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The Conversation
The Conversation
Katherine Drabiak, Associate Professor of Health Law, Public Health Law and Medical Ethics, University of South Florida

The ethical dilemmas behind plans for involuntary treatment to target homelessness, mental illness and addiction

Involuntary treatment for homeless people aims to help – but also raises ethical debates. Robert Nickelsberg/Getty Images

Over the past year, cities across the United States have unveiled new policy plans to address homelessness amid rising concerns about health and crime – for homeless people themselves, as well as for surrounding communities. Notably, several proposals include civil commitment, also referred to as involuntary treatment, for people with severe mental illness or substance use disorders.

In November 2022, for example, New York City Mayor Eric Adams announced a plan to use mental health laws to facilitate involuntary treatment when people are unable to care for themselves, or when their actions endanger others.

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