> Finnish mental health legislation takes a medical approach to compulsory measures, emphasising the need for treatment of psychiatric patients over civil liberties concerns... Finland has the highest rates of detention per 100 000 inhabitants, about 214 compared with 93 in the UK and 11 in Italy.
> If at the end of the 3-month period it is considered likely that detention criteria are still fulfilled, new recommendations MII and MIII are filed and the renewed detention is then valid for 6 months. However, this second period of detention has to be immediately confirmed by a local administrative court.
This issue is very relevant for me since I have been homeless since May. It's been a bad run of being a target of criminal activity, unemployment and just running out of money during my job search. I cope with a mix of volunteering, overpriced housing (think $1200/month for a room in a rural area before I ran out of money for that), catsitting, house-sitting, staying with family and sleeping in my ancient car. Although I'm a citizen I don't qualify for any government support or programs, even though we have employment insurance here which I paid into for years.
I'm from Ottawa where the cold is obviously deadly, as it is in Finland. I do feel that we need to take shelter more seriously in public policy compared to warm areas because of that. Last week someone froze to death overnight a few blocks away from where I was crashing on a couch with family. Walking through downtown Ottawa and seeing the huge empty, lit, warm buildings with people freezing to death right outside is striking. Any practically minded person can see the problem is political and philosophical, not practical.
I can tell all the posters who think people choose to be homeless that I'm certainly not one of them. The comments about the importance of avoiding a downward spiral are certainly correct. Searching for work is hard enough normally and becomes increasingly difficult without access to things like a kitchen and toilet.
What I see in this Finnish policy is the starting assumption that doing nothing is not a good option. After reaching that point there can a rational discussion about what to do with whatever money is being spent - do you pay more people to hand out blankets and conduct surveys or just use it to buy housing units? As a homeless person I would really like to see Canada have a policy like I'm reading in this article instead of what we are doing now. The crappy temporary shelters and bureaucratic spending strategy obviously isn't working.
Even just economically, to have a government pay for years of schooling and subsidize advanced degrees then just be ready to let that person die on the street when they are ready to work but can't happen to find something seems like a waste. I'd rather see a functioning "social safety net" as described in this article.
Without digging too deep into the nature of the statistics they use, I'm a little skeptical of this.
The transition to using the word "homeless" has resulted in transforming something we can't easily measure -- "drug addicted or mentally ill people being a public menace" -- into something that we can measure -- "people without a good living arrangement".
Sure, the latter is important in a lot of ways too. And there housing is a tolerable solution.
But the former is the actual problem that we care about. It's nearly impossible to measure. It's nearly impossible to fix. The horrors of involuntary commitment vs. the horrors of not having involuntary commitment vs. the horrors of using the criminal justice system vs. the horrors of not using the criminal justice system.
The fact is that we have no real model for treatment of severely mentally ill people. We have a number of effective drugs, but they rapidly become ineffective if not taken. Our ability to treat or "cure" people in these conditions is essentially non-existent.
The question I would ask of Finland before considering this data or analysis to be interesting is what is their state of involuntary indefinite commitment.
"Building flats is key: otherwise, especially if housing supply is particularly rigid, the funding of rentals can risk driving up rents (OECD, 2021a), thus reducing the “bang for the buck” of public spending."
So, yes, if you want low homelessness, you build a lot of housing and make sure that rents are low. This is true, and a good strategy.
I wanted to point out that the approach adopted by Finland may not be suitable for the United States. Finland has a population of only 5.6 million—less than two-thirds of the Bay Area—so their solutions, unfortunately, may not scale effectively in a larger, more complex environment.
The other - even more important issue with all these approaches, however, lies in treating all homeless individuals as a single category. This is a common flaw in most homelessness strategies. In reality, there are at least 5 to 10 broad categories—such as former convicts, individuals with substance abuse issues, those with mental health challenges, people who lost jobs or income, refugees, and more. Each of these groups requires a unique approach tailored to their specific circumstances. A one-size-fits-all solution simply doesn’t work.
