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Originally Posted by kaitoe
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Do we jail them? If so, what is the justification that we do so for a long period of time? And what happens when they get out, especially since they could have a criminal record on top of a substance use disorder?
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Justification is the same as any other person - broken laws. It doesn't seem unreasonable to expunge criminal offences committed under mental health issues to allow people a chance at change and reintegration into society.
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Do you send them away? And if so, to where and under what is the legal justification? And what if they return?
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Send them away into medically supervised rehab and recovery housing. Albeit with limit ability to leave until progress is achieved. For many users who are significantly mentally damaged from use, strokes, OD's permanent housing and care needs to be built. Off the streets.
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We are reckoning with a system that has been able to push homeless people out of sight and mind one way (mental instituions) or another (DTES), and I do agree that the status quo is not working, but the perspective we use to examine the issue should change. For example, the "rules that all of us follow as a simple means of living in a society" eliminates any form of compassion and empathy afforded towards those who are homeless and those who have substance-use disorders.
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This is really the only point on which we disagree with. I think that's precisely compassion - you're extending a helping hand to someone without the ability to objectively see reality clearly or the ability to make decisions that increase their chance of survival.
If someone does not have the mental capacity to make healthy life sustaining decisions for self, while endangering the community and affecting remainder of society negatively, the compassionate thing is to aid that person. Its not to cast them aside and give them freedom to use and OD at will.