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Culture War Roundup for the week of January 20, 2025

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After the expulsion for violence isn't some compulsory mental health follow-up and involuntary admission appropriate?

I know this can be challenging in the US since the 60's and 70's for civil liberties reasons but if this is the alternative I'm unconvinced.

It seems like every mass shooter in the US was giving warning signs ahead of time- how many of them get caught and prevented? This is clearly harder than you're making it seem.

In this particular incident he goes from homicidal ideation at 13 to a narrowly averted attack at his prior school and the successful attack at the dance school at 17.

In between there was an expulsion from school for violence and admitting carrying a knife to school to 'Use it', an out of school attack on a student with a hockey stick on which he'd written his intended victims names. This attack sees him barred from from his new school's campus and he receives instruction online, with home visits from tutors sometimes with the police. There's a gap between the expulsion and new school due to an alleged incident at his home.

The reporting on his choice of reading materials is just noise. His behavior should be the focus, if he's murderous for Al Queda or Islamic reasons or murderous nutjob reasons.

What is the argument for not having residential / custodial schools for 'juvenile delinquents' or sending kids like this to them?

How long have the state schools (closed residential / custodial schools) been closed? This fact pattern or less in many circumstances would have seen you sent to one.

I'm not immediately aware of mass shooters in the US with as much prior contact with law enforcement and various programs and referrals, though they plausibly exist.

In this instance and I suspect many others a more custodial environment would have produced a better outcome.

My mother was sent to a state residential / custodial school for girls in the 60's for much less.

The thing it's easy to miss when you read about eye-popping crimes in the news every few days is they're still very rare. Disaffected youth who've been expelled, people who've posted online that they kind of want to shoot up school/congress/whatever else, outnumber people who'll actually do that by like a thousand to one (I don't have a legible source for this, but I think it's intuitive). This isn't like shoplifting or selling drugs, where most of the crimes are committed by people who commit many crimes, and 'round them all up' is an effective approach - to actually prevent random incidents like this, you'd have to involuntarily commit a lot of people. And I don't think the tradeoff is worth it, especially since dying from terrorism-ish homicide or school shooting is much rarer than "normal" homicide, or getting hit by a car, or the many other reasons people die.

His behavior from 13 - 17 is the concern, not internet posting or reading material.

They occasionally do this, but psychiatrists don't like it because they see it as schools pawning off their disciplinary problems on doctors rather than solving them themselves. I can't find it, but the local news did a story a few years back after one of the school shootings about how some local districts had adopted zero tolerance policies and were sending any kids who exhibited violent tendencies to Western Psych at the drop of a hat. The doctors they interviewed basically said that the ED is there for people who have acute mental health crises and not kids who got into fights. So what was happening was the kids were waiting for hours at the bottom of the triage list and when the doctor concluded they didn't meet the criteria for admission they were sent home. But the school got to say they referred him to psych immediately and didn't take any chances.

The upshot of what the one doctor was saying was that long-term behavior problems are the kind of thing that needs to be dealt with over the course of months or even years, and that psychiatric hospitals aren't equipped for that. He said that if the schools were concerned they needed to hire their own mental health staff that could work with students and parents to resolve the problems. I can tell you right now that this isn't going to happen because the incentives are aligned against it. If a school hires its own counselors and starts its own program for troubled youth then it's going to cost a lot of money and if one of those kids ends up doing something terrible the program is going to be put under a microscope and probably won't come out looking good. If they say "we sent him to Western Psych after we saw the red flags" then their insurance will pay for it and Western Psych can explain to the media why the treatment didn't work.

Realistically, though, the doctors were right: Not all problems are mental health problems. If a guy keeps getting into fistfights at bars that don't cause any serious injury we don't send him to the nuthouse. It's a criminal matter. And realistically we don't even do that much in a situation like that; while misdemeanor battery has around a five year max in most jurisdictions, first offense you can likely plead down to disorderly conduct. After that you'll get a combination of fines, probation, and suspended jail sentences until you either get into a fight while on probation or the judge looks at the rap sheet and simply loses patience. The most you might get in the way of treatment is court-ordered anger management classes (I know three people who have completed these and they all say it works). I've never heard of anyone going to Western over a barfight unless there are obvious extenuating circumstances.

What I'm looking for is more a custodial / residential school or reform school.