The Brian Lehrer Show 30 Issues in 30 Days: Involuntary Hospitalization of Mentally Ill New Yorkers
Sep 30, 2025
Brian Stettin, a senior advisor on severe mental illness for NYC, and Michael F. Hogan, former NY State Mental Health Commissioner, delve into the controversial topic of involuntary hospitalization for the mentally ill. They discuss Mayor Adams' policy changes and the lack of support systems following hospitalizations. Hogan emphasizes that without comprehensive care and housing, involuntary measures may fail. The conversation highlights the importance of community-based solutions, with insights from lived experiences that reveal the complexities and potential drawbacks of coercive care.
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Involuntary Removal As Part Of A System
- Brian Stettin argues involuntary removal is one necessary "leg of the table" in a broader mental health system.
- He says broadening the danger standard and stabilizing people in hospital can connect them to longer-term supports.
Pair Removals With Concrete Aftercare
- Build and expand post-hospital supports like bridge-to-home, safe haven beds, and clubhouses to make hospitalization effective.
- Ensure discharge plans and housing options exist before increasing removals.
Broader 'Danger' Standard Explained
- Stettin says the city broadened the interpretation of "danger to self" to include severe neglect of basic needs.
- That shift increased removals for people at high medical and self-care risk before imminent harm.