Let me see if I can craft a non-kneejerk response.
There are people who are in a mental condition such that they can’t take care of themselves worth a damn.
There are other people who are in a mental and/or emotional condition such that they are inclined to do themselves deliberate harm.
Then there are people who are in a mental and/or emotional condition such that they may be dangerous to other people, either deliberately or through an inability to realize the dangerous outcome of things that they are doing.
Society has decided over a long stretch of time that we should intervene in these cases, in the first two instances out of concern for the people with the beforementioned mental conditions and in the latter instance out of concern for the rest of us.
Now switch focus to rights. This is actually a newer framework; historically it has not necessarily been the case that individuals could expect to be free of incarceration except after due process, after being charged with a specific crime, which in turn should be a violation of a law that is supposed to be written in such a way that the same rules apply to everyone, convicted by proof beyond a reasonable doubt that they actually did something in violation of that law, demonstrated to the satisfaction of (if they request it) a jury of their peers. These are enlightment notions, that we get to be free by default and that taking our freedom away is something the state only gets to do within narrowly constrained parameters.
The ideal of such rights protection has never been realized as a dependable actuality. We aspire to it (mostly) but the western countries that have ascribed to it in principle (including the US) have still held laws that applied to one category of people differently than another, and more to the point have engaged in actual practices that meant people did indeed get locked up without a trial or without any specific charges or without a jury that could be honesty said to be of one’s peers, and so on and so forth. All of which is true without pointing to mental hygiene practices, so here I am stipulating that rights are not honored and protected in a pristine fashion across the board to begin with.
But if I’m allowed to yearn for the ideal, and I think I am, then I’m being reasonable when I find it disturbing that we have this exception, one that is generally ignored:
You have the freedom to NOT be incarcerated unless you have actually done something which is in violation of a law, which you get charged with, tried in court, with an opportunity to defend yourself… UNLESS it is being done because it’s for your own good (you might do yourself harm or fail to take adequate care of yourself) or for the good of other people (that you might endanger) ??
I’m not questioning the reason we have that exception, but I assume you see why it’s problematic if it is very easy to say that a given apprehension and incarceration are for your own good or for the good of others any time that a disturbing person is “of concern” in some social context.
Now let’s consider mental hygiene statutes and laws to see how easy it is or isn’t and whether or not it created a dangerous exception to the “rights” perspective on freedom from incarceration. Apprehension and short-term (evaluative) incarceration takes place when a police officer believes sufficient cause exists to think a person is a danger to themselves or to other people. “Danger” means not only immediate violence but, at least w/regards to the “unto themselves” portion, also includes grave incapacity to take care of one’s self. This is all roughly parallel with getting arrested for a criminal violation, wherein a police officer can arrest you if they believe they have due cause to believe a crime has been committed and that you’ve committed it.
Were it an arrest, a formal charge would be placed so you would know what you were up against. To be fair, a person can be arrested and then not charged and simply released. This is something that does occur and it is someitimes used to briefly detain or inconvenience or remove unwanted / disturbing people who haven’t actually broken any laws, so there’s a non-ideal non-pristine criminal-system practice to take note of here. I bring this up because when it’s a detainment for mental health evaluation, no formal charges exist and a person who is unwanted or disturbing can be removed to a hospital and held for a few days and then released with a shrug. Not good, troubling to me as a civil libertarian, but once again roughly parallel to the criminal-system situation.
In most venues there is a finite period of time one can be held “for observation” before having the right to a psychiatric commitment hearing. The default appears to be 72 hours. So theoretically to hold you longer than that against your will would require a court hearing at which you get to present dissenting evidence and arguments. In practice, in some venues you can be held significantly longer than 72 hours if you were in fact brought in by the police as opposed to being held at the initial word of a psychiatrist (a “2-PC” commitment, wherein one psychiatrist orders a commitment and a second one, generally the one on duty at the admitting facility ward, concurs). And in practice, 72 hours is not the amount of time before they have to bring you into court to hold you longer, it’s the amount of time before the institution has to generate paperwork indicating their INTENT to seek involuntary commitment. There are some deplorable practices that exist at this stage of the game: intense pressure can be brought to bear on you as a patient to commit YOURSELF (voluntary commitment) and these pressures constitute threats and irresistible compulsion (in my opinion): you’ve got people locked up and isolated and you’re telling them certain privileges are only available if they commit themselves, telling them standard process for people who refuse to sign includes this or that frightening-sounding consequence, etc.
Back to the comparable criminal-system situation, despite the Constitutional guarantee of a “speedy trial”, people can be held in jail for a long time before a court hearing, and although there are bail hearings, the opportunity to get out of jail and return later for the court case is not an equal opportunity. But you get to have an attorney come in and see you and advise you and the police have to TELL you you have that right and the right to remain silent. In the psych institution no one is obliged to tell you that you have the right to consult a Mental Hygiene Legal Services representative, nor are you informed that you have a right to not talk to psychiatrists or other institutional personnel. You do not, in fact, have any such right. Silence on your part may well be viewed as a symptom.
At the court hearing stage, for criminal court you are presumed competent to answer the charges and required to do so (if only as far as entering a plea); you’re entitled to hear the evidence against you and to hear the specific charges read. You get to present counterevidence and to question witnesses testifying against you (or to have your attorney do so, which is how it happens more often). You are the beneficiary of an assumption of innocence and it is the burden of the prosecution to show beyond a reasonable doubt that what they alleges is in fact true.
For mental hygiene commitment, your court hearing may not be public but may instead take place on hospital grounds; you’ll appear in front of a judge who, in most venues, hears this type of case to the exclusion of other types of court cases, a mental hygiene judge. You are not entitled to hear any specific concrete evidence in support of the allegations about your mental condition. The specific ways in which you are alleged to be a danger to yourself or other people need NOT be spelled out. The judge may not permit you to speak AT ALL. The judge may not allow your mental hygiene legal services representative to present any evidence refuting any alleged facts. The burden of proof is NOT on the other party in any formal sense: the judge is supposed to make a decision based on the preponderance of the evidence. And in practice it’s considerably worse than that in many venues, an a priori assumption that the doctor would not be seeking to hold you unless you needed to be held (the equivalent of guilty until proven innocent), the assumption that the requested commitment is harmless to your interests (the complete lack of a recognized liberty interest on your part) and the belief on the part of many such judges that they themselves are not qualified to consider your dangerousness (since they are not doctors and it is considered to be part of the psychiatrist’s expertise to make such an evaluation). You do not get to be tried before a jury of your peers.
You do not get sentenced to a finite incarceration as you would in the criminal justice system; they hold you indefinitely. You are entitled to some periodic reevaluation by the court, though, and to be fair criminal justice system operations often sentence people to very long period which are then arbitrarily reduced adminstratively, which amounts to an indefinite sentence there as well.
On balance I think psych incarcerations do play fast and loose with civil rights to a more dangerous extent than the criminal justice system (although the latter isn’t perfect or pristine by any means), and as you can see the discrepancy gets worse the deeper you get in. Unless you have a very large faith that good people occupy the system and that only those who really need it would be held, this should disturb you. And if you have that kind of faith in the goodness of people in authority within a system, why not dispense with criminal justice protections? Would you argue that anyone in jail is in jail because they did a crime and deserve it? Should we dispense with the protections and just trust the police and simplify things? If not, why permit such an exception to be cut in your civil rights protections?