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      Walker Says His Mental Illness Is Healed. Experts Say It’s Not So Simple.

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      WASHINGTON — Confronting a barrage of accusations about his personal life — including claims he threatened women and paid for an abortion despite his public opposition to the procedure — Herschel Walker has repeatedly invoked his history of mental illness in his defense.“As everyone knows, I had a real battle with mental health, even wrote a book about it,” Mr. Walker, the Republican candidate for Senate in Georgia, said in a television ad released at the height of the abortion controversy. “And by the grace of God, I’ve overcome it.”In the ad, and on the campaign trail, Mr. Walker, a former football star, does not elaborate. But in his 2008 memoir, “Breaking Free,” he revealed that he had been diagnosed with dissociative identity disorder, formerly known as multiple personality disorder. He described his 12 “alters” — distinct identities that helped him cope with the trauma of being bullied as a child. He wrote of rage and “out-of-control behavior”; he played Russian roulette with a loaded gun.Now, as he tries to steady a campaign that could determine control of the Senate, Mr. Walker often speaks of these events in religious, not medical, terms. He either denies the accusations or says he does not remember what happened. Still, he casts himself as a redemption story, saying he is a Christian “saved by grace.”But experts say Mr. Walker’s assertion that he has “overcome” the disorder is simplistic at best: Like other mental illnesses, dissociative identity disorder cannot be cured in the classic sense. Psychiatrists say that while patients can learn to manage this disorder — and even live symptom-free for extended periods — the symptoms can recur, often triggered by stress.“You can get better,” said Dr. David Spiegel, a Stanford University psychiatry professor who studies and treats dissociative identity disorder. “But it doesn’t just evaporate.”Dr. Spiegel and other experts interviewed for this article have not treated Mr. Walker and could not speak to the specifics of his case.Mr. Walker’s retelling does not account for other complicating details. Experts say the disorder does not cause violent behavior. Some of the episodes — including an ex-girlfriend’s accusation that he had threatened her — took place after Mr. Walker claimed to have his disorder under control.The Walker campaign did not respond this week to questions about his health history and has not released his medical records.Last Friday night, during a debate with his Democratic opponent, Senator Raphael Warnock, Mr. Walker said he no longer needed treatment: “I continue to get help if I need help, but I don’t need any help. I’m doing well.”The State of the 2022 Midterm ElectionsBoth parties are making their final pitches ahead of the Nov. 8 election.G.O.P. Gains Edge: Republicans enter the final weeks of the contest for control of Congress with an advantage as the economy and inflation have surged as the dominant concerns, a Times/Siena poll found.Codifying Roe: President Biden pledged that the first bill he would send to Capitol Hill next year if Democrats expand their control of Congress in the midterm elections would be legislation to enshrine abortion rights into law.Florida Senate Race: In the only debate of the contest, exchanges between Senator Marco Rubio and his Democratic challenger, Representative Val Demings, got fiery at times. Here are four takeaways.Aggressive Tactics: Right-wing leaders are calling on election activists to monitor voting in the midterm elections in search of evidence to confirm unfounded theories of election fraud.In an interview with Axios last year, Mr. Walker likened his condition to a broken leg, saying, “I put the cast on. It healed.”A supporter at a Walker campaign event. Mr. Walker casts himself as a redemption story, saying he is a Christian “saved by grace.” Nicole Craine for The New York TimesDemocrats have said Mr. Walker’s description of his mental illness does not fully explain his previous behavior. In a statement, Mr. Warnock’s campaign manager, Quentin Fulks, said only that Mr. Walker had “not given Georgians an honest accounting of his violent past.”Health issues have been front and center for other candidates this year; in Pennsylvania, John Fetterman, the Democratic candidate for Senate, is facing questions from Republicans about whether he is fit to serve after a stroke. Even Republican strategists say Mr. Walker should answer similar questions.“I think it’s fair, and Herschel obviously thinks it’s a big part of his life,” said Scott Jennings, a former adviser to Senator Mitch McConnell, the minority leader. “If I were Herschel’s campaign I would say Americans live with mental health challenges every day — we just happen to be the first campaign to talk openly about it.”Dissociative identity disorder, known by its acronym D.I.D., is a relatively rare psychiatric condition usually triggered by childhood trauma, including sexual or physical abuse, or war. Studies show it affects about 1 percent of the population, said Dr. Paul S. Appelbaum, a professor of psychiatry at Columbia University, though “many of those people may have quite mild cases and do not experience problems from it and never come to clinical attention.”It is characterized by changes in behavior that occur when a patient fails to develop a unified sense of self, and instead “disassociates” into competing “self-states” that emerge in different situations. Many patients experience amnesia.Dr. Spiegel drew a comparison to healthy people who opt to act like “a different person” in different settings. But people with dissociative identity disorder, he said, “often don’t experience having choice.”Treatment typically involves intensive therapy; Dr. Spiegel often uses hypnosis, he said. While there is no medication to treat this disorder, some patients take medicine for conditions that occur alongside it, such as depression. Patients are required during treatment to take responsibility for their behavior; Mr. Walker says he has done so.