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• W194689171 abstract "Advocates for the rights of the mentally disabled have won a number of stunning paper victories for their clients in recent years?in Alabama, Ohio, Minnesota, New York, and Nebraska,1 among other places. It remains to be seen, however, whether the sweeping orders which have been obtained will actually result in constitutionally and pro fessionally adequate care and treatment for their intended beneficiaries. The evidence on this score to date is mixed, at best, and raises real questions as to the efficacy of continued litigation without adequate provisions for enforce ment. The question of compliance is important, not only for litigators, but also for States enacting right-to-treatment legislation2 and for mental health or mental retardation departments promul gating regulations or guidelines purporting to im plement or guarantee the rights of their clients. These legal commands, like the orders of a court, are merely statements of rights; they are not self executing and, without adequate provisions for monitoring and insuring compliance, they will never be fully executed. Thus not only mental dis ability advocates, but also State legislatures and executive agencies interested in reform, need to be concerned with devising and implementing effective methods for seeing that legal mandates are carried out. This article describes some of the methods which have been tried and their attend ant problems and strong points. Although each case is different, court orders in omnibus right-to-treatment suits such as those cited above tend to be lengthy and detailed state ments of constitutionally acceptable standards for everything from hours of daily programming to the number of toilets in resident/patient living units. The Wyatt decision, for example, sets forth 35 standards (eight printed pages) for the care and treatment of the mentally ill and 49 standards (13 pages) for the habilitation of the mentally re tarded, with most of the standards consisting of several separate requirements.3 The final judg ment of April 30, 1975, in NYSARC and Parisi v. Carey (the Willowbrook case) is even more de tailed, covering 23 areas (environment, program ming and evaluation, education, food and nutri tion services, dental services, restraints and abuse, management, community placement, etc.) in 29 single-spaced, typewritten pages of required steps, standards, and procedures. 4 Predictably, the courts have differed on the mechanisms neces sary for enforcement of these sweeping and de tailed orders." @default.
• W194689171 created "2016-06-24" @default.
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• W194689171 date "2016-01-01" @default.
• W194689171 modified "2023-09-24" @default.
• W194689171 title "Enforcement of Judicial Decrees: Now Comes the Hard Part" @default.
• W194689171 hasPublicationYear "2016" @default.
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