"On July 24, 2025, President Donald Trump signed an executive order to move those living in homeless encampments around the United States into treatment facilities with both mental health and substance use services (1). This is my fourth and final article analyzing the executive order and how it is being implemented in Utah. I share facts about this new facility, as well as my personal experience, having lived outside for 13 months in 2006-2007 as a homeless person in Los Angeles, suffering from schizophrenia."
"One of the most tragic things I have encountered in the field of psychiatry over the years is the lack of care for many vulnerable people who are forgotten by our mental health system. Many experience a "revolving door" where they are either living on park benches or under bridges, transferred to hospitals for short periods of time when their psychosis becomes worse, and then picked up by police for petty crimes such as looking for food in trash cans. Then the cycle begins again, to go round and round, sometimes for decades."
An executive order signed on July 24, 2025 aims to move people living in homeless encampments into treatment facilities offering mental health and substance use services. A new Utah facility will provide long-term, tiered care to deliver individualized treatment instead of short-term "treat and street" responses. The facility design includes different tiers of care to match each person’s needs and may offer indefinite care for those who require it. State hospitals are currently strained with forensic patients, leaving limited capacity for other gravely ill individuals. Advocates nationwide will monitor the model for potential replication.
Read at Psychology Today
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