Executive OrdersApril 20, 2026ยทnypost โ†—

Trump's Mental Health Order Falls Short as Deadly Attacks by Mentally Ill Continue to Rock America

Violent crimes by mentally ill individuals continue despite Trump's executive order on crime, as implementation struggles with RFK Jr.'s anti-medication stance. Progressive criminal justice reforms are creating deadly loopholes while America faces a 90% shortage in psychiatric hospital beds.

Trump's Mental Health Order Falls Short as Deadly Attacks by Mentally Ill Continue to Rock America

Deadly Pattern Emerges Despite Trump's Executive Action

A disturbing trend of violent crimes committed by mentally ill individuals is highlighting the failure of America's approach to mental health and criminal justice, even as President Trump's July 2025 executive order on "Ending Crime and Disorder on America's Streets" struggles with implementation challenges.

Last week in Nebraska, Noemi Guzman attempted to kidnap a 3-year-old from Walmart, holding a knife over the boy and slashing him before police shot her dead. Two years earlier, a judge had let Guzman off on felony charges including arson and assault by reason of insanity. The horrific bodycam footage serves as a stark reminder of the deadly consequences when our mental health system fails.

The Insanity Defense: A Get-Out-of-Jail-Free Card?

This isn't an isolated incident. In Charlotte, North Carolina, mentally ill Decarlos Brown allegedly stabbed to death Ukrainian refugee Iryna Zarutska on the transit system. Brown, who suffers from schizophrenia, had been previously released despite his mother's attempts to get him involuntarily committed.

In New York's subway system, perpetrators who push people onto tracks or commit random stabbings are "almost always known previously for mental health issues," according to Manhattan Institute senior fellow Stephen Eide. Just last week, police shot dead a psychotic man who slashed three people with a machete at Grand Central, a man who called himself "Lucifer."

Progressive "Reform" Creates Deadly Loopholes

While traditional "not guilty by reason of insanity" verdicts remain rare since the John Hinckley case that shocked America in 1981, progressive criminal justice reformers have created new forms of leniency that are proving equally dangerous. The George Soros-backed movement prioritizes getting people out of jail over public safety, arguing that mentally ill offenders need treatment, not punishment.

"There's little logic in 'diverting' a career criminal back into a mental health system whose failures largely explain why he offended in the first place," Eide argues.

Trump's Executive Order Meets Implementation Challenges

President Trump's executive order represented a meaningful contribution to addressing mental illness and crime, but implementation has proven problematic. The biggest obstacle? Health and Human Services Secretary Robert F. Kennedy Jr.'s MAHA (Make America Healthy Again) agenda, which sits uneasily with substantive mental health reform.

RFK Jr.'s skepticism of medications and medical experts directly conflicts with what's needed to handle psychosis effectively. "Handling psychosis will require more use of meds and deference to psychiatrists' authority," Eide notes, highlighting the fundamental tension within the Trump administration's approach.

The Numbers Tell a Troubling Story

New York's jail statistics reveal the scope of the problem. The city classifies about 1,500 inmates as seriously mentally ill โ€“ more than 20% of the total population. Since 2020, this number has doubled, making the city's "Close Rikers" plan virtually impossible to achieve.

Despite hosting "likely the best funded and most sophisticated criminal justice reform network in the nation," New York has found that jail remains indispensable for responding to mental illness-related violence.

America's Psychiatric Bed Crisis

The root of the problem lies in America's dire shortage of psychiatric hospital beds, down more than 90% from their mid-century peak. This bipartisan failure has created a system where "criminal activity functions as the price of admission to a psychiatric hospital."

Democrats fear disability rights activists who frame any inpatient capacity expansion as a "slippery slope towards a mass roundup of neurodivergent Americans." Republicans balk at the expensive price tag, despite the necessity and humanity of proper institutional care.

The Path Forward

While 2025 saw historically low crime rates nationwide, the persistence of mental illness-related violence demonstrates that declaring victory would be premature. Progressive activists continue pushing "risky ideas, such as replacing cops with social workers and expanding diversion," particularly in blue strongholds like New York and California.

"A better system would provide treatment before tragedy," Eide concludes. More psychiatric inpatient capacity would relieve jails of mentally ill inmates while allowing community programs to focus on clients they can actually help.

The question remains whether the Trump administration can overcome internal contradictions and progressive resistance to implement meaningful reform before more innocent Americans pay the ultimate price for our broken mental health system.

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Trump's Mental Health Order Falls Short as Deadly Attacks by Mentally Ill Continue to Rock America | Trump Watch Daily