Singapore. Here, a very high percentage of homeless are drug abusers.

    • #69
  10. Zafar Member
    Zafar
    @Zafar

    Bryan G. Stephens (View Comment):
    They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team.

    Who is on this treatment team?  What is the treatment that people have to do?

    • #70
  11. Old Bathos Member
    Old Bathos
    @OldBathos

    Bryan G. Stephens (View Comment):

    Old Bathos (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    To address it, we have to address those things, and that means not just money for treatment, but using force to make people engage. I have seen drug courts and mental health courts really work.

    You can only force people to engage for so long. What happens when you stop forcing them?

    After two years people are now not being forced. They have changed.

    That is good to hear. Truly. And if you’re doing this work, thank you for your service.

    What were they forced to engage in?

    They plead guilty to a felony, so they court has control. They can always leave and go to prison. They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team. Most clients have sanctions from time to time, which means a week or two in jail. The Treatment Team monitors progress. Family is involved as possible, which can be hard when people have burnt family out. Drug screens are par for the course.

    It is amazing, but forced treatment does work. I have seen clients who cursed and yelled at the judge come back and hug the judge at graduation. Hard not to cry at graduation.

    Now, we need something on the order of tens of thousands of these courts across the nation. They are expensive to run and take time. Good luck with that.

    Helping an addict to postpone hitting bottom is often not helping.

    “Forced treatment” also means circumstances which (a) not even the usual delusional thought patterns can ignore or wish away and (b) compulsory removal from the substance(s) of choice so that recovery has a chance. The company of others in the same boat makes self -discovery and clarity much more available.

    Even the best programs see large relapse rates. Because there are no magic bullets we have to bite the bullet and devote resources. What do we do as a society to tighten up human connections? Discourage behaviors and attitudes that tend to have bad outcomes? It is a war with several fronts.

    I am not sure what you mean by postpone hitting bottom. I assure you, a treatment court is not postponing anything.

    Forced treatment does work. I have seen it with my own eyes. And relapse after a treatment court was better than just people coming to treatment. But, it is often 2 years long. That is far longer than most treatment programs. Addiction and severe and persistent mental illness changes the brain. It takes time.

    There is some debate about the need to “hit bottom”. Some therapists argue that it is overrated, that some people make rational choices well before. I would reply that the great majority of people I have spend a couple of thousand hours listening to in meetings would disagree. A long pattern of behavior based on pain avoidance and artificial mental pleasure states has usually got to stop working such that the pain ratio increases sufficiently such that constructive action is even considered. And the longer and deeper the addiction, the tougher the climb out.

    I know people who did as many as six rehabs, hideous legal, personal and social consequences before getting it. And a couple of them just went out and died after many months of sobriety.  

    If you are getting results for such people. God bless you, Bryan. You are a hero. This is so often a battle against long odds with limited resources.  There are more forms addiction opportunities out there and culturally we are not well-prepared morally or cognitively not to fall prey.

    • #71
  12. Chuck Coolidge
    Chuck
    @Chuckles

    Barfly (View Comment):

    Chuck (View Comment):

    DrewInEastHillAutonomousZone (View Comment):
    I’m not sure there is a policy “solution” to homelessness.

    This is it in a nutshell. Two famous quotes:

    1. The poor you shall have with you always.
    2. If anyone is not willing to work, let him not eat.

    Of course any state or national government is antithetical to these.

    3. Confine the mentally ill who demonstrate they can’t care for themselves.

    Problem 90% solved.

    Federally run and financed institutes?

    • #72
  13. I Walton Member
    I Walton
    @IWalton

    Poindexter (View Comment):

    I Walton (View Comment):

    Singapore solved the problem of homelessness quickly and easily. They built low cost housing, rented it at cost. As it filled up they upgraded the next batch and sold them, and so forth. Nothing was free. Anyone who abused their housing, vandalized etc. was kicked out. Accountability actually works. Singapore was tiny but the principle is pretty basic. Free stuff without responsibility has never worked anywhere ever.

    As I understand it, being a drug abuser is not a viable option in Singapore. Here, a very high percentage of homeless are drug abusers.

    Yes drugs are highly discouraged as well as illegal.  It would be the same were we to choose to discourage them rather than just making them illegal. 

    • #73
  14. Bryan G. Stephens Thatcher
    Bryan G. Stephens
    @BryanGStephens

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team.

    Who is on this treatment team? What is the treatment that people have to do?

    Good questions that I think are worthy of an actual post. I’ll do one this week, fair?

    • #74
  15. Bryan G. Stephens Thatcher
    Bryan G. Stephens
    @BryanGStephens

    Old Bathos (View Comment):
    you are getting results for such people. God bless you, Bryan. You are a hero. This is so often a battle against long odds with limited resources.  There are more forms addiction opportunities out there and culturally we are not well-prepared morally or cognitively not to fall prey.

    Gosh, thanks. I don’t feel like a hero. I am a servant. 

    • #75
  16. Dr. Bastiat Member
    Dr. Bastiat
    @drbastiat

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team.

    Who is on this treatment team? What is the treatment that people have to do?

    Good questions that I think are worthy of an actual post. I’ll do one this week, fair?

    I look forward to that – thanks!

    • #76
  17. Zafar Member
    Zafar
    @Zafar

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team.

    Who is on this treatment team? What is the treatment that people have to do?

    Good questions that I think are worthy of an actual post. I’ll do one this week, fair?

    Looking forward to it. 

    • #77
  18. TBA Coolidge
    TBA
    @RobtGilsdorf

    Charlotte (View Comment):

    I Walton (View Comment):
    kicked out

    And then what? Aren’t you back to square one, then?

