This document summarizes a paper on citizenship theory and the practice of psychiatric boarding in Washington state. It discusses a 2014 state supreme court ruling that found psychiatric boarding, where patients in need of involuntary treatment are detained in emergency rooms due to a lack of treatment facility space, violates the Involuntary Treatment Act. The ruling highlighted deficiencies in the mental health system due to inadequate funding and increasing demand for services. The document examines how psychiatric boarding marginalized and failed to uphold the rights and dignity of detained patients. It also discusses social work implications and the need for long-term solutions, funding, and advocacy to improve treatment and outcomes for this vulnerable population.