{"id":1920552,"date":"2018-11-30T13:18:19","date_gmt":"2018-11-30T18:18:19","guid":{"rendered":"https:\/\/www.futurity.org\/?p=1920552"},"modified":"2018-11-30T13:18:19","modified_gmt":"2018-11-30T18:18:19","slug":"mental-illness-demedicalized-1920552","status":"publish","type":"post","link":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/","title":{"rendered":"When mental illness isn’t a medical issue, homeless people suffer"},"content":{"rendered":"

A new case study involving a homeless man with schizophrenia highlights what happens when mental illness is “demedicalized,” or seen as falling outside the scope of medical care.<\/p>\n

The article, which appears in the New England Journal of Medicine<\/em><\/a>, discusses the case of a homeless California man who was a frequent visitor to a local emergency room. Six times over the course of a few months the man, who doctors had previously diagnosed with schizophrenia, presented with auditory hallucinations and suicidal thoughts after losing his medication. Each time, he was released back to the streets without extended psychiatric care.<\/p>\n

The article argues that this case and countless others like it happen because many of the consequences of mental illness\u2014including homelessness\u2014have been demedicalized. All too often, as in the case of the California man, the criminal justice system ends up filling the void left by demedicalization, the authors say. The man they describe was later jailed on a felony charge.<\/p>\n

The article is part of a new series in the journal called “Case Studies in Social Medicine,” which aims to bring social science perspectives into the medical field. Here, coauthor Luke Messac, a resident in emergency medicine at Brown University, discusses the case study and the implications of demedicalization.<\/p>\n","protected":false},"excerpt":{"rendered":"

