J Law Med Ethics. 2022;50(1):23-30. doi: 10.1017/jme.2022.5.
Involuntary commitment links the healthcare, public health, and legislative systems to act as a "carceral health-service." While masquerading as more humane and medicalized, such coercive modalities nevertheless further reinforce the systems, structures, practices, and policies of structural oppression and white supremacy. We argue that due to involuntary commitment's inextricable connection to the carceral system, and a longer history of violent social control, this legal framework cannot and must not be held out as a viable alternative to the criminal legal system responses to behavioral and mental health challenges. Instead, this article proposes true alternatives to incarceration that are centered on liberation that seeks to shrink the carceral system's grasp on individuals' and communities' lives. In this, we draw inspiration from street-level praxis and action theory emanating from grassroots organizations and community organizers across the country under a Public Health Abolition framework.
非自愿住院治疗将医疗保健、公共卫生和立法系统联系在一起,充当“监禁式医疗服务”。尽管这种强制模式伪装得更加人道和医学化,但它仍然进一步强化了结构性压迫和白人至上的制度、结构、实践和政策。我们认为,由于非自愿住院治疗与监禁制度不可分割的联系,以及更长的暴力社会控制历史,这种法律框架不能也不应该被视为对行为和心理健康挑战的刑事法律制度反应的可行替代方案。相反,本文提出了真正的替代监禁的选择,这些选择以寻求缩小监禁系统对个人和社区生活的控制的解放为中心。在这方面,我们从全国各地的基层组织和社区组织者在公共卫生废除框架下产生的街头实践和行动理论中汲取灵感。