Nursing Home Nyc - reasoning Illness in the Prison system
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Should the mentally ill be placed in the mainstream population of a prison?
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How is reasoning Illness in the Prison system
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Chances are you've never given much - if any - notion to this question. A paranoid schizophrenic kills man because the voices in his head tell him that man is an alien trying to steal his brain. Is that schizophrenic safe in a prison? Are the other prisoners safe with him (or her) there?
A man suffering with severe bipolar disorder shoplifts an armload of clothing while an strike of acute mania. He or she is sent to prison, to co-exist with gangbangers, rapists, and murderers. Or, perhaps worse, to live in a solitary cell with no human interaction, for 23 out of 24 hours each day. The acute mania shifts to severe depression. What are the chances he or she will survive the prison term?
According to the U.S. Justice Department's Bureau of Justice Statistics, in 1998 roughly 300,000 inmates had some form of reasoning illness. A decade later, that estimate rose to 1.25 million.
The National Alliance for the Mentally Ill (Nami) states that 16 percent of the prison population can be classified as severely mentally ill. This means that they fit the psychiatric classification for illnesses such as schizophrenia, bipolar disorder, and major depression. However, the ration skyrockets to as high as 50 percent when altered to consist of other reasoning illnesses, such as anti-social personality disorder, and borderline personality disorder.
Two major causes attribute to the rise of mentally ill inmates:
In the 1950s, the U.S. Had 600,000 state run hospital beds for those suffering from any form of reasoning illness. Because of deinstitutionalization and the subsequent cutting of state and federal funding, the U.S. Now has just 40,000 beds for the mentally ill. The inability to get permissible medicine left this segment of our population vulnerable and, consequently, many of them now land in prisons.
Deinstitutionalization hasn't worked. All this has managed to do is to shift the mentally ill from hospitals to prisons - one custom to another. We have made it a crime to be mentally ill.
The largest psychiatric factory in the U.S. Isn't a hospital; it's a prison. At any given time, Rikers Island in New York City houses an estimated 3,000 mentally ill prisoners. The midpoint inmate population at Rikers Island is 14,000. One out of every 4 to 5 inmates at this prison suffer from reasoning illness.
Florida judge Steven Leifman, who chairs the reasoning health Committee for the Eleventh Judicial Circuit, states that, "The sad irony is we did not deinstitutionalize, we have reinstitutionalized-from horrible state reasoning hospitals to horrible state jails. We don't even contribute medicine for the mentally ill in jail. We're just warehousing them."
What happens to the mentally ill in an overcrowded, violent prison law with microscopic to no psychological counseling available?
In state prisons, the mentally ill serve an midpoint of 15 months longer than the midpoint inmate. The very nature of most reasoning illnesses makes it difficult to consequent prison rules. These inmates are more likely to be involved in prison fights and they tend to accumulate more show the way violations.
Prison staff often punishes mentally ill inmates for being disruptive, refusing to comply with orders, and even for attempting suicide. In other words, these inmates are punished for exhibiting the symptoms of their illness.
Gaining parole is also more difficult for the mentally ill. Their disciplinary records are often spotty, they may have no house willing or able to help, and society services are normally inadequate.
In October 2003, Human rights Watch released a report entitled Ill Equipped: U.S. Prisons and Offenders with reasoning Illness. Following two years of in-depth research, this society found that few prisons have adequate reasoning health care services. Furthermore, it found that the prison environment is risky and debilitating for the mentally ill.
An extract from Ill Equipped:
"Security staff typically view mentally ill prisoners as difficult and disruptive, and place them in barren high-security solitary confinement units. The lack of human interaction and the microscopic reasoning stimulus of twenty-four-hour-a-day life in small, sometimes windowless segregation cells, coupled with the absence of adequate reasoning health services, dramatically aggravates the suffering of the mentally ill. Some deteriorate so severely that they must be removed to hospitals for acute psychiatric care. But after being stabilized, they are then returned to the same segregation conditions where the cycle of decompensation begins again. The penal network is thus not only serving as a storehouse for the mentally ill, but, by relying on highly restrictive housing for mentally ill prisoners, it is acting as an incubator for worse illness and psychiatric breakdowns."
According to Fred Osher, M.D., director of the center for Behavioral Health, Justice and communal policy at the University of Maryland, the majority of mentally ill inmates are arrested for misdemeanors and crimes of survival. He states, "That's a whole host of folks who land in the criminal justice law because of their behavioral disorders."
Those on the fringe of society are primarily affected. These population are roughly all the time impoverished and disabled by their illness. They have nowhere to turn, no one to help them, and so we toss them in prison. Even minor offenses keep them locked in prisons, since many cannot afford and/or do not know how to bond themselves out.
The recidivism rate among the mentally ill is higher than that among the general prison population. Prison has come to be a revolving door law for dealing with reasoning illness. By default, prisons have come to be the new reasoning hospitals. However, they lack the funding and the training to deal with these patient-inmates.
Ratan Bhavnani, executive director of the Ventura County lesson of the National Alliance on reasoning Illness, states that, "In general, population with reasoning illness can recover when given the approved medicine rather than to be sent off to jail only to come to be more psychotic and come back and reoffend."
Michael Jung of Ventura, California suffers from bipolar and hears voices telling him that he is the devil. Over the past 10 years, Jung has been arrested a minimum of 15 times - all for relatively minor offenses. Earlier this year, Jung spent six weeks confined in G Quad, the unit where mentally ill inmates stay in their cells 23 out of the 24 hours in each day.
Cells such as those in G Quad are referred to as the "rubber rooms" because the walls are padded. There is no furniture in these rooms. The "toilet" is a grate in the floor. They are stripped naked and monitored via video camera. Inmates who are paranoid, delusional, or otherwise difficult to carry on are often placed in this type of cell, whether for their own protection, the security of the other inmates, or just plain convenience.
Susan Abril, a old inmate who suffers from bipolar disorder, was placed in this type of cell. while her confinement, Abril began hearing voices for the first time. "I didn't sleep," she said. "I mentally went insane being locked down 23 hours of 24."
We are essentially production the mentally ill inmates sicker, as well as ensuring their return to an already massively overcrowded prison system. Obviously our current law is not working. We cannot expect prison staff to function as psychiatrists. We also cannot expect the mentally ill to be "rehabilitated" in a mainstream prison system.
The Taxpayer action Board for Governor Pat Quinn of Illinois cited yearly savings in the tens of millions of dollars that could be gained by releasing thousands of non-violent offenders, closely monitoring them and providing substance abuse treatment, reasoning health counseling, education, job training, and employment opportunities.
For the most part, the mentally ill do not belong in prison. It would be cheaper (and smarter) for us as taxpayers to divert funding in order to contribute adequate medicine programs to keep them out of prison.
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