Connect with us

New York

Will New York Force More Mentally Ill People Into Treatment?

Published

on

Will New York Force More Mentally Ill People Into Treatment?

It is a nightmare that plays out on the streets and subways every few months: A homeless person with a history of mental illness or violence falls through the cracks or wanders away from the system intended to help him, surfaces in a psychotic rage and attacks a random New Yorker.

Though they make up a tiny fraction of crimes, the unpredictable attacks feed perceptions that the city is unsafe and stir demands for action. Politicians send police officers and National Guard members into the subways and pour money into outreach efforts and housing.

And as long-running arguments persist over how to balance public safety and the civil rights of mentally ill people, another outburst inevitably happens.

The debate resurfaced last month when Gov. Kathy Hochul proposed a package of laws to make it easier to take people in psychiatric crisis to a hospital involuntarily, easier to hold them there and harder for hospitals to push them back to the street before they fully stabilize.

But Ms. Hochul’s efforts, unveiled in her latest executive budget, face an uphill battle in the Legislature and opposition from progressives and civil liberties groups.

Advertisement

“Critics will say this criminalizes poverty or homelessness,” Ms. Hochul said last month. “I say that is flat-out wrong.”

She added, “This is about having the humanity and the compassion to help people incapable of helping themselves, fellow human beings who are suffering from mental illness that is literally putting their lives and the lives of others in danger.”

In proposing the changes — most of them longstanding requests from Mayor Eric Adams — Ms. Hochul joined a long line of leaders who have struggled to help people in psychosis on the streets and subways.

But even if all her changes were enacted, some supporters question how much impact they would have.

“We have to deal with the mental health crisis,” Carl E. Heastie, the Assembly speaker, said last month. “But this is another one where I always say to you: The hell is in the details.”

Advertisement

Ms. Hochul’s proposals include these changes to the state’s Mental Hygiene Law:

  • Clarifying the threshold: Allow authorities to take someone involuntarily to a hospital for evaluation when mental illness leaves them so incapable of providing for “essential needs” like shelter, food or clothing that it causes a substantial risk of physical harm. Current law is less specific, though it allows involuntary transport to a hospital when someone’s conduct endangers themselves or others.

  • Holistic decision-making: Require hospitals to consider psychiatric patients’ whole history, rather than just how they are behaving in the moment, when deciding whether to admit them against their will and whether to discharge them.

  • Hospital admissions: At hospitals, give psychiatric nurse practitioners the power to admit patients involuntarily if a physician concurs. This would address a shortage of psychiatrists, though it only applies to 60-day admissions, which are longer than most.

  • Mandated outpatient treatment: Make it easier to renew expired “Kendra’s Law” court orders, which require some psychiatric patients to get outpatient treatment after they have been discharged, including taking medication. Often, after an order expires, the person stops taking medication and their mental health declines.

  • Improved coordination: Require hospitals to consult and coordinate with a psychiatric patient’s care providers in the community when the person is admitted or discharged, to keep track of patients after they leave the hospital.

The legislators running the committees with oversight of these issues have expressed deep skepticism about Ms. Hochul’s proposals. They have questioned the need for the changes and said they would force homeless people off the streets without giving them enough services. And they worry that not enough is being invested in street-level mental health workers.

State Senator Samra Brouk, chairwoman of the Mental Health Committee, acknowledged that the state’s “current crisis response is inadequate, and individuals suffering on the streets need our help.” But she asserted that expanding involuntary commitment “is not the compassionate way to get people the help they need.”

She vowed to oppose efforts that “coerce individuals into treatment or detention.”

Ms. Brouk’s Assembly counterpart, Jo Anne Simon, said politics and perceived dangers on the subway were driving the debate, not what was best for vulnerable people living with mental illness.

Advertisement

“My concern is we are not really addressing the problem, and we are potentially being asked to do something that I see as likely to exacerbate the problem,” she said.

