We Need To Get Real About the State of the Science &
"Mental Health Treatment Adherence"
So this is pretty inflammatory AND it needs to be.
We are NOT arguing that "Mental Health Treatment Adherence" in the the Criminal Justice System is meant to be non-therapeutic. In fact, we think it is well intentioned.
But mental health treatment in 2017 is a pretty mixed bag, and as a Society it is pretty hard for us to acknowledge that because we don't have anything else.
The former head of the National Institute of Mental Health, Dr. Thomas Insel, started the Research Domain Criteria Project in large measure because the DSM 5 lacks scientific validity and psychiatry has not achieved the same levels of quality other areas of medicine have achieved.
Further, all this is very individual.
This is NOT well suited to the heavy dockets of the Criminal Justice System.
So what we have is an extremely complicated situation:
For Some-- taking medication can be like pouring oil all over their mental engines --- yes some gets into the right place, but also all over one's mental engine block -- in some cases doing more harm than good. ---see Caltech Neuro-scientist David Anderson's TedxTalk below.
Mental disorders are among the most complex problems in medicine, with challenges at every level from neurons to neighborhoods.
Rule of Attorney Professional Conduct -- Diligence 1.3
 A lawyer should pursue a matter on behalf of a client despite opposition, obstruction or personal inconvenience to the lawyer, and take whatever lawful and ethical measures are required to vindicate a client’s cause or endeavor.
A lawyer must also act with commitment and dedication to the interests of the client and with zeal in advocacy upon the client’s behalf.
A lawyer is not bound, however, to press for every advantage that might be realized for a client. For example, a lawyer may have authority to exercise professional discretion in determining the means by which a matter should be pursued. See Rule 1.2.
The lawyer’s duty to act with reasonable diligence does not require the use of offensive tactics or preclude the treating of all persons involved in the legal process with courtesy and respect.