“One of the core aspects of successful treatment for D.I.D. is holding people with the disorder responsible for their behavior, even when they say they don’t remember it, or that another self-state did it,” said Dr. Richard J. Loewenstein, a professor of psychiatry at the University of Maryland and a leading expert in the disorder, which was known as multiple personality disorder until 1994, when the name was changed to reflect a more nuanced understanding of the condition.In his book, written with two ghostwriters, Mr. Walker recounts his childhood as a “daily assault of verbal and sometimes physical abuse” by classmates who thought he was stupid because he stuttered. His doctors later told him he had created other personalities to help him cope.He says his “alters” were at times a positive force, helping him to “forget most of the awful things that had happened to me.” After he understood them, he wrote, he gave them titles.The General, or Coach, oversaw the other identities. The Hero “put on the facade” of a tough guy. The Sentry served as an emotional guard who “never let anyone get really close to me.” The Warrior “loved the physical contact” of football and did not feel pain; in the book, Mr. Walker describes having his wisdom teeth extracted without anesthesia. The Indifferent Daredevil “didn’t care about what other people would think or what was right and wrong.”In a 2014 ESPN documentary. he said he thought that in high school he might join the Marines, because it would give him license to “shoot people.” Instead, he pursued a career in sports. Football became his “coping mechanism.”But after he retired from the Dallas Cowboys in 1997, Mr. Walker wrote, his life spun out of control. He had an extramarital affair. He played Russian roulette, “risking my life with a gun at my head.” (The book does not recount an episode in which his ex-wife, Cindy DeAngelis Grossman, said he put a gun to her head and threatened to “blow my brains out.” Mr. Walker has not denied the allegation, but says he does not remember doing so.)In 2001, Mr. Walker writes, things came to a head when he grew enraged at a car salesman who was late in making a delivery. He could feel “my jaw pulsing and my teeth grinding,” he wrote, as a voice prodded him to pull out his pistol and kill the man. Another voice countered: “No Herschel, that’s wrong. You can’t shoot a man down in cold blood over this.”At that point, Mr. Walker sought help from Jerry Mungadze, a therapist who gave him a diagnosis of D.I.D. and arranged for him to be treated as an outpatient at Del Amo psychiatric hospital in Torrance, Calif., where doctors confirmed the diagnosis, Mr. Walker wrote.Walker has, at times, used his campaign to urge others to speak more candidly about mental illness.Nicole Craine for The New York TimesDr. Mungadze, who wrote the introduction to Mr. Walker’s book, has since stirred controversy with his methods. Dr. Mungadze, who holds a doctorate in “counselor education,” according to his website, and is not a medical doctor, specializes in Christian counseling and employs a technique he calls brain mapping, in which he diagnoses patients by asking them to color in a map of a brain. Experts say it has no basis in science.Mr. Walker has not said whether he still sees Dr. Mungadze, who declined an interview request.Dissociative identity disorder has long been the subject of intense debate; some psychiatrists say it is vastly over-diagnosed, and others have questioned whether it exists.Americans are most likely familiar with it from popular culture: It is central to the 1957 film “Three Faces of Eve” and to the 1973 blockbuster book “Sybil,” about a woman with 16 personalities. There is now a growing D.I.D. community on TikTok.In a 2011 book, “Sybil Exposed,” the writer Debbie Nathan reported that the personalities were pressured into existence by the therapist, who was invested in the idea of having a patient with the condition so she could speak about it at professional meetings. She cites a letter in which the real “Sybil” wrote that she was “essentially lying” — only to later recant.