Criminalization of the Mentally Ill

As a whole, literature on the topic of mental illness in our country and specifically in our criminal justice system had a reoccurring theme. There are millions of individuals who suffer from mental illness but are improperly being handled through the criminal justice system. These individuals are deemed criminal just by their acts and their mental health state is not overly examine. Jails and prisons are being overcrowded. State prisons and jails are overpopulated anywhere from 15 to 32% (Spending Money in All the Wrong Places: Jails & Prisons).

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.

In the video, “The New Asylums”, it demonstrated how deinstitutionalization has left thousands of mentally ill patients in the hands of the prison system. As the mental health hospitals closed down, the police department and prison system has become responsible for the mentally ill people that are on the streets. There was a firm point made about the release of mentally ill patients- “When hundreds of thousands of mentally ill are released, they do not magically become healthy. They went to the streets, became homeless, and turned to a system that cannot say no.” The video also stated that today, there are nearly 500,000 mentally ill people being held in jails and prisons throughout the country. Furthermore, there was no safety net for those

With states closing many of its mental facilities in the communities, there were a lot of people in need of outpatient care who fell through the cracks of the system and ended up in prison. Prison is where many of them died from inadequate treatment. Prisons were suddenly receiving inmates with the following types of mental illnesses: Schizophrenia, bipolar, and deep depressions. These prisons just did not provide these inmates with any medication during their incarceration. Because the community based health services is lacking, and patients aren’t receiving sufficient outpatient care, it makes the effectiveness of deinstitutionalization a serious problem. Without the availability of 24/7 psychiatric services that are well structured, I believe that deinstitutionalization is what is accounting for the increase of the mentally ill inmates in the correctional facility.

Law enforcement interactions with the mentally ill community are increasing, due to a number of factors such as cuts on long-term psychiatric beds, improvements in treatments and the philosophy of integration (Adelman, 2003). Which leads to mentally ill people living in the community, which leads to increase crisis and police interaction because of insufficient funding. Existing community-based crisis response services are not well unified and are limited, especially in rural areas. General hospital-based emergency services can also be difficult to access because of bed reductions, and only offer treatment to those only that are seriously ill (e.g. be actively delusional or suicidal). As Eric Macnaughton states in his study BC Early

The recent increase in emergency 9-1-1 calls involving mentally ill persons has heightened the awareness of the Criminal Justice System. Across the nation, law enforcement encounters with mentally ill persons have become more frequent, and the use of deadly force against mentally ill persons has increased. Since the deinstitutionalization of the mental health system, law enforcement officials have been tasked with controlling deviant and sometimes criminal behavior of persons who suffer from mental illness. As a result, law enforcement agencies have implemented crisis intervention training (CIT) and diversion tactics due to the numerous challenges faced when serving the mentally ill. Major deficiencies in the mental health system and State legislations have hindered progressive efforts towards assisting mentally ill persons. With the dramatic consequences associated with untreated mental illness, it is certain that law enforcement officers will experience an encounter requiring knowledge, specialized training, and the ability to build collaborative partnerships.

Around the 1970’s and 1980’s around the United States many mental hospitals were shut down. There were many reasons why they closed these Asylums was because money, and knowing that there was only about twenty county asylums were built around the country. The asylums also known as the Looney bin was established in Britain after passing in 1808 county asylum act. There were so many patients in these asylums around the world in 1955 about 558,239 severely mentally ill people in the United States were accounted for. Now in these times any mentally ill people don’t get help they just go straight to jail without proper diagnosis or treatment. People need to know these people need extreme care and treatment. Even regular people or considered the norm in today’s society eventually go crazy when they’re in prison too long. We have as much people that are mentally ill as regularly incarcerated. There is one prison in Houston Texas that does take care there mentally ill. We have about 2.2 million

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.

Deinstitutionalization, the name given to the policy of moving people with serious brain disorders out of large state institutions and then permanently closing part or all of those institutions, has been a major contributing factor to increased homelessness, incarceration and acts of violence. By moving these people the responsibility of housing them went from the state to the federal government. States began moving brain ill patients that were going through rehabilitation from hospitals to nursing home with no rehabilitation. By the mid-1980s, 23 percent of nursing home residents had a mental disorder. Approximately 200,000 individuals with schizophrenia or bipolar disorder are homeless, which is about one-third of the estimated 600,000 homeless population. Nearly 300,000 individuals with schizophrenia or bipolar disorder, of

     The article gives some examples of what has happened to people that have not received mental treatment due to lack of government funding. These

In 1965, there was a histrionic change in the method that mental health care was delivered in the United States. The focus went from State Mental Hospitals to outpatient settings for the treatment of mental health issues. With the passing of Medicaid, States were encouraged to move patients out of the hospital setting (Pan, 2013). This process failed miserably due to under funding and understaffing for the amout of patients that were released from the State Mental Hospitals. This resulted in patients, as well as their families, who were in dire need of mental health services. This population turned to either incarceration (jails and/or prisons) or emergency departments as a primary source of care for their loved ones.

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).

illness has the potential to take full control over a person’s life, creating many obstacles from

As a significant increase in police contact with people with mental illness has a raised, proper training and inpatient services have decreased in the growing needs of individuals suffering mental health emergencies. Shown in the disproportionate arrest and incarceration of people with mental illness, which is a huge concern for policymakers, communities and law enforcement agencies. With police officers being among the first responders to these crises or often the only source of immediate service for urgent mental health activities.