A new case study involving a homeless man with schizophrenia highlights what happens when mental […]<\/p>\n","protected":false},"author":9882,"featured_media":1921332,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"quote","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[14,5],"tags":[1428,866,899],"class_list":["post-1920552","post","type-post","status-publish","format-quote","has-post-thumbnail","hentry","category-health-medicine","category-society-culture","tag-homelessness","tag-physicians","tag-schizophrenia","post_format-post-format-quote","university-brown-university"],"acf":[],"yoast_head":"\nWhen mental illness isn't a medical issue, homeless people suffer - 糖心视频<\/title>\n<meta name=\"description\" content=\"Many of the consequences of mental illness\u2014including homelessness\u2014have been "demedicalized," or seen as falling outside the scope of medical care.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"When mental illness isn't a medical issue, homeless people suffer\" \/>\n<meta property=\"og:description\" content=\"Many of the consequences of mental illness\u2014including homelessness\u2014have been "demedicalized," or seen as falling outside the scope of medical care.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/\" \/>\n<meta property=\"og:site_name\" content=\"糖心视频\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pages\/糖心视频\/143906865226\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-30T18:18:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"915\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mollie Rappe-Brown\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@糖心视频News\" \/>\n<meta name=\"twitter:site\" content=\"@糖心视频News\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mollie Rappe-Brown\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/\"},\"author\":{\"name\":\"Mollie Rappe-Brown\",\"@id\":\"https:\/\/www.futurity.org\/#\/schema\/person\/cd374ad73445e5b7bfe14a972b103f76\"},\"headline\":\"When mental illness isn’t a medical issue, homeless people suffer\",\"datePublished\":\"2018-11-30T18:18:19+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/\"},\"wordCount\":221,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.futurity.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg\",\"keywords\":[\"homelessness\",\"physicians\",\"schizophrenia\"],\"articleSection\":[\"Health and Medicine\",\"Society and Culture\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/\",\"url\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/\",\"name\":\"When mental illness isn't a medical issue, homeless people suffer - 糖心视频\",\"isPartOf\":{\"@id\":\"https:\/\/www.futurity.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg\",\"datePublished\":\"2018-11-30T18:18:19+00:00\",\"description\":\"Many of the consequences of mental illness\u2014including homelessness\u2014have been \\\"demedicalized,\\\" or seen as falling outside the scope of medical care.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage\",\"url\":\"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg\",\"contentUrl\":\"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg\",\"width\":1600,\"height\":915,\"caption\":\"(Credit: Christopher Furlong\/Getty Images)\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.futurity.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"When mental illness isn’t a medical issue, homeless people suffer\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.futurity.org\/#website\",\"url\":\"https:\/\/www.futurity.org\/\",\"name\":\"糖心视频\",\"description\":\"Research news from top universities.\",\"publisher\":{\"@id\":\"https:\/\/www.futurity.org\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.futurity.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.futurity.org\/#organization\",\"name\":\"糖心视频\",\"url\":\"https:\/\/www.futurity.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.futurity.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2019\/05\/logo-2018.png\",\"contentUrl\":\"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2019\/05\/logo-2018.png\",\"width\":332,\"height\":105,\"caption\":\"糖心视频\"},\"image\":{\"@id\":\"https:\/\/www.futurity.org\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/pages\/糖心视频\/143906865226\",\"https:\/\/x.com\/糖心视频News\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.futurity.org\/#\/schema\/person\/cd374ad73445e5b7bfe14a972b103f76\",\"name\":\"Mollie Rappe-Brown\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.futurity.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/c9ff6ff62fc1b8db786b65c0b195d827?s=96&d=mm&r=pg\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/c9ff6ff62fc1b8db786b65c0b195d827?s=96&d=mm&r=pg\",\"caption\":\"Mollie Rappe-Brown\"},\"url\":\"https:\/\/www.futurity.org\/author\/mollie-rappe\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"When mental illness isn't a medical issue, homeless people suffer - 糖心视频","description":"Many of the consequences of mental illness\u2014including homelessness\u2014have been \"demedicalized,\" or seen as falling outside the scope of medical care.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/","og_locale":"en_US","og_type":"article","og_title":"When mental illness isn't a medical issue, homeless people suffer","og_description":"Many of the consequences of mental illness\u2014including homelessness\u2014have been \"demedicalized,\" or seen as falling outside the scope of medical care.","og_url":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/","og_site_name":"糖心视频","article_publisher":"https:\/\/www.facebook.com\/pages\/糖心视频\/143906865226","article_published_time":"2018-11-30T18:18:19+00:00","og_image":[{"width":1600,"height":915,"url":"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg","type":"image\/jpeg"}],"author":"Mollie Rappe-Brown","twitter_card":"summary_large_image","twitter_creator":"@糖心视频News","twitter_site":"@糖心视频News","twitter_misc":{"Written by":"Mollie Rappe-Brown","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#article","isPartOf":{"@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/"},"author":{"name":"Mollie Rappe-Brown","@id":"https:\/\/www.futurity.org\/#\/schema\/person\/cd374ad73445e5b7bfe14a972b103f76"},"headline":"When mental illness isn’t a medical issue, homeless people suffer","datePublished":"2018-11-30T18:18:19+00:00","mainEntityOfPage":{"@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/"},"wordCount":221,"commentCount":0,"publisher":{"@id":"https:\/\/www.futurity.org\/#organization"},"image":{"@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage"},"thumbnailUrl":"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg","keywords":["homelessness","physicians","schizophrenia"],"articleSection":["Health and Medicine","Society and Culture"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/","url":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/","name":"When mental illness isn't a medical issue, homeless people suffer - 糖心视频","isPartOf":{"@id":"https:\/\/www.futurity.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage"},"image":{"@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage"},"thumbnailUrl":"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg","datePublished":"2018-11-30T18:18:19+00:00","description":"Many of the consequences of mental illness\u2014including homelessness\u2014have been \"demedicalized,\" or seen as falling outside the scope of medical care.","breadcrumb":{"@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#primaryimage","url":"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg","contentUrl":"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2018\/11\/homeless-man-on-sidewalk_1600.jpg","width":1600,"height":915,"caption":"(Credit: Christopher Furlong\/Getty Images)"},{"@type":"BreadcrumbList","@id":"https:\/\/www.futurity.org\/mental-illness-demedicalized-1920552\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.futurity.org\/"},{"@type":"ListItem","position":2,"name":"When mental illness isn’t a medical issue, homeless people suffer"}]},{"@type":"WebSite","@id":"https:\/\/www.futurity.org\/#website","url":"https:\/\/www.futurity.org\/","name":"糖心视频","description":"Research news from top universities.","publisher":{"@id":"https:\/\/www.futurity.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.futurity.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.futurity.org\/#organization","name":"糖心视频","url":"https:\/\/www.futurity.org\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.futurity.org\/#\/schema\/logo\/image\/","url":"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2019\/05\/logo-2018.png","contentUrl":"https:\/\/www.futurity.org\/wp\/wp-content\/uploads\/2019\/05\/logo-2018.png","width":332,"height":105,"caption":"糖心视频"},"image":{"@id":"https:\/\/www.futurity.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/pages\/糖心视频\/143906865226","https:\/\/x.com\/糖心视频News"]},{"@type":"Person","@id":"https:\/\/www.futurity.org\/#\/schema\/person\/cd374ad73445e5b7bfe14a972b103f76","name":"Mollie Rappe-Brown","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.futurity.org\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/c9ff6ff62fc1b8db786b65c0b195d827?s=96&d=mm&r=pg","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/c9ff6ff62fc1b8db786b65c0b195d827?s=96&d=mm&r=pg","caption":"Mollie Rappe-Brown"},"url":"https:\/\/www.futurity.org\/author\/mollie-rappe\/"}]}},"_links":{"self":[{"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/posts\/1920552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/users\/9882"}],"replies":[{"embeddable":true,"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/comments?post=1920552"}],"version-history":[{"count":11,"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/posts\/1920552\/revisions"}],"predecessor-version":[{"id":1921102,"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/posts\/1920552\/revisions\/1921102"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/media\/1921332"}],"wp:attachment":[{"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/media?parent=1920552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/categories?post=1920552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.futurity.org\/wp-json\/wp\/v2\/tags?post=1920552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}