Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Tuesday, July 19, 2022

The Goose and the Gander of the Bruen Prohibition on "Balancing"

Eugene Volokh flags a case out of California involving a man allegedly prohibited from carrying a firearm due to a mental health hospitalization that occurred twenty years ago, when the man was in middle school. Federal law generally prohibits an individual "who has been committed to a mental institution" from owning, possessing, using, or purchasing a firearm or ammunition. The man, who later enlisted in the Marines and worked in law enforcement, has not had any other mental health issues since that single incident.

The court in this case ended up ducking the major constitutional issue for technical reasons we don't need to go into, but suggested that the relevant section of federal law was probably still constitutional after Bruen because several justices in that case specifically identified bans on mentally ill persons carrying firearms as among the sort of historical restrictions that had been permitted at the time of the framing. Prof. Volokh, by contrast, thinks the law should be unconstitutional insofar as it does not require any showing that the prohibited individual is presently mentally ill. The facts of this case, in particular, suggest a person for whom the law as written sweeps too broadly.

I make no judgment on whether federal law should, as a matter of policy, create such a carve-out for persons who seem to no longer be mentally ill. However, it does seem to me that this sort of analysis represents exactly the sort of "balancing" of interests that Bruen quite categorically forbade courts from engaging in. From Bruen's perspective, the sole question a court should consider is whether or not this sort of firearms restriction -- in this case, restrictions blocking the mentally ill from possessing firearms -- was historically present at the time of the framing. If the answer is no, then the restrictions are unconstitutional no matter how good a reason we might think exists for imposing such a restriction. But the flipside has to be true too: if the answer is yes, then the restrictions are constitutional no matter how unfair or untailored we might think they might be as applied to a given individual. And since the Court has already seemingly conceded that restricting the mentally ill from possession of firearms is one of the restrictions historically permitted, that should end the discussion.

The counterargument, alluded to be Volokh, is that the relevant basis for historical comparison is not the existence of "laws prohibiting the mentally ill from possessing firearms", but rather "laws prohibiting persons who once had a mental health crisis but have not had any symptoms for decades from possessing firearms." At one level, this is a familiar problem of abstractness versus specificity, one which offers courts yet more discretion to approve or disapprove of firearms regulations that they like or dislike. As I said in my last Bruen post, the application of Bruen by the judiciary will not ultimately be controlled by lawyerly parsing of the constitutional or precedential text; it will be a matter of personal judicial preference -- and the specificity problem identified here is just another opportunity for judges to disguise their policy preferences under the cloak of a legal rule. 

But if we make-believe that the putative legal rule will matter--well, Bruen promised that the relevant requirement for a historical analogue was not a "twin". And there are good reasons for that, which go beyond allowing for some amount of adjustment for societal developments as centuries pass. Requiring that state or congressional gun restrictions map on precisely to policy initiatives passed in the 19th century significantly limits the legislature's policymaking authority even in a domain where the Court agrees the legislature has the right to impose restrictions. It is facile to say that restrictions on firearms possession by the mentally ill is permitted, but Congress must only implement those restrictions via the precise programmatic means used in the 1800s. The constitution doesn't typically encode specific policy demands, it encodes general rules and standards that broadly define the parameters through which the democratic branches are allowed to fill in the details.

Given that, it seems to me that as far as Bruen is concerned, the germane constitutional question is whether the restriction in question is of the class of restrictions that had been historically been permitted. Once we answer that question in the affirmative, then Congress or the states should be given considerable leeway in figuring out how it wants to instantiate that restriction -- that inquiry being primarily a policy question which courts should be reluctant to intrude upon. Certainly, Congress cannot simply declare anything to be a "mental illness" restriction, anymore than New York in Bruen was allowed to declare the entire city of New York a "sensitive place". But it's equally clear that restricting persons who had a serious mental health episode from owning firearms is much more clearly under the umbrella of "restrictions on the mentally ill". The opposition to that rule is not really that it falls outside the category, it's that as applied here something like a "one strike rule" feels overbroad and unfair.

And maybe it is -- that rule may be too harsh. But again Bruen says it is not the judiciary's business to weigh competing interests. Mental health restrictions are historically permitted, this is Congress implementing such a restriction -- end of discussion. What is good for the goose is good for gander. That is, unless Bruen actually means what many of us suspect it to mean -- not an actual rule that constrains judicial partisanship, but a thin cloak for imposing pro-gun outcomes, text of the alleged legal rule be damned. We'll see. I'm not optimistic.

Tuesday, March 27, 2018

Eighth Circuit: Go Ahead and Taze Him, Bro -- He's Mentally Ill

Today from the Eighth Circuit: "[N]o reasonable officer" would have concluded that tasering an unarmed, passive paranoid schizophrenic unsuspected of any criminal activity five times after a different police officer broke his arm because just sitting there "could have [been] interpreted" by the officer "as resistance" constitutes "excessive force."

As is always in cases like these, if this strikes you as obviously ludicrous, you really need to read up on your qualified immunity jurisprudence.

Incidentally, as the gun control debate shift in focus -- as it always tends to do -- towards "mental illness", it's worth reflecting on cases like this. The victim in this case probably did need mental health services -- his father wanted him to get evaluated after he stopped taking his medicine and began behaving erratically. His father almost certainly did not want his son to have his arm broken and be shocked into submission. But now that he's learned that's what happens when you try to get your son mental health services, he's presumably going to be far less likely to call in the future. Imagine that: Imagine that every time you had a medical emergency part of the calculus before calling 911 is asking "will the EMTs beat me up?" It isn't exactly a recipe for the ideal distribution of health care service.