“In my view, it’s a metaphor rather than a true condition,” said Dr. Allen J. Frances, chairman emeritus of the Department of Psychiatry at Duke University School of Medicine. “It’s a way of expressing distress in people who have an internal conflict.”In 1994, while leading a task force that revised the Diagnostic and Statistical Manual of Mental Disorders — often called “psychiatry’s Bible” — Dr. Frances sought to eliminate “multiple personality disorder” from the manual. Instead, the task force changed the name. Dr. Frances said diagnoses often surge when the disorder turns up in popular culture.Dr. Appelbaum, who is also a past president of the American Psychiatric Association, said there was a consensus in the field that D.I.D. is “a real phenomenon, a real disorder.”Admissions of mental illness were once a barrier to a career in politics. In 1972, Thomas Eagleton was forced to drop off the Democratic presidential ticket as George McGovern’s running mate after disclosures that he had been hospitalized for depression and treated with electroshock therapy. But those stigmas are easing, and some mental health experts give Mr. Walker credit for raising awareness.As he campaigns, Mr. Walker has cast himself as a “champion for mental health,” and hits back at critics by saying they are perpetrating a stigma. At Friday night’s debate, he railed against “people like Senator Warnock that demonize mental health.” (Mr. Warnock has introduced a series of bills to expand mental health services.)Then, Mr. Walker turned to the camera, as if to deliver a public service announcement, and declared, “I want to tell everyone out there, you can get help.” More

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      Warning Signs of a Future Mass Killer

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      More from our inbox:The Republican Checklist After Another ShootingNew York Mayor’s Rejection of Covid MandatesVoters, Defend DemocracyEstonia’s Tough Voice Against Russian AggressionAbortion Funds Already ExistA crowd gathered Sunday outside Tops Market for a vigil the day after the shooting in Buffalo.Joshua Rashaad McFadden for The New York TimesTo the Editor:Re “Before Attack, Solitary Teen Caused Alarm” (front page, May 16):In the days after the mass shooting in Buffalo we have witnessed a heightened focus on the mental health of adolescents. A few months ago, after the Michigan school shooting, we heard a similar concern.In each case the youths, when confronted with their potentially homicidal “behaviors,” denied them. They offered explanations that were accepted by school authorities and mental health professionals.Having worked in an emergency room where individuals were brought by the police for “behavioral issues,” I needed after assessing each of them to decide whether they should be hospitalized or discharged. These assessments frequently occurred in the middle of the night. In all cases the individuals I assessed assured me that they were fine and would harm no one. Some I hospitalized and some I allowed to leave the emergency room.One morning when my rotation was completed, I was afraid to turn on my car radio for fear I would hear of a shooting by two young men I let leave. I did not.Mass shootings are not simply a mental health problem that mental health workers can fix. They are also societal problems fueled by the availability of guns and the ubiquity of prejudice.Sidney WeissmanChicagoThe writer is a clinical professor of psychiatry and behavioral science at Northwestern University Feinberg School of Medicine.To the Editor:Re “Others Joined Chat Room With Suspect Before Attack” (news article, May 18):I’m a 70-year-old tech dinosaur. I don’t understand what an algorithm is, but I do know that we have a significant problem if a racist openly discussed in chat rooms his plans to carry out an atrocity and no one did anything to stop it.Robert SalzmanNew YorkTo the Editor:Pages and pages about the recent tragic shooting in Buffalo. And in newspapers across the country, other incidents of gun violence involving young people as shooters. In schools, churches and places where people shop. The beat goes on, and the conversation remains the same. Hate. Gun control. Political bickering. And inaction.What’s missing in all too many of these gun tragedies are parent controls. Parents asleep at the wheel or parents being complicit or enabling seems to be a common thread. But not much discussion about that, by either journalists or political leaders. Maybe there should be.George PeternelArlington Heights, Ill.The Republican Checklist After Another ShootingTo the Editor:The Republican checklist after a mass shooting:Thoughts and prayers: Check.This is not the time: Check.Let’s not politicize: Check.Guns are not the problem: Check.Just enforce the laws we have: Check.More mental health care: Check.(Repeat.)Jon MerrittLos AngelesNew York Mayor’s Rejection of Covid MandatesSuzette Burgess, 79, of Morris Heights in the Bronx, gave out free masks on Thursday as part of her own personal campaign to fight the virus.Dave Sanders for The New York TimesTo the Editor:Re “Adams Resists New Mandates as Covid Rises” (front page, May 20):We just don’t get it. Every time we “open up” and remove protective measures, Covid soars. Over a million Americans have died from the virus, depriving their loved ones of their presence. And needless hospitalization costs more than prevention and taxes the health system, already enormously overwhelmed.As physicians, we aim to prevent disease. New York City’s mayor thinks that it is better to treat Covid (with expensive drugs that don’t always work and can cause serious side effects) than to take the necessary steps to avoid it. And it may be more than just the mayor’s “tickle in my throat” if you wind up in the I.C.U. or get long Covid.Yes, the economy is vital, but more disease makes fewer people able to shop or eat out or go to work. And we don’t yet know the long-term effects on the brain and body. So prevention is key, and we need to follow the advice of public health