Aug
16
2007

Documentary Review: The New Asylums

Prison is already a tough environment for those not mentally illPeople suffering from mental health issues use to be housed in psychiatric institutions but now, in the United States, they are increasingly being held in jail. If fact, one out of every 10 patients are now housed behind bars with the general inmate population, which now represents over half a million of those held in detention facilities around the country.

Summary

I urge you to view the video yourself but if you don’t have time, here is a summary:

  • prisons have become the new state mental health facilities as they where systematically shutdown due to budget cuts and policy changes
  • 50 000 mentally ill stay in state hospitals but 500 000 stay in prison
  • 16% of prison inmates in Ohio are mentally ill requiring special services (medication, follow-up… ) that most facilities aren’t built to provide
  • 30% of those 16% mentally ill will always require hospitalization and professional services to keep their condition manageable
  • patients requiring acute care or constant watch are sent into the prison infirmary
  • patients become suicidal, depressed and delusional due to being housed in a prison facility
  • prisons are built to provide safety and security for the local population, not mental health services
  • most mental health patients are in prison due to minor offenses and not following orders by lower level detention facilities
  • Ohio prison system tries to triage those who are mentally ill verses criminal intent regarding disciplinary action
  • mentally ill patients require more force then the general prison population because they quickly become out of control
  • mentally ill inmates are often cycled between maximum security prison to mental health facilities for stabilization then back again into prison
  • once mentally ill inmates return to prison, their conditions quickly degrade
  • prison mental health services are often better then those in community based settings as close monitoring and force can be applied
  • some inmates believe prison makes their condition better while others say it makes it worse
  • isolation makes those who are already mentally ill worse and they fall apart due to lack of intellectual stimulation
  • parole is a difficult goal to achieve due to their mental illness which often leads to an extensive rap sheet being produced in addition to their own bias towards wanting to guarantee mental health services in prison for the inmates own good
  • some mentally ill inmates fear leaving prison because they fear the complexity of everyday life, they believe they are better off in the confines of a controlled environment
  • mentally ill inmates have a high rate of return after parole as they often stop taking their medication, believing they don’t need it anymore and are cured
  • two million people are behind bars in the United States, of which 25% have mental problems

The Bottom Line

Mental illness requires close attention by medically educated professionals, not people involved with law enforcement.

Buzzvia
http://www.pbs.org/wgbh/pages/frontline/shows/asylums/

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