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Fran's avatar

As someone who worked in the system, and who has a personal connection to someone who is profoundly ill, I believe the problem is that Vermont has shunned involuntary treatment to the detriment of the entire system. This is not unique to Vermont, but it is much more of a systemic failure here. There is no place for the treatment and safe housing of individuals with a history of violence, suffering from a mental illness, when they are not in the moment demonstrating violence, a convoluted process to provide treatment, few supervised venues for them to go to when they begin to recover. Corrections has inadequate treatment capacity, lack of understanding of mental illness, and lacks appropriate training to meet the criteria for long term treatment. We lost that capacity when the State Hospital was shuttered, a crisis that has deepened as UVM cut beds in Central Vermont. In my opinion, a solutions based system would have a bed capacity that is able to quickly respond, that is, the ability to legally treat a discrete group of individuals who are identified as needing ongoing treatment and monitoring to prevent violence, when those individuals stop treatment, before they become violent again. There are many more reasons for the shortfall, but the community, the dedicated staff who work with violent individuals and have limited ability under current law to respond to patient violence, are all at risk, as are the seriously mentally ill.

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