his own decisions again. Studies consistently show that the majority of patients initially treated without their consent agree with the decision when asked about it in retrospect. Newer mental-health courts, another coercive option, use judicial persuasion and the threat of jail to keep minor offenders with psychosis in treatment and on medications at least long enough for them to make informed decisions about treatment. Last, we come to the matter of stigma. The commission thinks that irrational fear and disapproval of the mentally ill explain public indifference to their welfare. While many are indeed fearful their attitudes are not inexplicable — they come from reading lurid headlines or dodging menacing or hallucinating individuals on the street, http://www.tomsoutletsaleonlinecheap.com - toms shoes online . “The perception of people with psychosis as being dangerous is stronger today than in the past,” according to the 1999 U. S. Surgeon General’s Report on Mental Health. Unfortunately, the logical conclusion eluded the commission — stigma will continue unabated until we stem threatening and erratic behavior. Despite our dismay, the commission got many things right. Among them it urged integration of funding agencies, medical, and social services. It promoted evidence-based treatments and programs and condemned the awful double bind in which many are forced to remain on meager disability income because taking on paid work would mean losing Medicaid coverage. These recommendations, while solid, are not enough to help a deeply troubled system recover. Ever since deinstitionalization began closing doors to state hospitals in the late 1950s, we have abandoned the sickest of the mentally ill to the streets and jails. Four decades later, the commission opted for the safe route and abandoned them as well. — Sally Satel, M.D. is at the American Enterprise Institute, http://www.tomsoutletsaleonlinecheap.com - Toms Shoes Outlet Store Sale . Mary Zdanowicz is a lawyer and executive director of the Treatment Advocacy Center in Arlington, Va.[标签:标题]
Title IX, the education nondiscrimination law whose current guidelines are the subject of endless debate and litigation, is rarely considered a disadvantage for women’s sports. But that may be changing. Earlier this month, a federal judge in Manhattan decided that making girls play soccer in the spring when boys play in the fall is sexist. This ruling will actually limit the opportunities for Westchester County’s female athletes. The lawsuit alleges that the women’s soccer season is intentionally scheduled at a less advantageous time of the year than the men’s, preventing the females from competing in the state championship and in tournaments that take place in the fall, http://www.tomsoutletsaleonlinecheap.com - Toms Shoes Outlet Sale . But while the scheduling is unfortunate, it has nothing to do with sex discrimination. As a former three-sport varsity athlete in one of the towns involved in the court case, I was very surprised to learn that Pelham Memorial High School was not in compliance with Title IX. While I was there, there were more women’s teams than men’s teams. And, since my time there, they’ve added women’s swimming. In a school that just graduated a class of only 150 students, it is unusual that Pelham’s athletics department is as strong as it is. While a surprising 80 percent of students in Pelham play one or more sports, the competition for players is extremely high. A shortage of players to fill seven women’s teams — not sexism — was the basis for moving soccer to the spring. Because Westchester’s field-hockey program was so strong, soccer was relegated to the spring. According to Pelham superintendent Charles Wilson, it was one of the last women’s programs to be added in Pelham, and most Westchester teams decided that scheduling soccer in the spring would balance the women’s schedule. Soccer players are at a disadvantage in Pelham. They are ineligible for the state championships and if they’re serious about playing in college, they have to juggle club, Olympic-development programs, and varsity soccer in the same season. All other girls in New York State have the luxury of playing one at a time. Westchester
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