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" ... A characteristic of SMI is a condition called “anosognosia” where the patient is biologically unable to be aware they have a problem, thus rendering them incapable of understanding their own status, or need for treatment. However, even compassionate communication with the family to discuss medication or treatment plans is prohibited under HIPAA privacy laws if the patient refuses consent. Families desperately trying to help their loved one are blocked, while hundreds of thousands of those with SMI are incarcerated, homeless or die with their rights intact. ... "