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Voting by People with Mental Illness.

Jennifer A Okwerekwu1, James B McKenzie2, Katherine A Yates2

  • 1Dr. Okwerekwu is a PGY-3 Resident and Dr. McKenzie is a PGY-4 Resident, Harvard Medical School, Cambridge Health Alliance, Cambridge, MA. Ms. Yates is a MSIII, Harvard Medical School, Boston, MA. Dr. Sorrentino is an Assistant Professor, Harvard Medical School, Boston, MA. Dr. Friedman is an Associate Professor of Psychological Medicine, University of Auckland, New Zealand and The Phillip J. Resnick MD Professor of Forensic Psychiatry, Case Western Reserve University. jokwerekwu@challiance.org.

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Summary
This summary is machine-generated.

Hospitalized psychiatric patients face barriers to voting. This study explores facilitating voting by proxy to increase patient agency and inform future election improvements.

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Area of Science:

  • Public Health
  • Political Science
  • Psychiatry

Background:

  • Voting laws increasingly aim for universal suffrage.
  • Citizens with mental illness or cognitive impairments face barriers to voting.
  • Exclusion from the political process leads to disenfranchisement.

Purpose of the Study:

  • To review literature on voting and current laws.
  • To share lessons learned from facilitating voting by proxy for hospitalized patients.
  • To propose methods for improving voting access for psychiatric patients.

Main Methods:

  • Literature review on voting rights and laws.
  • Analysis of experiences facilitating voting by proxy at Cambridge Hospital during the 2016 U.S. Presidential election.
  • Identification of obstacles encountered during the process.

Main Results:

  • Hospitalized psychiatric patients are vulnerable to disenfranchisement.
  • Facilitating voting by proxy can increase patient agency.
  • Obstacles were encountered in implementing voting by proxy.

Conclusions:

  • Ensuring voting access for hospitalized psychiatric patients is crucial for their civic participation.
  • Lessons learned can inform improved implementation strategies for future elections.
  • Addressing barriers can empower psychiatric patients to shape their communities.