experts who should be in control of this, not politicians.It is not a burden to get vaccinated and boosted and wear a good-quality mask. It is a responsibility to our fellow citizens and ourselves. We used to care about each other. Taking these steps would help us finally emerge from this scourge.Stephen DanzigerBrooklynThe writer, a physician, is a member of the Covid-19 Task Force of the Medical Society of the County of Kings (Brooklyn).Voters, Defend Democracy Jason Andrew for The New York TimesTo the Editor:Re “In Primaries, G.O.P. Voters Reward a Lie” (news analysis, front page, May 19):In November, voters must decide to cast their ballots either for congressional candidates who view fidelity to the rule of law as sacrosanct or for those who consider the oath to “support and defend the Constitution” a hollow pledge. The outcome may determine whether or not our constitutional republic survives.John Adams pessimistically asserted: “Democracy never lasts long. It soon wastes, exhausts, and murders itself.” If, as Adams suggested, our form of government is on a path toward suicide, then we must look to the electorate for intervention.To prove Adams wrong, the electorate must once again rise to the occasion as it did in the 2020 presidential election when it ousted Donald Trump for undermining democratic governance.Jane LarkinTampa, Fla.Estonia’s Tough Voice Against Russian AggressionPrime Minister Kaja Kallas of Estonia in Brussels just after Russia invaded Ukraine in February.Pool photo by John ThysTo the Editor:Re “Estonian Leader Warns Against Deal With Putin” (news article, May 17):As an American living in Estonia, I have watched with great admiration Prime Minister Kaja Kallas’s leadership on all issues related to Russia’s invasion of Ukraine. She has been a firm and unyielding voice urging tough measures against Russian aggression.Estonia is a small country, but it punches well above its weight in terms of its commitment to NATO, its commitment to helping Ukraine, including taking in a huge number of refugees relative to its population, and its commitment to freedom and democracy.Ms. Kallas has advocated a 21st-century strategy of “smart containment,” appropriately building on the 20th-century Cold War “containment” policy first advocated by George F. Kennan. She has insisted on Western resolve to stop Russia before Vladimir Putin’s desire to re-form the Soviet Union through war is realized.The West should heed Ms. Kallas, especially her forceful argument that Russia must lose this war, and any result short of that is unacceptable. Tragically, if her policy of “smart containment” had been largely implemented before the Russian invasion, Mr. Putin would have never invaded.It’s not as if the war in Ukraine was a surprise — certainly not to those in the Baltics who through history and proximity know Russia well.Michael G. BrautigamTallinn, EstoniaAbortion Funds Already ExistTo the Editor:Re “An Abortion Fund” (letter, May 16):We appreciate Jack Funt’s interest in a national fund that would support people traveling for abortion after the Supreme Court’s decision in Dobbs v. Jackson. Mr. Funt will be delighted to learn that a network of more than 80 abortion funds already exists.Legal abortion has never meant accessible abortion. The cost of a first-trimester abortion averages $575, but can exceed $1,000. Three-quarters of abortion patients are low income. Even with Roe in effect, many Americans struggle to pay for their abortions and travel to clinics. Since before 1973, abortion funds have helped people access care that would otherwise have been out of reach.We encourage people to learn about and support the work already being done to ensure abortion access. Readers can find their local abortion fund by visiting the website of the National Network of Abortion Funds.Rhian LewisAriella MessingThe writers direct the Online Abortion Resource Squad, which connects people to high-quality information about abortion. More

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      Turn Empty N.Y.C. Hotels Into Permanent Housing for Homeless, Adams Says

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      Hotels in New York City that have been left empty by the pandemic would be converted into “supportive housing” that provides a wide range of assistance to people struggling with mental illness or substance abuse and to people leaving the prison system, under a plan proposed on Monday by Eric Adams, who is likely to be the city’s next mayor.More than 20 percent of the city’s hotels are now closed, a trade association says. At the same time, the city faces a homelessness crisis, growing sentiment against warehousing homeless people in barrackslike shelters and a lot of severely mentally ill people living in the streets.