But a psychiatrist at a nonprofit that provides social services and housing to people with serious mental illness in New York City said Ms. Hochul’s proposal could make a difference on the street.

The psychiatrist, Ellen Tabor, associate chief medical officer at the Institute for Community Living, said that if the “essential needs” standard for taking someone involuntarily to a hospital was widely used, a lot more people would get needed psychiatric help.

“To have the police pick you up and take you against your will, that’s terrifying, I get that,” she said. “But too often they don’t, and there’s a dangerous situation.”

Democrats control both legislative chambers and will haggle with Ms. Hochul about her proposals in negotiations over the entire budget.

Advertisement

Earlier this month, a coalition of 39 social service, housing advocacy and civil rights organizations sent a letter to Mr. Heastie and State Senator Andrea Stewart-Cousins, the majority leader, asking them to reject Ms. Hochul’s proposals and instead “invest in solutions that work, including housing, services and care.”

Since taking office, Ms. Hochul has poured about $1 billion into building out the state’s mental health system, including funding for new housing units designed for people with mental illness. This year’s proposals are smaller but do include some money for more mental health outreach teams and beds in inpatient facilities.

Beth Haroules, a senior staff attorney at the New York Civil Liberties Union, which signed the letter, said law enforcement and government should focus more on using the laws already on the books to reach people who cannot help themselves.

The language about who would qualify for involuntary transport to a hospital for assessment is too broad, she said, adding that Ms. Hochul’s measures would infringe on homeless people’s rights and leave them at the mercy of law enforcement officers who are not properly trained.

“It is that loss of liberty as a result of mistaken assessment by a law enforcement officer who is not clinically trained to make the determinations,” she said, “which deprives a person of liberty.”

Advertisement

Last year, people were involuntarily taken to hospitals for psychiatric evaluation at least 800 times from the transit system and at least 700 times from other public spaces, according to the mayor’s office, which only just started tracking the holds.

Ms. Hochul’s proposals do not include all the changes Mr. Adams has pushed for. One left on the cutting-room floor would require hospitals to seek Kendra’s Law orders for all psychiatric patients who meet the standard for them.

Brian Stettin, Mr. Adams’s senior adviser for severe mental illness, applauded Ms. Hochul’s advocacy and committed to working with her and state lawmakers.

“We are pleased that Governor Hochul is supporting measures to help people reclaim their lives, even when they cannot recognize their own need for assistance,” he said in a statement.

Most of the governor’s proposals already exist in the form of agency regulations, guidance or court rulings, but some experts said that the police, hospitals and clinicians would be more likely to follow them if they were enshrined in law.

Advertisement

Ann Marie T. Sullivan, commissioner of the State Office of Mental Health, said that the proposals would affect a “very small select group of individuals” and that after years of shortages of psychiatric hospital beds in the city, there were now enough beds to accommodate them.

She said the measures would “help individuals who make these difficult but important decisions know better how to make those decisions.”

New York

How a Parks Worker Lives on $37,500 in Tompkinsville, Staten Island

Published

on

How a Parks Worker Lives on ,500 in Tompkinsville, Staten Island

How can people possibly afford to live in one of the most expensive cities on the planet? It’s a question New Yorkers hear a lot, often delivered with a mix of awe, pity and confusion.

We surveyed hundreds of New Yorkers about how they spend, splurge and save. We found that many people — rich, poor or somewhere in between — live life as a series of small calculations that add up to one big question: What makes living in New York worth it?

Advertisement

Sara Robinson boarded a Greyhound bus from Oregon to New York City to attend Hunter College in the early 2000s, bright-eyed and eager to pick up odd jobs to fuel her dream of living there.

For a long time, she made it work. But recently, that has been more challenging than ever.

Advertisement

Right around her 40th birthday, Ms. Robinson began to feel financially squeezed in Brooklyn, where she had lived for years. Ms. Robinson (no relation to this reporter) was also feeling too grown to live with roommates.

