{"id":442496,"date":"2022-05-05T01:52:11","date_gmt":"2022-05-04T22:52:11","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/nyc-must-be-more-accountable-on-the-homeless-and-mentally-ill\/"},"modified":"2022-05-05T01:52:11","modified_gmt":"2022-05-04T22:52:11","slug":"nyc-must-be-more-accountable-on-the-homeless-and-mentally-ill","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/nyc-must-be-more-accountable-on-the-homeless-and-mentally-ill\/","title":{"rendered":"#NYC must be more accountable on the homeless and mentally ill"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a23a5df49090\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #dd3333;color:#dd3333\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #dd3333;color:#dd3333\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a23a5df49090\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/buradabiliyorum.com\/en\/nyc-must-be-more-accountable-on-the-homeless-and-mentally-ill\/#%E2%80%9CNYC_must_be_more_accountable_on_the_homeless_and_mentally_ill%E2%80%9D\" >&#8220;NYC must be more accountable on the homeless and mentally ill&#8221;<\/a><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"%E2%80%9CNYC_must_be_more_accountable_on_the_homeless_and_mentally_ill%E2%80%9D\"><\/span>&#8220;NYC must be more accountable on the homeless and mentally ill&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div>\n<aside class=\"single__inline-module alignleft\">\n<\/aside>\n<p>New York\u2019s comeback from COVID-19 remains hampered by the twin crises of homelessness and mental illness. Many metrics are objectively bad. Adding to the problem, attitudes about normalcy <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>ear to have changed.<\/p>\n<p>Street and subway conditions that circa 2019 people took in stride as part of big-city life are less acceptable to workers who have learned that they have choices. Higher standards mean that Mayor Eric Adams\u2019 job may be even harder than his predecessors\u2019.<\/p>\n<p>Not everyone\u2019s going to flee to Florida in reaction to <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">news<\/a> about a subway pushing or encounter with a disheveled panhandler. But still-diminished subway-ridership numbers are an ongoing measure of what people consider tolerable when it comes to public disorder.<\/p>\n<p>Some critics say Adams\u2019 approach to mental-illness-related disorder is overly light on specifics and heavy on talk. Sometimes, though, talk matters \u2014 especially when it comes from popular politicians with a rising national profile.<\/p>\n<p>Talk is the only tool city officials can use to change state and federal policies. One such change, potentially vital to New York\u2019s future, has to do with Medicaid financing.<\/p>\n<p>Medicaid is the largest funder of mental-health services in America. But its ability to pay for hospital-based psychiatric care is tightly regulated by the Institutions for Mental Disease exclusion. Adams\u2019 Subway Safety Plan rightly called for a repeal of the IMD exclusion.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"683\" src=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/ThriveNYC.jpg?w=1024\" alt=\"A general view of Thrive NYC ads in a subway station in New York, NY as seen on April 28, 2019. \" class=\"wp-image-22144438\" srcset=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/ThriveNYC.jpg?quality=75&amp;strip=all&amp;w=1536 1536w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/ThriveNYC.jpg?quality=75&amp;strip=all 1024w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/ThriveNYC.jpg?quality=75&amp;strip=all&amp;w=512 512w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\"\/><figcaption>Mayor Bill de Blasio\u2019s ThriveNYC initiative was an utter failure at curbing homelessness and wasted millions of taxpayer dollars.<\/figcaption><figcaption><span class=\"credit\">Christopher Sadowski<\/span><\/figcaption><\/figure>\n<p>If city government is still seriously committed to the de Blasio-era \u201cClose Rikers\u201d campaign, it must reduce the jail census by around 2,000 from its current level of 5,400-5,500. There are about 900 individuals with serious mental illness in city jails. The size of that cohort will need to be substantially reduced for the city to meet the Close Rikers benchmarks.<\/p>\n<p>Where are people charged with serious crimes (which is practically the only way you land in city jails these days) with serious mental illnesses going to go instead of jail? Stabilizing such cases will require a more robust network of inpatient psychiatric beds than New York has.<\/p>\n<p>More Medicaid funding for psych beds is controversial among progressives, who fear re-institutionalization, and conservatives, who view Medicaid as already too budget-busting.<\/p>\n<p>Thus the value of rhetoric from a politician like Adams. Within his own party, he\u2019s more in tune with the crime-sensitive mood of voters. GOP lawmakers will be more interested in mental-reform ideas anchored in public-safety concerns than in simply a desire to wring more money out of federal taxpayers.<\/p>\n<p>Not that New Yorkers should wait on the federal government to bail them out from all their mental-health woes.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"682\" src=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/RikersIsland.jpg?w=1024\" alt=\"Rikers Island jail\" class=\"wp-image-22144531\" srcset=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/RikersIsland.jpg?quality=75&amp;strip=all&amp;w=1535 1536w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/RikersIsland.jpg?quality=75&amp;strip=all 1024w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/RikersIsland.jpg?quality=75&amp;strip=all&amp;w=512 512w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\"\/><figcaption>Closing down Rikers Island may not be the best solution when there are more than 5,000 active inmates.