“The combination of Covid-19, the economic downturn and the problems we’re having with housing is presenting us with a once-in-a-lifetime opportunity,” Mr. Adams, who won the Democratic primary for mayor in June, said as he stood outside a boarded-up hotel in Sunset Park, Brooklyn. “Use these hotels not to be an eyesore, but a place where people can lay their eyes on good, affordable, quality housing.”Details of the plan were thin. Mr. Adams mentioned the possibility of 25,000 converted hotel rooms, but he said that he would focus on boroughs outside Manhattan, where the number of rooms in closed hotels is much smaller than that.He was not clear about whether there was any overlap between his plan and those that the current mayor, Bill de Blasio, and the former governor of New York, Andrew M. Cuomo, have already launched to build 25,000 supportive housing units in the city by about 2030. A spokesman for Mr. Adams’s campaign said that Mr. Adams was also considering converting rooms in former hotels that have already become homeless shelters into permanent supportive-housing apartments, something that Mr. de Blasio has also discussed.The nexus of hotels and homelessness has been a contested one during the pandemic. Early in the lockdown imposed to stem the spread of the coronavirus, thousands of people who had been living in dorm-style shelters were moved to hotel rooms, mostly in Manhattan where their presence led to complaints from some residents about harassment and sometimes violence. The city has since moved most of those people back to group shelters.Several advocates for homeless people and for supportive housing endorsed Mr. Adams’s plan and stood with him at the news conference. “Adams can be the mayor who uses this inflection moment to change the trajectory on homelessness,” Laura Mascuch, executive director of the Supportive Housing Network of New York, said in an interview. “We look forward to working with Adams to implement the strongest supportive housing program in the nation.” More

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      How the Candidates for N.Y.C. Mayor Would Tackle Homelessness

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      In the Democratic primary’s last days, and with New York’s economy starting to regain its footing, a chronic problem gains new urgency.Random slashings on the subways. Groups of men clustered outside Midtown Manhattan hotels serving as homeless shelters. Anti-Asian attacks on the streets.In the closing days of New York’s Democratic primary for mayor, the city’s chronic struggle with homelessness has taken on increasing urgency. As the city moves to reopen for business and tourism, public concern — and the candidates’ attention — has focused on a small number of people who are mentally ill and potentially violent.The issue is complicated. Homeless people are not involved in every unsettling incident, and they also have been targeted in vicious killings and other attacks. Their advocates warn against demonizing a large group of people who are struggling just to survive. Most of the 48,000 people in the main shelter system are families with children, not single men.Before the pandemic hit, the shelter population had increased since Mayor Bill de Blasio took office, even as he doubled spending on homeless services to more than $3 billion. The number of families in shelters has dropped sharply since early last year, largely because of an eviction moratorium that has been extended through August. If it expires then, hundreds of thousands of tenants who collectively owe over $1 billion in back rent could lose their homes.Now, a spate of attacks on the streets and in the subway, combined with an increase in gun violence, have fed a perception in many quarters that the city is in danger of sliding into chaos. The candidates seem to be split, seeing the issue through two different lenses: the plight of people with an illness that can last their whole lives, and the safety and quality of life of everyone else.At the final debate on Wednesday, Andrew Yang, the former presidential candidate, left no doubt where he stood.“Yes, mentally ill people have rights,” the Democratic candidate Andrew Yang said at a mayoral debate this week. “But you know who else have rights? We do.” Andrew Seng for The New York Times“Mentally ill homeless men are changing the character of our neighborhoods,” Mr. Yang said. “We need to get them off of our streets and subways and into a better environment.” Later, he added: “Yes, mentally ill people have rights. But you know who else have rights? We do: the people and families of the city. We have the right to walk the street and not fear for our safety.”Candidates with more progressive agendas took a softer stance. Scott M. Stringer, the city comptroller, described his plan to build 30,000 units of so-called supportive housing, where people with mental illness would get a range of services. Maya Wiley, a former counsel to Mr. de Blasio, lamented that the Rikers Island jail complex had effectively become the city’s biggest psychiatric facility.Unlike some of Democratic rivals, Maya Wiley does not favor assigning more police officers to the subway system.Jonah Markowitz for The New York TimesThe causes of the apparent increase in the number of homeless people on the streets and in the subway of pandemic-era New York are many.When the lockdown hit last year, the city moved thousands of people from barrackslike group shelters across the city into unused hotels — many of them in densely populated middle-class and wealthy Manhattan neighborhoods — to stop the spread of Covid-19. Many people living under precarious conditions lost their jobs and, thus, their homes. With workers doing their jobs remotely, far fewer people were in the main business districts, leaving those who live on the streets to stand out. Some hospitals used inpatient psychiatric beds for Covid patients. Many libraries and other places where homeless people typically spend their days closed.The city is accelerating its efforts to move homeless people off the Manhattan streets. On Wednesday, Mr. de