The man in this case wasn't violent, but our cultural discourse increasingly is treating him like an inherent threat -- which means police officers (and all of us -- but officers are the ones empowered to use physical violence) will be more inclined to treat him as a threat, which means he's more vulnerable to having violence visited upon him when what he needed was medical assistance.

Police officers are often not trained to be front-line responders in cases like this. When we treat mental illness as a subcategory of crime control, though, this is a predictable result. I think we can have a conversation about the toxic interaction of mental illness and easily accessible firearms while recognizing that the stigmatization of those suffering from mental illness doesn't just obscure who's actually more at risk from whom; it in many ways produces these risks. And the result is that mentally ill individuals and their families -- when seeking the assistance they need to be healthy -- have to make a terrible risk calculation before they make the call.

Wednesday, February 03, 2010

Quick Eats Roundup

The law school threw a dinner party downtown for us 2Ls, to celebrate us reaching the midway (if you know Hyde Park, you'll laugh at the pun) of our law school career. The dinner felt rushed though: arrive, 10 minutes later seated and eating, courses come out rapid fire, speech by Professor Masur, buses arrive, we go home. It was impressive.

* * *

The bullet-proof tailor of Bogota. This is really, really cool. Involves a reporter getting shot in the gut.

Egyptian journalist union punishes two members for contacts with Israel. One of the writers is "editor in chief of the state-run weekly Democratiya, or Democracy", the title of which I find unbelievably ironic.

Anti-Semitic acts soared in France last year.

Radical rabbi blames gays for natural disasters, warns against eliminating DADT. For the record, Israel has let gays and lesbians serve openly for over 25 years (and it's still kicking!).

Appeals court reverses trial court decision which had thrown out genocide charges against Sudanese President Bashir; Kevin Jon Heller defends the reversal against critics.

Sen. Blanche Lincoln (D-AR) wants it all ways: the joy of controlling the legislative agenda, and the joy of attacking mythical "liberal extremists" for controlling the legislative agenda.

Justice Department issues a recruitment call for mentally retarded lawyers. Sarah Palin is presumably thrilled.

Sunday, November 15, 2009

God and Country

From a piece about the failure to treat veterans for combat-related PTSD and other psychological disorders:
[Paul] Sullivan was working as an analyst at the Veterans Benefits Administration in Washington in early 2005 when he was called to a meeting with a top political appointee at the VA, Deputy Assistant Secretary for Policy Michael McLendon. McLendon, an intensely focused man in a neatly pressed suit, kept a Bible on his desk at the office. Sullivan explained to McLendon and the other attendees that the rise in benefits claims the VA was noticing was caused partly by Iraq and Afghanistan veterans who were suffering from PTSD. “That’s too many,” McLendon said, then hit his hand on the table. “They are too young” to be filing claims, and they are doing it “too soon.” He hit the table again. The claims, he said, are “costing us too much money,” and if the veterans “believed in God and country . . . they would not come home with PTSD.” At that point, he slammed his palm against the table a final time, making a loud smack. Everyone in the room fell silent.

Mr. McLendon now denies saying those words, but continues to assert that PTSD is "a made-up term" which "is not a diagnosis based on empirical evidence, but rather . . . it is an artificial construct erected by a vote of selected psychiatrists."

It's amazing to see how the profoundly anti-scientific bent of the Bush administration destroyed so many policies, and in this case, betrayed the trust of our nation's soldiers. I continue to be utterly awe-struck by the audacity of it.

Thursday, July 09, 2009

Williams Retires

Sad news, as the Chief Judge of the 4th Circuit Court of Appeals, Karen Williams, is retiring due to a diagnosis of early onset Alzheimer's. Judge Williams, appointed to the bench by George H.W. Bush in 1992, is only 57 years old.

Alzheimer's is a very scary disease, and there is no known cure, so the best we can hope for is that Judge Williams' symptoms are kept in check for many years to come.

Friday, January 02, 2009

Who Knew?

One of the more appalling anti-gay memes put out by "pro-family" (gag) groups is the idea that homosexuality causes mental health problems. Of course, many of these groups refuse to accept that being gay isn't itself a mental illness. And they try and buttress this point by noting that gay teenagers have a significantly higher risk of, among other things, drug addiction and suicide.

Now, those of us with pulses could guess that an alternative hypothesis might explain this correlation: teenagers whom society says it is okay to hate are probably more likely to be depressed or suicidal. You treat people like second-class citizens, subject them to daily harassment, make their very name a synonym for something stupid or worthy of scorn, and, yeah, that's going to play tricks with a kid's head.

And lo and behold if a new study in the journal Pediatrics found that suicidal tendencies in gay, lesbian, and bisexual teenagers and young adults are strongly correlated to high levels of rejection by family members. Tolerance, it shockingly appears, is the best antidote to the mental health problems associated with being young and gay:
"A little bit of change in rejecting behavior, being a little bit more accepting," says lead researcher Caitlin Ryan, "can make a significant difference in the child's health and mental health."

Of course, the obvious corollary appears as well. The message groups like the FRC put out daily is a message that kills young men and women. I merely emphasize that to explain the searing antipathy I feel towards groups like this. They wield "morality" as a weapon, and they don't seem to care how many bodies they leave behind. It's sickening.

Via AAB