I wasn’t referring to this case specifically but responding to the Smoked Meat BBQ Pitmaster Grilling shirt that we don’t currently have the ability to detain “obviously crazy people.” But, regardless, harm to self is not the only basis for commitment. She seems to clearly pose a danger to others. And criminal arrests can also ultimately lead to commitment if the person is guilty except for insanity. The civil commitment laws are also not that much of an impediment. It would be difficult if not impossible to broaden them without violating the Constitution.
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Someone can be on a 72hour hold for it to drop, so they do not make a decision to leave upon admission to the Smoked Meat BBQ Pitmaster Grilling shirt when they lack ability to make a safe and sound decision for themselves. This is pretty common in general hospital and psychiatric hospital settings. Most of the times leading to an actual hearing takes many many scary incidents, and enough history. Civil commitment due to mental health reasons is difficult to make happen. Source: I work in the system.