Blasio said that 8,000 people would be moved from 60 hotels back to group, or congregate, shelters by the end of July. Starting next week, the police will begin sweeps along 125th Street in Harlem to clear it of homeless people and those using drugs, according to a senior city official who spoke on the condition of anonymity because the plan has not been publicly announced. A spokeswoman for the mayor said the effort was focused on “helping people with substance abuse issues access harm-reduction resources” and that offer would be on hand to “assist as needed.”The leading Democratic candidates have proposed many plans to address the homelessness problem. Here are some of them. More details can be found in voter guides produced by RxHome and the Family Homelessness Coalition and City Limits.Reduce or end reliance on congregate shelters.Kathryn Garcia, a former sanitation commissioner who calls shelters “a band-aid solution to a long-term problem,” says she would cut the shelter population in half. Shaun Donovan, a former city housing commissioner under Mayor Michael R. Bloomberg, said he would end the use of congregate shelters entirely in his first term. (Mr. Donovan’s tenure was the only time during Mr. Bloomberg administration that homelessness fell). Ms. Wiley cites “real concern” that people who stayed in hotels during the pandemic “will be unwilling to come to shelter if we shift back to congregate settings.”Build more “deeply affordable” housing — a lot more.All of the candidates say they will do this. Mr. Stringer says that Mr. de Blasio, despite highlighting his record on creating affordable housing, “has built more housing for people who make over $150,000 a year than for people who make $40,000 or $30,000.” He says he would require most new residential buildings financed with city subsidies to house people with very low incomes.Expand the use of shelters that offer more privacy and have fewer rules.So-called safe haven and stabilization shelters offer single-occupancy rooms and fewer rules and restrictions as to who qualifies for them than group shelters do. Many of the candidates want to build more of such shelters, including Raymond J. McGuire, a former Wall Street executive, and Mr. Yang, who said, “It’s a sign of the city’s broken politics when the choice is either temporary hotels or overcrowded shelters.”.css-1xzcza9{list-style-type:disc;padding-inline-start:1em;}.css-3btd0c{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:1rem;line-height:1.375rem;color:#333;margin-bottom:0.78125rem;}@media (min-width:740px){.css-3btd0c{font-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;}}.css-3btd0c strong{font-weight:600;}.css-3btd0c em{font-style:italic;}.css-w739ur{margin:0 auto 5px;font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:1.125rem;line-height:1.3125rem;color:#121212;}#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-family:nyt-cheltenham,georgia,’times new roman’,times,serif;font-weight:700;font-size:1.375rem;line-height:1.625rem;}@media (min-width:740px){#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-size:1.6875rem;line-height:1.875rem;}}@media (min-width:740px){.css-w739ur{font-size:1.25rem;line-height:1.4375rem;}}.css-9s9ecg{margin-bottom:15px;}.css-uf1ume{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-webkit-justify-content:space-between;-ms-flex-pack:justify;justify-content:space-between;}.css-wxi1cx{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;-webkit-align-self:flex-end;-ms-flex-item-align:end;align-self:flex-end;}.css-12vbvwq{background-color:white;border:1px solid #e2e2e2;width:calc(100% – 40px);max-width:600px;margin:1.5rem auto 1.9rem;padding:15px;box-sizing:border-box;}@media (min-width:740px){.css-12vbvwq{padding:20px;width:100%;}}.css-12vbvwq:focus{outline:1px solid #e2e2e2;}#NYT_BELOW_MAIN_CONTENT_REGION .css-12vbvwq{border:none;padding:10px 0 0;border-top:2px solid #121212;}.css-12vbvwq[data-truncated] .css-rdoyk0{-webkit-transform:rotate(0deg);-ms-transform:rotate(0deg);transform:rotate(0deg);}.css-12vbvwq[data-truncated] .css-eb027h{max-height:300px;overflow:hidden;-webkit-transition:none;transition:none;}.css-12vbvwq[data-truncated] .css-5gimkt:after{content:’See more’;}.css-12vbvwq[data-truncated] .css-6mllg9{opacity:1;}.css-qjk116{margin:0 auto;overflow:hidden;}.css-qjk116 strong{font-weight:700;}.css-qjk116 em{font-style:italic;}.css-qjk116 a{color:#326891;-webkit-text-decoration:underline;text-decoration:underline;text-underline-offset:1px;-webkit-text-decoration-thickness:1px;text-decoration-thickness:1px;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:visited{color:#326891;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:hover{-webkit-text-decoration:none;text-decoration:none;}Get more people into psychiatric treatment.Mr. McGuire, Mr. Yang and Ms. Garcia all say they would press for wider use of Kendra’s Law, which allows courts to require treatment for people with mentally illness.Add psychiatric beds.Mr. Yang said that the number of psychiatric beds in city hospitals had decreased 14 percent and that he would double the current number, although he did not say how he would pay for it. Eric Adams, the Brooklyn borough president, and Mr. Yang both favor adding psychiatric “respite beds” for people with mental illness who are not deemed sick enough to be admitted to a hospital but are too sick to return to a shelter or to the streets.Focus more on providing mental health services to people in the streets and less on arresting people.