<\/figcaption><figcaption><span class=\"credit\">AP Photo\/Seth Wenig, File<\/span><\/figcaption><\/figure>\n<p>Locally, much could be done to address New York\u2019s lack of accountability in mental-health services. The local system\u2019s vastly better staffed and funded than mental-health systems in most other US jurisdictions. But it\u2019s very hard to tell who\u2019s responsible for what.<\/p>\n<p>Subway pushings happen when someone \u201cfalls through the cracks.\u201d But which organization, or network of organizations, was supposed to be providing the necessary supervision? No one ever seems to have any clue.<\/p>\n<p>CompStat is the famous management program the NYPD runs to hold precinct commanders accountable for crime trends under their watch. A CompStat approach to mental health would focus on two aspects of the problem. <\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"682\" src=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/Bratton.jpg?w=1024\" alt=\"Then Police Commissioner William J. Bratton \" class=\"wp-image-22144633\" srcset=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/Bratton.jpg?quality=75&amp;strip=all&amp;w=1535 1536w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/Bratton.jpg?quality=75&amp;strip=all 1024w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/Bratton.jpg?quality=75&amp;strip=all&amp;w=512 512w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\"\/><figcaption>Mayor Eric Adams would be wise to implement a CompStat approach to evaluate homelessness across the five boroughs \u2013 similar to how former NYPD Commissioner Bill Bratton fought crime.<\/figcaption><figcaption><span class=\"credit\">Natan Dvir<\/span><\/figcaption><\/figure>\n<p>First, we should clarify which service providers bear responsibility for serious mental illness, as opposed to the wide range of milder mental disorders less likely to lead to a violent tragedy. Second, what should we expect of mental-service providers, as distinct from other programs throughout the vast local welfare state?<\/p>\n<aside class=\"single__inline-module alignright\">\n    <\/aside>\n<p>Mental illness is harder to grapple with in cities with high housing costs and spiraling addiction and crime problems. Still, New York gives out service contracts because it expects the recipient program to do a certain job. In the CompStat regime, while it\u2019s understood that some precincts are far more troubled socioeconomically than others, commanders can\u2019t simply assert that no one should expect crime to get any better until there\u2019s no more homelessness in the precincts they oversee.<\/p>\n<p>CompStat infuses public-safety policy with a spirit of accountability that\u2019s sorely lacking through much of the <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/social-mediaa\/\" data-internallinksmanager029f6b8e52c=\"1\" title=\"Social Media\" target=\"_blank\" rel=\"noopener\">social<\/a> services \u2014 mental health in particular.<\/p>\n<p>On mental illness, there\u2019s plenty of blame to go around: federal, state and local. By all means, pursue more federal support where appropriate. At the same time, city officials should push for answers on why New Yorkers aren\u2019t getting more out of the system they\u2019re already funding and generously at that.<\/p>\n<p><em>Stephen Eide is a senior fellow at the Manhattan Institute and author of the forthcoming book \u201c<a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/rowman.com\/ISBN\/9781538159576\/Homelessness-in-America-The-History-and-Tragedy-of-an-Intractable-Social-Problem\">Homelessness in America<\/a>.\u201d<\/em>\n                        <\/div>\n<blockquote><p><strong><span style=\"color: #ff6600;\">If you liked the article, do not forget to share it with your friends. Follow us on\u00a0<span style=\"color: #ff0000;\"><a style=\"color: #ff0000;\" href=\"https:\/\/news.google.com\/publications\/CAAqBwgKMLG0nwswvr63Aw\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Google News<\/a><\/span>\u00a0too, click on the star and choose us from your favorites.<\/span><\/strong><\/p><\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\">For forums sites go to <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/forum.buradabiliyorum.com\/\" target=\"_blank\" rel=\"noopener\">Forum.BuradaBiliyorum.Com<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\"><strong>If you want to read more News articles, you can visit our <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/en.buradabiliyorum.com\/news\/\" target=\"_blank\" rel=\"noopener\">News category.<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<p><span style=\"color: black;\"><a style=\"color: #ff9900;\" href=\"https:\/\/nypost.com\/2022\/05\/04\/nyc-must-be-more-accountable-on-the-homeless-and-mentally-ill\/\" target=\"_blank\" rel=\"noopener\">Source<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;NYC must be more accountable on the homeless and mentally ill&#8221; New York\u2019s comeback from COVID-19 remains hampered by the twin crises of homelessness and mental illness. Many metrics are objectively bad. Adding to the problem, attitudes about normalcy appear to have changed. Street and subway conditions that circa 2019 people took in stride as&#8230;<\/p>\n","protected":false},"author":1,"featured_media":442497,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/05\/Homeless-1.jpg?quality=75&strip=all&w=1024","fifu_image_alt":"","footnotes":""},"categories":[70897],"tags":[128828,4998,66147,72473,71039,71431,5044,72183,67844,106318,76924],"class_list":["post-442496","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-5-4-22","tag-crime","tag-eric-adams","tag-homeless","tag-homelessness","tag-mental-illness","tag-nypd","tag-quality-of-life","tag-republicans","tag-shelters","tag-subway-shoves"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/442496","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=442496"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/442496\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/442497"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=442496"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=442496"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=442496"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}