That said, simplifying the issue makes for great marketing, which is why we often see oversimplified strategies being proposed and success reported (as in this report).
Unfortunately, this also means we’re unlikely to solve the homelessness crisis in the U.S. anytime soon.
verteu ·6 days ago
> Finnish mental health legislation takes a medical approach to compulsory measures, emphasising the need for treatment of psychiatric patients over civil liberties concerns... Finland has the highest rates of detention per 100 000 inhabitants, about 214 compared with 93 in the UK and 11 in Italy.
> If at the end of the 3-month period it is considered likely that detention criteria are still fulfilled, new recommendations MII and MIII are filed and the renewed detention is then valid for 6 months. However, this second period of detention has to be immediately confirmed by a local administrative court.
edit: I should mention that I've seen fairly convincing cross-sectional evidence that homelessness is more related to the housing market than mental illness: https://www.ucpress.edu/books/homelessness-is-a-housing-prob... , https://www.nahro.org/wp-content/uploads/2022/08/NAHRO-Summi...
Show replies
thePhytochemist ·6 days ago
I'm from Ottawa where the cold is obviously deadly, as it is in Finland. I do feel that we need to take shelter more seriously in public policy compared to warm areas because of that. Last week someone froze to death overnight a few blocks away from where I was crashing on a couch with family. Walking through downtown Ottawa and seeing the huge empty, lit, warm buildings with people freezing to death right outside is striking. Any practically minded person can see the problem is political and philosophical, not practical.
I can tell all the posters who think people choose to be homeless that I'm certainly not one of them. The comments about the importance of avoiding a downward spiral are certainly correct. Searching for work is hard enough normally and becomes increasingly difficult without access to things like a kitchen and toilet.
What I see in this Finnish policy is the starting assumption that doing nothing is not a good option. After reaching that point there can a rational discussion about what to do with whatever money is being spent - do you pay more people to hand out blankets and conduct surveys or just use it to buy housing units? As a homeless person I would really like to see Canada have a policy like I'm reading in this article instead of what we are doing now. The crappy temporary shelters and bureaucratic spending strategy obviously isn't working.
Even just economically, to have a government pay for years of schooling and subsidize advanced degrees then just be ready to let that person die on the street when they are ready to work but can't happen to find something seems like a waste. I'd rather see a functioning "social safety net" as described in this article.
Show replies
andrewla ·6 days ago
The transition to using the word "homeless" has resulted in transforming something we can't easily measure -- "drug addicted or mentally ill people being a public menace" -- into something that we can measure -- "people without a good living arrangement".
Sure, the latter is important in a lot of ways too. And there housing is a tolerable solution.
But the former is the actual problem that we care about. It's nearly impossible to measure. It's nearly impossible to fix. The horrors of involuntary commitment vs. the horrors of not having involuntary commitment vs. the horrors of using the criminal justice system vs. the horrors of not using the criminal justice system.
The fact is that we have no real model for treatment of severely mentally ill people. We have a number of effective drugs, but they rapidly become ineffective if not taken. Our ability to treat or "cure" people in these conditions is essentially non-existent.
The question I would ask of Finland before considering this data or analysis to be interesting is what is their state of involuntary indefinite commitment.
Show replies
rossdavidh ·6 days ago
So, yes, if you want low homelessness, you build a lot of housing and make sure that rents are low. This is true, and a good strategy.
Show replies
tlogan ·6 days ago
The other - even more important issue with all these approaches, however, lies in treating all homeless individuals as a single category. This is a common flaw in most homelessness strategies. In reality, there are at least 5 to 10 broad categories—such as former convicts, individuals with substance abuse issues, those with mental health challenges, people who lost jobs or income, refugees, and more. Each of these groups requires a unique approach tailored to their specific circumstances. A one-size-fits-all solution simply doesn’t work.
That said, simplifying the issue makes for great marketing, which is why we often see oversimplified strategies being proposed and success reported (as in this report).
Unfortunately, this also means we’re unlikely to solve the homelessness crisis in the U.S. anytime soon.
Show replies