    Well that guy is, and that might be for the best anyway. 

    • #78
  19. TBA Coolidge
    TBA
    @RobtGilsdorf

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    To address it, we have to address those things, and that means not just money for treatment, but using force to make people engage. I have seen drug courts and mental health courts really work.

    You can only force people to engage for so long. What happens when you stop forcing them?

    After two years people are now not being forced. They have changed.

    That is good to hear. Truly. And if you’re doing this work, thank you for your service.

    What were they forced to engage in?

    They plead guilty to a felony, so they court has control. They can always leave and go to prison. They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team. Most clients have sanctions from time to time, which means a week or two in jail. The Treatment Team monitors progress. Family is involved as possible, which can be hard when people have burnt family out. Drug screens are par for the course.

    It is amazing, but forced treatment does work. I have seen clients who cursed and yelled at the judge come back and hug the judge at graduation. Hard not to cry at graduation.

    Now, we need something on the order of tens of thousands of these courts across the nation. They are expensive to run and take time. Good luck with that.

    I bet they save money in the aggregate. 

    • #79
  20. TBA Coolidge
    TBA
    @RobtGilsdorf

    Bryan G. Stephens (View Comment):

    Old Bathos (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    To address it, we have to address those things, and that means not just money for treatment, but using force to make people engage. I have seen drug courts and mental health courts really work.

    You can only force people to engage for so long. What happens when you stop forcing them?

    After two years people are now not being forced. They have changed.

    That is good to hear. Truly. And if you’re doing this work, thank you for your service.

    What were they forced to engage in?

    They plead guilty to a felony, so they court has control. They can always leave and go to prison. They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team. Most clients have sanctions from time to time, which means a week or two in jail. The Treatment Team monitors progress. Family is involved as possible, which can be hard when people have burnt family out. Drug screens are par for the course.

    It is amazing, but forced treatment does work. I have seen clients who cursed and yelled at the judge come back and hug the judge at graduation. Hard not to cry at graduation.

    Now, we need something on the order of tens of thousands of these courts across the nation. They are expensive to run and take time. Good luck with that.

    Helping an addict to postpone hitting bottom is often not helping.

    “Forced treatment” also means circumstances which (a) not even the usual delusional thought patterns can ignore or wish away and (b) compulsory removal from the substance(s) of choice so that recovery has a chance. The company of others in the same boat makes self -discovery and clarity much more available.

    Even the best programs see large relapse rates. Because there are no magic bullets we have to bite the bullet and devote resources. What do we do as a society to tighten up human connections? Discourage behaviors and attitudes that tend to have bad outcomes? It is a war with several fronts.

    I am not sure what you mean by postpone hitting bottom. I assure you, a treatment court is not postponing anything.

    Forced treatment does work. I have seen it with my own eyes. And relapse after a treatment court was better than just people coming to treatment. But, it is often 2 years long. That is far longer than most treatment programs. Addiction and severe and persistent mental illness changes the brain. It takes time.

    The location of ‘hitting bottom’ isn’t the same for everyone. Forced treatment might be part of creating a higher bottom. 

    • #80
  21. Bryan G. Stephens Thatcher
    Bryan G. Stephens
    @BryanGStephens

    TBA (View Comment):

    Bryan G. Stephens (View Comment):

    Old Bathos (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):

    Zafar (View Comment):

    Bryan G. Stephens (View Comment):
    To address it, we have to address those things, and that means not just money for treatment, but using force to make people engage. I have seen drug courts and mental health courts really work.

    You can only force people to engage for so long. What happens when you stop forcing them?

    After two years people are now not being forced. They have changed.

    That is good to hear. Truly. And if you’re doing this work, thank you for your service.

    What were they forced to engage in?

    They plead guilty to a felony, so they court has control. They can always leave and go to prison. They are forced to participate in treatment and follow the treatment guidelines. The treatment professionals meet with the Court staff every week to discuss the clients. This is the combined Treatment Team. Most clients have sanctions from time to time, which means a week or two in jail. The Treatment Team monitors progress. Family is involved as possible, which can be hard when people have burnt family out. Drug screens are par for the course.

    It is amazing, but forced treatment does work. I have seen clients who cursed and yelled at the judge come back and hug the judge at graduation. Hard not to cry at graduation.

    Now, we need something on the order of tens of thousands of these courts across the nation. They are expensive to run and take time. Good luck with that.

    Helping an addict to postpone hitting bottom is often not helping.

    “Forced treatment” also means circumstances which (a) not even the usual delusional thought patterns can ignore or wish away and (b) compulsory removal from the substance(s) of choice so that recovery has a chance. The company of others in the same boat makes self -discovery and clarity much more available.

    Even the best programs see large relapse rates. Because there are no magic bullets we have to bite the bullet and devote resources. What do we do as a society to tighten up human connections? Discourage behaviors and attitudes that tend to have bad outcomes? It is a war with several fronts.

    I am not sure what you mean by postpone hitting bottom. I assure you, a treatment court is not postponing anything.

    Forced treatment does work. I have seen it with my own eyes. And relapse after a treatment court was better than just people coming to treatment. But, it is often 2 years long. That is far longer than most treatment programs. Addiction and severe and persistent mental illness changes the brain. It takes time.

    The location of ‘hitting bottom’ isn’t the same for everyone. Forced treatment might be part of creating a higher bottom.

    “Hitting Bottom” is just not, in my experience, necessary for someone to change their pathway. 

    • #81
  22. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    build homeless camps and shelters on college and university campuses

     

    • #82
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