Conservatorship
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Alex V. Barnard
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In California, the state has abdicated its authority over the conservatorship process by delegating state functions to a fragmented field of actors. Cutting through overly simplistic accounts of conservatorship, Barnard uses rich data and sharp theory to delve into the pitfalls of this abdication of authority.
Jonathan Simon, author of Governing Through Crime: How the War on Crime Transformed American Democracy and Created a Culture of Fear:
The subject and title of Conservatorship is perhaps the most important yet least studied power of domestic governance. As Alex Barnard's meticulous study of California’s system for protecting those most disabled by mental illness shows, this power is left to a largely unaccountable and invisible system of local and market actors. At a time of much interest in new legal solutions to our severe crisis of unhoused, untreated, and mentally ill citizens, Barnard’s findings suggest the priority of addressing our even deeper crisis of authority.
Roderick Shaner, MD, former medical director of the Los Angeles County Department of Mental Health:
Vivid case studies and probing interviews humanize this journey through the fraught terrain of involuntary care. Barnard pulls few punches in describing the more offensive stretches of the roadmap but avoids veering into unalloyed condemnation or praise. His thoughtful exploration yields reasons for hope that our better angels might prevail.
Philippe Bourgois, author ofIn Search of Respect: Selling Crack in El Barrio and co-author of Righteous Dopefiend:
A heartbreakingly insightful ethnographic deep dive into the failure of mental health care in the United States that everyone refuses to pay for—and for which no public authority takes responsibility. Barnard strategically takes us through each dysfunctional interstice of California’s iconically mismanaged mental health system that manages to maximize costs, minimizes benefits, and tortures everyone involved—especially people with psychosis spectrum disorders whose lives are cut short by the public/private bureaucratic quagmire that has been waging war on itself for the past half century.
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PART I: THE CONSERVATORSHIP CONTINUUM
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PART II: CARE AND COERCION UNDER CONSERVATORSHIP
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PART III: REFORM
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