In California, however, the wind has been blowing the other way. Prompted by the growing number of homeless people in visible mental and physical suffering, lawmakers have been trying to make it easier, not harder, to force residents into the state’s care. Under that controversial process, which begins with the kinds of police-initiated hospital stays that Sady endured, a court can appoint a guardian to compel medical treatment, including placing a person in a locked psychiatric unit for periods of months or years. It is the state saying: You are unable to take care of yourself, so we are going to do it for you.