Are the laws and services related to mentally disordered offenders adequate and appropriate?
Care and treatment for the Mentally Disordered Offender (MDO) has always reflected society’s intolerance and punitive attitude, typified by a desire to remove persons with mental illness from public sight (Gostin, 1983). Traditionally, health care for this population was provided in institutions until the 1950s. De-institutionalisation and large-scale closures of psychiatric institutes in the 1980s resulted from therapeutic advancement and the advent of psychotropic medication, which in turn led to a need to provide care and treatment in the least restrictive setting (Geller et al, 2006 ; Morrow e al 2003). Many patients were discharged,
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An RC discharging an MDO on a CTO has to believe that the patient has a mental disorder and that it is appropriate for them to receive medical treatment. They also have to believe that subject to the patient being on SCT, such treatment could safely be given in the community. In turn, there are mandatory conditions that need adhering to by someone placed on a CTO. These include seeing the RC whenever required, to allow the decision whether the CTO requires renewal. The patient also has to see another doctor (Second Appointed Opinion Doctor, {SAOD}) when there is a need to authorise certain types of treatment, for instance, medication. Other conditions to ensure the MDO remains safe and well in the community include: medication concordance, attending a health centre or place of education and seeing their Psychiatrist or Care Co-ordinator. Supervised Community Treatment orders, under Section 17A of the Act, provide the power to recall a patient to hospital if a specified treatment regime is not being adhered to (Gould, 2008). However, treatment cannot be enforced in the community. O’Reilly, 2004, contends that the dichotomy of the usefulness of CTOs has been a subject of controversy and years of conflict from patients, mental health charities, psychiatrists and the civil rights lobbyists. One reason for this polarisation stems from the concerns of the public and their perception that MDOs are dangerous and
Authors in this article from the University of California observe and focus on the risks and rates involved in people that have a mental disorder and correlate it with incarceration as well as people with re-incarceration. While performing these studies researchers found an alarming number of people incarcerated had a severe mental illness and substance abuse issues. Much of the knowledge in numbers of people with a mental illness are brought from a correctional view, but researchers here try to also focus on numbers of people in the public mental health system as well.
Despite the fact that my parents have worked in the criminal justice system for many years, I have never given much thought to the treatment of prisoners. As we learned from the readings, the current state of the United States criminal justice system is imperfect to the point of cruelty to those involved in it. This is truer for individuals with a mental illness. Due to a lack of psychiatric facilities throughout Alabama and overcrowding of those that do exist, many criminal offenders with mental illnesses are sent to prisons instead. State prisons are currently overcrowded, leading to substandard conditions such in almost every aspect.
The incarceration of those who are mentally ill is on the continual rise. Many states juggle with the decision of placing offenders in Mental Hospital or locating them in State Prisons. Latessa and Holsinger (2011) discuss two major reasons for the increase of those with mental illness within the prison system. First, many states have no longer allow for the insanity plea during criminal trials, thus those who suffer from mental illness are not required to receive mandatory mental treatment. This is due to the discomforting idea that criminal offenders should not be given the same living conditions as those whom are patients of mental wards. Secondly, longer sentences have created a surplus of mentally ill offenders needing treatment. Soderstrom (2007) added that the lack of mental health support systems in
Given the number of incarcerated inmates who suffer from some form of mental illness, there are growing concerns and questions in the medical field about treatment of the mentally ill in the prison system. When a person with a mental illness commits a crime or break the law, they are immediately taken to jail or sent off to prison instead of being evaluated and placed in a hospital or other mental health facility. “I have always wondered if the number of mentally ill inmates increased since deinstitutionalization” Since prison main focus is on the crimes inmates are incarcerated; the actual treatment needed for the mentally ill is secondary. Mentally ill prisoners on the surface may appear to be just difficult inmates depending on the
The shutdown of state mental hospitals and lack of available financial and institutional resources force mentally ill people to the United States Judicial System for mental health. Every year thousands of people are arrested for various crimes and they are sent to jail. Sixteen percent of these people have some type of mental health problem (Public Broadcasting System , 2001). When we consider that the United States has the largest incarcerated population in the world at 2.2 million, this number is staggering (Anasseril E. Daniel, 2007). This is about 1% of the entire population of the United States. There are many reasons as to why the situation has taken such a bad turn and when the history of the treatment of mental illness is examined one can see how the situation developed into the inhumane disaster it is today.
Today, it seems almost incomprehensible that so many people with serious mental illnesses reside in prisons instead of receiving treatment. Over a century and a half ago, reform advocates like Dorothea Dix campaigned for prison reform, urging lawmakers to house the mentally ill in hospitals rather than in prisons. The efforts undertaken by Dix and other like-minded reformers were successful: from around 1870 to 1970, most of the United States’ mentally ill population was housed in hospitals rather than in prisons. Considering reformers made great strides in improving this situation over a century and a half ago. Granted, mental hospitals in the late 19th and early 20th century were often badly run and critically flawed, but rather than pushing for reform of these hospitals, many politicians lobbied for them to close their doors, switching instead to a community-based system for treating the mentally ill. Although deinstitutionalization was originally understood as a humane way to offer more suitable services to the mentally ill in community-based settings, some politicians seized upon it as a way to save money by shutting down institutions without providing any meaningful treatment alternatives. This callousness has created a one-way road to prison for massive numbers of impaired individuals and the inhumane warehousing of thousands of mentally ill people. Nevertheless, there are things that can be done to lower the rate mentally ill persons are being incarcerated. Such
The United States criminal justice system has been continuously increasing incarceration among individuals who suffer from a sever mental illness. As of 2007 individuals with severe mental illness were over twice as likely to be found in prisons than in society (National Commission of Correctional Health Care, 2002, as cited in Litschge &Vaughn, 2009). The offenses that lead to their commitment in a criminal facility, in the majority of cases, derive from symptoms of their mental illness instead of deviant behavior. Our criminal justice system is failing those who would benefit more from the care of a psychiatric rehabilitation facility or psychiatric hospital by placing them in correctional facilities or prisons.