“As a child,” she said, “you don’t think you’re going to have a roommate at 40.” She decided to move into a place of her own: a one-bedroom apartment in the Tompkinsville neighborhood of Staten Island.

After she moved, the preschool where she’d worked for over a decade closed. Now, she works two jobs. She is a seasonal employee for the state Office of Parks, Recreation and Historic Preservation, working from Tuesday to Saturday. And on Monday nights, she sells concessions at the West Village movie theater Film Forum, which pays $25 an hour plus tips.

Advertisement

Ms. Robinson, now 45, loves her job as an environmental educator at a state park on Staten Island. Her team runs the park’s social media accounts and comes up with event programming, like a recent project tapping maple trees to make syrup.

But the role is temporary. Her last stint was from June 2024 to January 2025. Then she was unemployed until August 2025. Ms. Robinson’s current contract will be up in April, unless she gets an extension or a different parks job opens up.

Advertisement

Ms. Robinson’s biweekly pay stubs from the parks department amount to about $1,300 before taxes. She barely felt a difference, she said, while she was out of work and pocketing around $880 every two weeks from her unemployment checks. (Her previous parks gig paid $1,100 a check.)

Living in New York’s Greenest Borough

Advertisement

“It used to be, ‘There’s no way I’m moving to Staten Island,’” Ms. Robinson said. “But the place is close to the water. I’m three minutes from the ferry. The rest is history.” She lives on the third floor of a multifamily house, above an art studio and another tenant. Her rent is $1,600 a month, plus $125 in utilities, including her phone bill.

“If my situation changes, I don’t know if I could find something similar,” she said. “So much of my New York life has been feeling trapped to an apartment. You get a place for a good price, and you’re like, ‘I can’t leave now.’”

Staten Island is convenient for Ms. Robinson’s parks job, but it’s become harder to justify living in a borough where she knows few people. It takes more than an hour to get to friends in Brooklyn, an especially hard trek during the winter. After four years of living on Staten Island, Ms. Robinson feels somewhat isolated.

Advertisement

“All my friends on Staten Island are senior citizens,” she said. “It’s great. I love it. But I do want friends closer to my age.”

One of Ms. Robinson’s friends, Ray, took her on nature walks and taught her about tree identification, sparking an interest in mycology, the study of mushrooms. This led to a productive — and free — fungi foraging hobby during unemployment. She has found all sorts of mushrooms, including, after a month of searching, the elusive morel.

Advertisement

The Budgeting Game

Ms. Robinson doesn’t update her furniture often, but when she does, she shops stoop sales in Park Slope or other parts of Brooklyn.

Advertisement

“It’s like a treasure hunt,” she said. “You could make a whole apartment off the street, off the stuff that people throw away.”

She also makes a game out of grocery shopping, biking to Sunset Park in Brooklyn or Manhattan’s Chinatown to go to stores where there are better deals. She budgets about $300 for groceries each month.

Ms. Robinson bikes almost everywhere, sometimes traveling a little farther to enter the Staten Island Railway at one of the stations that don’t charge a fare. She spends $80 a month on subway and ferry fares, and $5 a month for a discounted Citi Bike membership she gets through a credit union, though she usually uses her own bike. She is handy and does repairs herself.

Advertisement

There are certain splurges — Ms. Robinson drops $400 once or twice a year on round-trip airfare to Seattle, where her family lives. She also spent $100 last year to see a concert at Forest Hills Stadium in Queens.

She said she has many financial saving graces. She has no student loans and no car to make payments on. She doesn’t get health insurance from her jobs, but she qualifies for Medicaid.

Advertisement

She mostly eats at home, though sometimes friends will treat her to dinner. She repays them with tickets to Film Forum movies.

Nothing Beats the Twinkling Lights

Ms. Robinson’s friends often talk about leaving the city — and the country.

Advertisement

Two friends have their eyes set on Sweden, where they hope to get the affordable child care and social safety net they are struggling to access in New York.