“We cannot continue criminalizing being Black and brown, criminalizing mental illness, criminalizing having substance abuse issues,” Dianne Morales, a former nonprofit executive, said at the debate. “That is not the answer for creating a safe city.” Ms. Garcia supports sending “crisis teams” into the subway that include mental-health professionals “who will make a determination and get people the treatment that they need.” Ms. Wiley says Mr. de Blasio’s approach, which she called overpolicing, “never tried to solve homelessness and merely led to displacement, for example, moving those experiencing homelessness from the subways to the streets.”Close the prison-to-shelter pipeline.Mr. Donovan notes that more than half of the people released from state prisons to New York City go directly to homeless shelters, a cycle he pledged to break by providing housing vouchers to people leaving jail.Increase pressure on shelter operators to find permanent housing for clients.Mr. McGuire says he would shorten shelter stays by holding operators responsible for moving people into permanent housing and by “shifting contracts and investment to the most successful operators.”Build more domestic violence shelters.Mr. Yang has noted that domestic violence is one of the main reasons that families seek shelter and that only 23 percent of domestic-violence victims in shelters are in ones that are designed for them. He says he would build more of those.More police in the subway.Mr. Adams, a former transit police officer, says, “We should have a police officer on every train.” Ms. Garcia wants officers “walking the platforms and riding the actual trains, not just standing around.” Mr. Yang, Mr. McGuire and Mr. Donovan also want more police in the subway. Ms. Morales, Mr. Stringer and Ms. Wiley do not.Help tenants and landlords alike in order to prevent evictions.Mr. Donovan favors a “holistic approach” that would “provide direct rent payments for hard-hit tenants” and “offer stabilizing funds to landlords” who agree not to evict.Joseph Goldstein contributed reporting. More

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      Yang Draws Fire Over Debate Comments on Mental Illness

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      The Democratic candidates for New York mayor clashed at Wednesday night’s debate over how to help those who showed signs of untreated mental illness on city streets.Andrew Yang said it was crucial to get people with untreated mental illness off the streets, citing a series of attacks against Asian New Yorkers, many of which were committed by mentally ill people. He said the city should be able to identify people who need help — like people who are violent or unconscious — and get them medication, even in some cases where they don’t ask for help.“Yes, mentally ill people have rights, but you know who else have rights? We do: the people and families of the city,” Mr. Yang said. “We have the right to walk the street and not fear for our safety because a mentally ill person is going to lash out at us.”With the comments, Mr. Yang doubled down on remarks he had made earlier in the evening, when he was asked about people experiencing homelessness.“Mentally ill homeless men are changing the character of our neighborhoods,” he said, adding that families were leaving New York City because of their presence on the streets.“We’re talking about the hundreds of mentally ill people we see around us every day on the streets and the subways,” he said. “We need to get them off of our streets and our subways into a better environment.”Together, the comments reflected the aggressive rhetoric Mr. Yang has been using in recent days when talking about social issues and crime. His comments drew fire on social media from people who said they lacked empathy or understanding, and stigmatized people with mental illness. Many pointed out research that shows people with mental serious mental illness are far more likely to be victims of violent crime — not perpetrators.In a tweet on Thursday night, Mr. Yang responded to some of the criticism, saying he has “been an advocate for mental health and will continue” and that he had received counseling as a young person..css-1xzcza9{list-style-type:disc;padding-inline-start:1em;}.css-3btd0c{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:1rem;line-height:1.375rem;color:#333;margin-bottom:0.78125rem;}@media (min-width:740px){.css-3btd0c{font-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;}}.css-3btd0c strong{font-weight:600;}.css-3btd0c em{font-style:italic;}.css-w739ur{margin:0 auto 5px;font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:1.125rem;line-height:1.3125rem;color:#121212;}#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-family:nyt-cheltenham,georgia,’times new roman’,times,serif;font-weight:700;font-size:1.375rem;line-height:1.625rem;}@media (min-width:740px){#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-size:1.6875rem;line-height:1.875rem;}}@media (min-width:740px){.css-w739ur{font-size:1.25rem;line-height:1.4375rem;}}.css-9s9ecg{margin-bottom:15px;}.css-uf1ume{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-webkit-justify-content:space-between;-ms-flex-pack:justify;justify-content:space-between;}.css-wxi1cx{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;-webkit-align-self:flex-end;-ms-flex-item-align:end;align-self:flex-end;}.css-12vbvwq{background-color:white;border:1px