The man would need care from a psychiatrist or psychologist, to examine and treat his violence in a non-pharmacological way. This means he does not need to be placed in a mental institution, which are more geared to get the mentally handicapped stabilized on medications which the main this example would not need.
People don't realize this, but the modern American mental hospital is not a place where someone is meant to live. Ideally, they are a place where people with mental issues who are psychotic become stabilized and able to communicate and act appropriately. The modern American mental institution is not a place geared to become a home. It is a medical facility only.
Yep! I once overdosed on drugs, and because my tolerance was already high, I had enough drugs in my system to kill a horse (the ER doctor told me he literally meant it was actually enough to kill a horse). Sinc I had such high levels in my system they assumed it was a suicide attempt and sent me to a psychiatric facility where they normally send people who are suicidal (which I was not, I was simply a junkie at the time). However since I was sober the whole time there, I thought it was an interesting place, I got to see a lot of very disturbed people. It WAS expensive, even with excellent health insurance.
I am suggesting a facility, yes. But it would not need doctors and nurses (which are VERY expensive). It would need a few guards and psychologists. Maybe throw in a psychiatrist. It would not look like a jail or a mental institution. Families could visit, if there is indeed family. The state would cover those who cannot afford it. It would be geared to treat people without the use of little-understood psychotropic drugs. That's my point, a full blown psychiatric ward is overkill for people like the man in my example.
Also, I think states should have different facilities for people with different problems. There should be facilities for people with schizophrenia, mood disorders, personality disorders, suicidal depressives, and facilities (like the one I imagined above) for the mentally retarded. Each type of facility would be specifically geared to treat their patients. This would be much more effective, and in the long run cheaper, than the throw-all-the-crazies in a single building type of institution we have today.





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