Ms. Robinson can’t see herself moving elsewhere in the United States, but she is entertaining the idea of an international move if she can’t hack it on Staten Island.

Advertisement

Yet the pull of the city is hard for her to resist.

“I just get a rush when I’m riding the Staten Island Ferry across the bay,” she said. “You see all the little twinkling lights. It’s this feeling of, ‘everything is possible here.’”

That feeling, plus the many friendly faces Ms. Robinson sees every day — the ferry operators, the conductors on the Staten Island Railway, her co-workers at Film Forum — are what tie her to New York.

Advertisement

“My savings are not increasing, so there’s that,” she said. “But I’ve been OK so far. I think I’m going to figure it out.”

Continue Reading

New York

How the Editor in Chief of Marie Claire Gets Styled for a Trip to Italy

Published

on

How the Editor in Chief of Marie Claire Gets Styled for a Trip to Italy

Nikki Ogunnaike, the editor in chief of Marie Claire magazine, did not grow up the scion of an Anna Wintour or a Marc Jacobs.

But, she said, “my mom and dad are both very stylish people.”

Advertisement

They got dressed up to go to church every week in her hometown Springfield, Va. Her mother managed a Staples; her father, a CVS. “Presentation is important to them,” she said.

Since landing her first internship with Glamour magazine in college, Ms. Ogunnaike, 40, has held editorial roles there and at Elle magazine and GQ. She has been in the top post at Marie Claire since 2023.

She recently spent a Saturday with The New York Times as she prepared for Milan Fashion Week.

Advertisement

Continue Reading

New York

How a Physical Therapist and a Retiree Live on $208,000 in Harlem

Published

on

How a Physical Therapist and a Retiree Live on 8,000 in Harlem

How can people possibly afford to live in one of the most expensive cities on the planet? It’s a question New Yorkers hear a lot, often delivered with a mix of awe, pity and confusion.

We surveyed hundreds of New Yorkers about how they spend, splurge and save. We found that many people — rich, poor or somewhere in between — live life as a series of small calculations that add up to one big question: What makes living in New York worth it?

Advertisement

It has never really occurred to Marian or Charles Wade to live anywhere but the city where they were born and where they raised their children.

New York is in their bones. “We have our roots here, and our families enjoyed life here before us,” Ms. Wade said.

Advertisement

And they feel lucky. Between Mr. Wade’s pension, earned after more than 40 years as an analyst at the Manhattan district attorney’s office, and his Social Security benefits, along with Ms. Wade’s work as a physical therapist at a psychiatric center, they bring in about $208,000 a year.

Still, it’s hard for the couple not to notice how much the city has changed as it has become wealthier.

About 10 years ago, Ms. Wade, 65, and Mr. Wade, 69, sold the Morningside Heights apartment they had lived in for decades. The Manhattan neighborhood had become more affluent, and tensions over how their building should be managed and how much residents should be expected to pay for upkeep boiled over between people who had lived there for years and newer neighbors.

Advertisement

They found a new home in Harlem, large enough to fit their two children, who are now adults struggling to afford the city’s housing market.

All in the Family

Advertisement

Ms. Wade knew it was time to leave Morningside Heights when she spotted her husband hiding behind a bush outside their building, hoping to avoid an unpleasant new neighbor. They had bought their apartment in 1994 for $206,000, using some money they had inherited from their families, and sold it in 2015 for $1.13 million.

The couple found a new apartment in the Sugar Hill section of Harlem for $811,000, and put most of the money down upfront. They took out a loan with a good rate for the remaining cost, and had a $947 monthly payment. They recently finished paying off the mortgage, but they have monthly maintenance payments of $1,555, as well as two temporary assessments to help improve the building, totaling $415 a month.

Advertisement

Their two children each moved home shortly after graduating from college.