solid #e2e2e2;width:calc(100% – 40px);max-width:600px;margin:1.5rem auto 1.9rem;padding:15px;box-sizing:border-box;}@media (min-width:740px){.css-12vbvwq{padding:20px;width:100%;}}.css-12vbvwq:focus{outline:1px solid #e2e2e2;}#NYT_BELOW_MAIN_CONTENT_REGION .css-12vbvwq{border:none;padding:10px 0 0;border-top:2px solid #121212;}.css-12vbvwq[data-truncated] .css-rdoyk0{-webkit-transform:rotate(0deg);-ms-transform:rotate(0deg);transform:rotate(0deg);}.css-12vbvwq[data-truncated] .css-eb027h{max-height:300px;overflow:hidden;-webkit-transition:none;transition:none;}.css-12vbvwq[data-truncated] .css-5gimkt:after{content:’See more’;}.css-12vbvwq[data-truncated] .css-6mllg9{opacity:1;}.css-qjk116{margin:0 auto;overflow:hidden;}.css-qjk116 strong{font-weight:700;}.css-qjk116 em{font-style:italic;}.css-qjk116 a{color:#326891;-webkit-text-decoration:underline;text-decoration:underline;text-underline-offset:1px;-webkit-text-decoration-thickness:1px;text-decoration-thickness:1px;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:visited{color:#326891;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:hover{-webkit-text-decoration:none;text-decoration:none;}“Full context here was mental illness is behind half of anti-Asian hate crimes,” he said. “We need to get them compassionate comprehensive care — and not let them languish on our streets.”His rhetoric also contrasted with the other candidates who emphasized reform of the way the city addresses mental health.Ray McGuire said he would make more use of Kendra’s law, which allows courts to compel those arrested to undergo psychiatric treatment when they are believed to be dangerous.Scott Stringer noted that a large percentage of 911 calls are not for crimes in progress but to report people with mental health issues. Last year, the police responded to 154,045 calls involving people deemed emotionally disturbed. Mr. Stringer recommended the city adopt a system used in Eugene, Ore., where mental health professionals respond to emergency calls.Dianne Morales made the issue personal. “Everyone on this stage has someone in their lives who has a mental health problem, if not themselves,” she said, adding that her daughter had “had mental health needs for years.” She said that despite being “someone who’s connected,” she had struggled to get her daughter appropriate care.Ms. Morales said the city needed to create “integrated community health clinics” where people could get access a “continuum of care ranging from peer counseling to much more intensive treatment.”Joseph Goldstein contributed reporting. More

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      N.Y.C. Mayoral Candidates Debate Homelessness and Mental Illness

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      The city’s chronic homelessness has taken on greater urgency over the course of the campaign this spring, as New York has seen an apparent rash of random assaults, often carried out by people who appeared to be homeless, mentally ill, or both.The candidates clashed Wednesday night over whether this was more of a problem for those who are afflicted with mental illness and homelessness, or for everyone else.Andrew Yang said the solution was simple. “We need to get them off of our streets and our subways into a better environment,” he said of mentally ill people on the streets and subways. “There will be no recovery until we resolve this.” He promised to double the inventory of inpatient psychiatric beds in the city, a nod to the fact that many hospitals have gotten rid of psychiatric beds to build Covid-19 units.Scott Stringer, who had spoken of the need to build tens of thousands of units of “truly affordable housing,” went on the attack. “That is the greatest non-answer I’ve ever heard in all of our debates,” he barked at Mr. Yang. “Not one specific idea.” He defied Mr. Yang to tell him how much his plan would cost. The exchange came hours after Mayor Bill de Blasio announced plans to move 8,000 homeless people from the hotel rooms they were moved into during the pandemic back to barrackslike congregate shelters by the end of July, to make way for tourists. Many of the hotels are in Manhattan neighborhoods where long-term residents have complained that the hotel guests use drugs and create other nuisances.Other candidates shied away from Mr. Yang’s harsh rhetoric. Maya Wiley mentioned the struggles of a formerly homeless man who goes by the name Shams DaBaron and emerged as a spokesman for the residents of one of the hotels, The Lucerne. “When the response was to send more police into the subways where he was riding because the congregate shelters were so dangerous, he asked for help, and what he got was handcuffed and taken to jail,” Ms. Wiley said, adding that outreach to try to get people to accept placement in shelters needed to be done by “the right people,” rather than the police. More

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      Can Biden Save Americans Like My Old Pal Mike?

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      Mike Stepp in McMinnville, Ore., in 2018.Credit…Lynsey AddarioSkip to contentSkip to site indexOpinionCan Biden Save Americans Like My Old Pal Mike?A childhood friend’s deadly mistakes prompt reflection on our country’s — and my own.Mike Stepp in McMinnville, Ore., in 2018.Credit…Lynsey AddarioSupported byContinue reading the main storyOpinion ColumnistFeb. 13, 2021, 2:30 p.m. ET More