Mentally ill are mistreated in US prisons

jay gw

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One in six U.S. prisoners is mentally ill. Many of them suffer from serious illnesses such as schizophrenia, bipolar disorder, and major depression. There are three times as many men and women with mental illness in U.S. prisons as in mental health hospitals.

The rate of mental illness in the prison population is three times higher than in the general population.

According to the 215-page report, Ill-Equipped: U.S. Prisons and Offenders with Mental Illness, prisons are dangerous and damaging places for mentally ill people. Other prisoners victimize and exploit them. Prison staff often punish mentally ill offenders for symptoms of their illness – such as being noisy or refusing orders, or even self-mutilation and attempted suicide. Mentally ill prisoners are more likely than others to end up housed in especially harsh conditions, such as isolation, that can push them over the edge into acute psychosis.

“Prisons have become the nation’s primary mental health facilities,” said Jamie Fellner, director of Human Rights Watch’s U.S. Program and a co-author of the report. “But for those with serious illnesses, prison can be the worst place to be.”

Woefully deficient mental health services in many prisons leave prisoners undertreated – or not treated at all. Across the country, prisoners cannot get appropriate care because of a shortage of qualified staff, lack of facilities, and prison rules that interfere with treatment.

According to Human Rights Watch, the high rate of incarceration of the mentally ill is a consequence of underfunded, disorganized, and fragmented community mental health services. State and local governments have shut down mental health hospitals across the United States, but failed to provide adequate alternatives.

The Human Rights Watch report documents how prisoners with mental illness are likely to be picked on, physically or sexually abused, and manipulated by other inmates, who call them “bugs.” For example, a prisoner in Georgia, who is both mentally ill and mildly retarded, has been raped repeatedly and exchanges sex for commissary items such as cigarettes and coffee.

Human Rights Watch also recommended the use of independent mental health experts to assess mental health services in each prison system, urged elected officials and the heads of correctional agencies to ensure that mentally ill prisoners receive mental health services consistent with community standards of care, and called for rules to prevent housing prisoners with mental illness in isolated confinement or super maximum security prisons.

http://www.hrw.org/press/2003/10/us102203.htm

I think the US government dumped everyone out of the mental hospitals, and didn't have any substitutes available. The homeless population really skyrocketed.
 
Your point?

We used to warehouse our mentally ill, and then someone released a 215 page report criticising that practice, so many of them were 'mainstreamed'...guess where a lot of them ended up?
 
Psychiatry being the highly synthetic and political "science" it is, those numbers are utterly meaningless and tell more of those who sing them than anything else.

If every jailed felon were tortured to death this evening, it would not only be justice, but many innocent lives would be saved in the long run. And you ask us to cry for their "mistreatment", without one mention of the damage they've inflicted on their victims.

Hang them all, that's my prescription.
 
American said:
Psychiatry being the highly synthetic and political "science" it is, those numbers are utterly meaningless and tell more of those who sing them than anything else.

If every jailed felon were tortured to death this evening, it would not only be justice, but many innocent lives would be saved in the long run. And you ask us to cry for their "mistreatment", without one mention of the damage they've inflicted on their victims.

Hang them all, that's my prescription.
Reading this statement made me wish for a moment "I hope he had some mental illness himself, so he would know what he was talking about".

And then I .....
 
.... did realize that he did, in fact, have a mental illness, so I reported him to the local authorities. I hope he is taken off the streets so we can all be safe. But I don't give a sh!t what happens to him after that.
 
"The true test of a society is how well it treats its prisoners".

This is an important issue. However I have some concerns with this report. Included with the statistics are... drum roll please... "major depression". Loosing one's freedom can tend to make a person depressed, even causing severe depression.

I am not however qualified to make any claims and I think HRW is a reputable organization and worth recognizing their concerns.

Human Rights Watch urged the U.S. Congress to enact legislation proposed by Senator Mike DeWine (R-Ohio) and Congressman Ted Strickland (D-Ohio) that would provide federal grants to divert mentally ill offenders into treatment programs rather than jail or prison, and to improve the quality of mental health services provided to jail and prison inmates.
Sounds good to me.
 
RandFan said:
Included with the statistics are... drum roll please... "major depression". Loosing one's freedom can tend to make a person depressed, even causing severe depression.

The statistics are refering to the clinical condition called "depression", a chemical imballance in the brain. It is so named because the behavior of those affected is outwardly the same as somebody who is "feeling depressed" due to bad news or a ◊◊◊◊◊◊ life or the prospect of a prison term. They are not the same thing.
 
The Fool said:
The statistics are refering to the clinical condition called "depression", a chemical imballance in the brain. It is so named because the behavior of those affected is outwardly the same as somebody who is "feeling depressed" due to bad news or a ◊◊◊◊◊◊ life or the prospect of a prison term. They are not the same thing.
I'm not a Doctor but I do play one in my own mind. It involves Faith Hill and Shania Twain. But that's not important right now.

AIU, traumatic events can and often do trigger clinical depression. I also understand that loosing one's freedom with no prospect of freedom can be a traumatic event.
 
Though I'm in law enforcement, I have not done a great deal of reading regarding "corrections". (there's a euphemism...)

But numerous first-person accounts and reports by various journalists indicate that the treatment of the mentally ill is next to non-existant in many prisons.
Certainly the atmosphere of coercive fear in many institutions would contribute to depressive effects, but most of what folks talk about are the schizophrenics, who often are not given adequate medication, and are simply allowed to rave and hallucinate.
Our legal definition of being mentally "sound" enough for trial and incarceration borders on the mideaval, IMO.

It's possible in many states for a delusional psychotic to be arrested for his crimes, medicated to the point where he can "participate in his own defense", be convicted and imprisoned with little or no hope of sustained treatment.
We seem to be so terrified of criminals using the "insanity defense" that we're willing to incarcerate the mentally ill in a manner not dissimilar to Bedlam.
 
RandFan said:
I'm not a Doctor but I do play one in my own mind. It involves Faith Hill and Shania Twain. But that's not important right now.
I like to play consultant specialist, can you refer them on to me?


AIU, traumatic events can and often do trigger clinical depression. I also understand that loosing one's freedom with no prospect of freedom can be a traumatic event.
Absolutely..In the australian penal system any prisoner that turns up to the clinic complaining of symptoms of clinical depression is simply put straight on large doses of anti-depressants, that appears to be the standard response regardless of the individuals condition and background. I seriously believe that in order to help control illegal drug distribution in prisons they simply give anyone who asks all the happy tablets they can eat. Although I admit that if I was in prison a prozac haze would probably seem like a reasonable alternative to reality...
 

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