he learned that honoring these wishes could be an error of omission. A homeless woman who rejected care for two and a half years by screaming at the outreach team when they approached was finally committed for involuntary treatment when she became threatening. Three years later, O’Connell saw her at a board meeting of a nonprofit organization. Finding her totally transformed, O’Connell remarked, “You look fabulous.” Her response, “Screw you. You left me out there for all those years and didn’t help.”