The couple’s son, Jacob Wade, 28, split an apartment with three roommates nearby for a while, but spent down his savings and moved back in with his parents. He is searching for an affordable one bedroom nearby and plans to move out later in the year. Their daughter, Elka Wade, 27, came home after college but recently moved to an apartment in Astoria, Queens, with roommates.

Until their daughter moved out a few weeks ago, she and her brother each took a bedroom, and Mr. and Ms. Wade slept in the dining room, which they had converted into their bedroom with the help of a Murphy bed and a new set of curtains for privacy.

Advertisement

There is very little storage space. A piano occupies an entire closet in their son’s bedroom, because the family has no other place to fit it.

The setup is cramped, but close quarters have their benefits: When their daughter, a classically trained cellist, was living there, she often practiced at home in the evenings. “I love listening to her play,” Ms. Wade said.

Advertisement

Three Foodtowns and a Thrift Shop

The Wades do what they can to keep their costs low. They’ve decided against installing new, better insulated windows in their drafty apartment. They don’t go on vacations, instead visiting their small weekend home in rural upstate New York. And they’ve pulled back on takeout food and retail shopping.

Instead, Mr. Wade surveys the three Foodtown supermarkets near their home for the best deals, preferring one for produce and another for meat. The weekly grocery bill has been around $500 with both kids living at home, and the family usually orders delivery twice a week, rotating between Chinese and Indian food, which typically costs $70, including leftovers.

Advertisement

For an occasional splurge, they love Pisticci, a nearby restaurant where the penne with homemade mozzarella costs $21.

The couple owns a car, which they park on the street for free. But they often use public transportation to avoid paying the $9 congestion pricing fee to drive downtown, or when they have a good parking spot they don’t want to give up. They have a senior discount for their transit cards, which allows them to pay $1.50 per subway or bus ride, rather than $3.

Advertisement

Ms. Wade stopped shopping at the stores she used to frequent, like Eileen Fisher and Banana Republic, years ago. Instead, she visits a thrift store called Unique Boutique on the Upper West Side. She was browsing the aisles a few months ago, before a big Thanksgiving dinner, and spotted the perfect dress for the occasion for just $20.

But she has one nonnegotiable weekly expense: a private yoga lesson in an instructor’s apartment nearby, for $150 a session.

Advertisement

Elka Wade, a cellist, often practices at home, to the delight of her parents. Bess Adler for The New York Times

Swapping Mortgage Payments for Singing Lessons

Advertisement

For every member of the Wade family, life in New York is all about the arts.

The children each attended the Special Music School, a public school focused on the arts. Their son, an actor, teacher and director, works part time at the Metropolitan Opera and the Kaufman Music Center, a performing arts complex in Manhattan. His sister works in administration at the Kaufman Center.

Advertisement

Mr. Wade is still close with friends from high school who are now professional musicians, and the couple often goes to see them play at venues like the Bitter End in Greenwich Village, where shows typically have a $12 cover and a two-drink minimum.

The couple has cut back on going to expensive concerts — they used to try to see Elvis Costello every time he came to New York, for example — but have timeworn strategies for getting affordable theater tickets.

They recently splurged on tickets to “Oedipus” on Broadway for themselves and their daughter, who they treated to a ticket as a birthday gift. The seats were in the nosebleed section, but still cost $80 apiece.

Advertisement

The couple has a $75 annual membership to the Film Forum, which gives them reduced price tickets to movies. They occasionally get discounted tickets to the opera through their son’s work, and when they don’t, they pay for family circle passes, which are usually $47 a head, plus a $10 fee.

Ms. Wade, who grew up commuting from Flushing, Queens, to Manhattan to take dance lessons, sometimes takes $20 drop-in ballet classes during the week at the Dance Theater of Harlem, just a few blocks away from the apartment.

Advertisement

Recently, when the couple paid off their mortgage, Ms. Wade celebrated by giving herself a treat: weekly private singing lessons, for $125 a session.

Continue Reading

Trending