No, no one says 'this person is doing fine'. It's 'we're medical staff and we can't arrest people - they are clearly withholding consent, we can't do anything else'.
I've stayed with distressed homeless people trying to hurt themselves while social worker teams, cops and medical staff came to the scene; if the homeless individual doesn't want help and is not an active danger to others there's very very little that can be done to forcibly detain them.
> If the people advocating for the homeless and mentally ill have a better solution than leaving them on the streets to rot, then I would like ot hear it.
Fund shelters and support groups well enough that trying to get off the streets and get help doesn't require that you bunk next to someone who has a shiv and is experiencing a massive heroin withdrawl event while you try to sleep. There's a reason homeless people dodge a lot of so called 'help'. It's because the help is often worse than the alternative.