Over the past thirty years, there has been a 500% increase in the U.S incarceration rate. (The Sentencing project, 2014) Advances in medicine, such as the discovery of psychoactive drugs, led to the deinstitutionalization of mentally ill patients from psychiatric hospitals. With a long record of horrific abuse,
Medicalization of deviance in the United States (U.S.) over the years has expanded as medicine has become the main response to deviance through the use of therapeutic social control. Medicalization is referenced to in criminal justice as one of the ways of explaining deviance and is used to determine the responsibility of an offender. Deviance characterizes behaviors and actions that violate social norms and is seen as having an illness or a disease needing treatment. Therapeutic social control uses medicine and science as a treatment of deviance.
In our county, state and federal correctional institutions across the United States, inmates are being imprisoned for awaiting trial, during trial or convicted for some crime. According to the Bureau of Justice (BJS, 2006), Fifty-six percent of inmates in a state prison and forty-five percent of inmates in a federal prison, suffer from or had a past of mental illness. In our American society, individuals who suffer from mental illness seem to be publicly perceived as a nuisance. This can be due to the fact that the media over the years consecutively scrutinized individuals who use the insanity defense in criminal trials. The insanity plea is negatively publicized if the defendant is using it in a high profiled case which their actions resulted in severe harm or death to another individual. In addition, the public perceives the use of this plea as a scapegoat for the defendant to avoid serving punishment in a penal environment. Mentally ill individuals, who are being civilly committed or charged with all levels of crimes, are being heavily prosecuted and sentenced into correctional facilities rather than psychiatric hospitals. This leads me to discuss the lack of treatment for patients in Bridgewater State Hospital (BSH) located in Bridgewater, Massachusetts. This three hundred and fifty bed facility houses Massachusetts most criminally insane. This facility is also use to evaluate patients/inmates for competency to stand trial and for those who get civilly
This research paper discusses the issues of people who suffer from mental illness being placed in jails instead of receiving the necessary treatment they need. The number of inmates serving time in jail or prison who suffer from mental illness continues to rise. In 2015 the Bureau of Justice reported that sixty five percent of state prisoners and fourth five percent of federal prisoners suffered from mental conditions such as bipolar disorder and schizophrenia. Individuals who suffer from these problems require special mental health treatment for their needs to be met. Many of our prisons and jails lack the necessary resources to care for these inmates and because of that inmates who do not receive the treatment they need are at a higher risk of becoming a repeat offender. Despite the research and findings that show that the criminal justice system is unable to deal with issues dealing with the mentally ill there has been limited solutions put in place. Given the challenges the criminal justice system faces it is important to address the problem and come up with better solutions. This research paper will discuss the various techniques and solutions that scholars have propped and their effect on the issue of mentally ill criminals and how the criminal justice system should approach the problem.
Non-declared mental health facilities should have appropriate policies and procedures to ensure that if restraint is required within non-declared mental health units, such as Transitional Behavioural Assessment and Intervention Service (T-BASIS) units, then any necessary consent is obtained consistent with the NSW Guardianship Act 1987.
Speker and Scully (2008) stated that the Act sets out decision specific standards that define the assessment of capacity and best interest principles to improve the decision making for patients that is believed to lack capacity. The Act put out the justification that patient undergoing serious treatment must have an independent mental capacity benefactor in the absence of any appropriate person to consult in determining the client’s interests, underpinning the legal significance bestowed on the patient’s rights, autonomy, liberty, and empowerment. If there is no independent
Jails have been described as “de facto mental hospitals” because they have filled the void created when state psychiatric hospitals began closing in the early 1960s through a process known as deinstitutionalization. Supporters of deinstitutionalization thought the process would help individuals suffering from a mental illness live more self-reliantly while being treated by community mental health programs. However, the federal government did not provide the necessary funding to meet the mounting demand for these programs, leaving numerous untreated. Individuals with serious mental illnesses are often poor or homeless and are likely to have substance abuse problems. Therefore, when they are left untreated, they are more likely to commit minor crimes that have been the focus of law enforcement in recent years (H. Richard Lamb and Linda Weinberger).
Mental illness a real issue that needs our immediate attention. In this paper, I will demonstrate how the growing population of the mentally ill placed in prisons is very often stigmatized. Mental health inmates in prisons marginalized by facing disparities and being excluded from proper treatment such as psychiatry and health care. A tremendous amount of mental health prisoners is in desperate need of psychiatric care while members of this illness continue to struggle they are enforced to conform.