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HereSince1628

(36,063 posts)
48. I think this is not THE BIG THING I fear.
Tue Jan 15, 2013, 10:53 PM
Jan 2013

What I fear is loss of equal protection and due process resulting from overly broad arbitrary rules that assign persons with mental illness into databases.

My BIG FEAR is 10s of millions of innocent people having their names placed in databases and having civil rights violated by decisions to list as prohibited anyone, for example who takes an SSRI, or anyone who has say bipolar disorder, PTSD or borderline personality disorder. I fear that such databases will be underfunded and consequently not be kept up to date and would often be inaccurate. I fear such inaccuracies would be the basis of denying persons the same rights as other Americans. And I fear that once much money is spent on such efforts, people will want to offset that cost by finding uses for the data, and that these databases could have their access expanded for other things than gun purchases. I hope that my BIG FEAR isn't going to be realized.


The reporting of threats to self and others to police is already the law in many states. It is the policy of the Veterans Affairs Mental Health programs. These laws have withstood legal tests.

Why don't I feel this is a terrible thing:

A clinician would be reporting as a consequence of specific statements or behaviors. It's isn't arbitrary like a computer program searching medical records for specific illness codes or a prescription that may or may not always be associated with mental illness.

The reporting is followed up by an investigation...which is what is needed to stop a suicide, and at least in principle could also be important in preventing shootings of others.

The intervention follows rules of due process. Typically police follow up, make an assessment, and as necessary can take a person into involuntary detention where an psychiatric evaluation can be made about matters of committment etc.

Typically the evaluating psychiatrists won't make the committment (but these things do vary by state and I haven't had a chance to read the NY law)...they have to argue that outcome before a panel or an officer of the court. THose persons make a decision, and usually the patient can be represented by counsel.

THAT IS DUE PROCESS,it deals with each event on a case-by-case basis and it ensures equal protection.









I thought the language was if they make threats... bettyellen Jan 2013 #1
The concern is that if MH Professionals are required to break their doctor-patient madinmaryland Jan 2013 #3
This could be incredibly problematic Still Sensible Jan 2013 #52
Not really. This may be a problem with clinic policies, but HIPPA allows it HereSince1628 Jan 2013 #55
I don't have the answers but it seems to me Mojorabbit Jan 2013 #2
I agree with you. I think the suicide issue should not be reported and they madinmaryland Jan 2013 #4
Valley pair face gun charges linked to N.Y. subway shooting PADemD Jan 2013 #11
That is homicide not suicide. I am down with the homicide part. nt Mojorabbit Jan 2013 #15
Didn't Adam Lanza commit both? PADemD Jan 2013 #19
Perhaps he did. Mojorabbit Jan 2013 #23
They might have stopped James Holmes. denverbill Jan 2013 #5
Possibly it could have. We don't know what either of those persons told their MH Professional madinmaryland Jan 2013 #7
And Holmes' psychiatrist is now getting sued. Why would any therapist take a suicidal patient then? riderinthestorm Jan 2013 #41
That law is not in place and the psychiatrist is getting sued. How does this law change that? denverbill Jan 2013 #59
Psychiatry and psychology aren't precise sciences. riderinthestorm Jan 2013 #64
Mental health issues must be addressed - lynne Jan 2013 #6
I am very uncomfortable with that provision etherealtruth Jan 2013 #8
That is my concern. madinmaryland Jan 2013 #9
Why would anyone seek treatment if they would be entered into a government data base etherealtruth Jan 2013 #12
Agreed NickB79 Jan 2013 #33
How is this any different from Dr's. being required to report certain medical conditions to the RMV? SayWut Jan 2013 #14
Reportable diseases present with verifiable diagnostic testing etherealtruth Jan 2013 #17
Yet, they can still be required to report the condition to the proper agency. SayWut Jan 2013 #25
I don't want anyone to have the ability to have their finger on the trigger of a gun etherealtruth Jan 2013 #38
Please, don't let emotions get in the way of reality. SayWut Jan 2013 #46
It isn't people "in their right mind" who are the problem! marybourg Jan 2013 #26
I don't think so ecstatic Jan 2013 #60
They were already required to commit people nadinbrzezinski Jan 2013 #10
Not in my state pipoman Jan 2013 #27
That is true here as well. In fact, any two citizens Skidmore Jan 2013 #29
Isn't that what they go to school for? SayWut Jan 2013 #13
You don't give up stuff for a ton of people on the off chance it might Mojorabbit Jan 2013 #16
Then what's the solution to keeping firearms out of the hands of people who shouldn't own them? SayWut Jan 2013 #18
As I said above Mojorabbit Jan 2013 #20
I guess there's no easy way or 'one pill to cure all ills' solution. SayWut Jan 2013 #31
I have no problem with the homicide part at all. nt Mojorabbit Jan 2013 #34
Which is why folks are upset over the prospect of giving up their guns The Straight Story Jan 2013 #21
so if you self report your get on a list that could follow you forever dembotoz Jan 2013 #22
If this could save just one life... Llewlladdwr Jan 2013 #24
We could lock up everybody who had any sign of any slight mental illness or emotional disturbance customerserviceguy Jan 2013 #40
And Holmes' psychiatrist is now getting sued. Why would any therapist take a suicidal patient then? riderinthestorm Jan 2013 #43
OK, listen to the crazy dude here, people. Denninmi Jan 2013 #28
Involuntary commitment pipoman Jan 2013 #30
If we had a way to "gain involuntary civil commitment for authorities or loved ones" ... Denninmi Jan 2013 #32
Yeah, you're right..meant by..I'm ok with it as written now that I think of it... pipoman Jan 2013 #37
Yuppers, they think I'm crazy .... Denninmi Jan 2013 #39
Sounds like a bad idea. DanTex Jan 2013 #35
HIPPA specifically allows for reporting when there is a threat to self or others HereSince1628 Jan 2013 #42
Are you saying this is not a big deal? DanTex Jan 2013 #44
I think this is not THE BIG THING I fear. HereSince1628 Jan 2013 #48
OK. Good answer. DanTex Jan 2013 #49
This corresponds with my experience in the non-military world. Just a referral or professional libdem4life Jan 2013 #56
I havent' seen the whole NY law yet, but this part of it seems HereSince1628 Jan 2013 #58
Great points. If they could guarantee that it would only ecstatic Jan 2013 #61
Yes, it's a concern. HereSince1628 Jan 2013 #63
The person will probably make threats or act in threatening manner HereSince1628 Jan 2013 #36
Three days at most, unless it's a prison situation And mental health care, where is the funding for libdem4life Jan 2013 #50
Good question, I was involuntarily detained and that detention was ruled unfounded HereSince1628 Jan 2013 #51
This seems kind of a slippery area to me. Blue_In_AK Jan 2013 #45
It's always been this way...just not practical as at worst they go in for 3 days and are then back libdem4life Jan 2013 #47
Is there a framework for this plan in our military mental health system? Sunlei Jan 2013 #53
If they use the VA for health services, this sort of thing is already in place. HereSince1628 Jan 2013 #54
No one says that, even in your post rustydog Jan 2013 #57
My understanding that persons with command delusions get treatment at higher rates HereSince1628 Jan 2013 #62
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