Lack Of Adequate Discharge Planning For Incarcerated Adults With Serious Mental Illness

During the 1700’s the jails were not only used to confine criminals, but they confined people with mental illness as well. People with mental illness were subjected to inhumane treatment, even when the individual was admitted

When it comes to mental illness, there is no denying that it is one of the most intractable problems in our day-to-day lives. About 500,000 mentally ill people are in jails or prisons in the United States, while 50,000 are treated in psychiatric hospitals. People often can’t help asking if jails or prisons are really the new asylums for those who are mentally ill? I used to think that it is hard to answer, but now I will not hesitate to say “No!” after watching the video “The New Asylums”.

Hawthorne, W. B., Folsom, D. P., Sommerfeld, D. H., Lanouette, N. M., Lewis, M., Aarons, G. A., Jeste, D. V. (2012). Incarceration among adults who are in the public mental health system: Rates, risk factors, and short-term outcomes. Psychiatric Services, 63(1), 26-32. doi:10.1176/appi.ps.201000505

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

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

During the 1800s, treating individuals with psychological issues was a problematic and disturbing issue. Society didn’t understand mental illness very well, so the mentally ill individuals were sent to asylums primarily to get them off the streets. Patients in asylums were usually subjected to conditions that today we would consider horrific and inhumane due to the lack of knowledge on mental illnesses.

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.

Asylums of the 20th century were deplorable places created for insane people because of the ignorance of the medical community about helping or treating the mentally ill, the way the asylums were use to get the insane out of the way, and the sheer fact that the hospitals felt the need to withhold the information about what was going on inside the institutions from the public. Some Americans today may believe that in the last few decades we had treated our patients suffering with mental illness with dignity and respect. However, the conditions in which many of them lived and the treatment they received were worse than that of animals. Treatments of these patients were so inhumane that, in Athens, Ohio, an asylum nicknamed the Ridges, a female patient named Margaret Schilling disappeared from one of the active wards. Schilling went missing on December 1, 1978, and on January 12, 1979, her body was found on an abandoned top floor of ward N. 20. The ward had been used for sick, infectious patients, and had been abandoned for years. When searching for Schilling, employees had forgotten to search in ward N. 20. Eventually, when Schilling was found, a maintenance man discovered her body lying on the floor in front of a window. Her body had been laying there for several weeks unattended. According to Carolyn M. Zimmerman, Ünige A. Laskay, and Glen P. Jackson, her body was left laying for so long that it had begun to rot and had left a stain that can still be seen today. This

For centuries societies have been superstitious and afraid towards mental illness; mainly due to a lack of knowledge. While there were “cures and treatments” for individuals that were deemed insane many were sent to either prisons or asylums. The conditions of these facilities were unsanitary, the physical and sexual abuse was frequent, and the staff was not properly trained to care for patients. Patients were also chained, caged, or restrained to beds in rooms that were often unheated.

The mentally ill were cared for at home by their families until the state recognized that it was a problem that was not going to go away. In response, the state built asylums. These asylums were horrendous; people were chained in basements and treated with cruelty. Though it was the asylums that were to blame for the inhumane treatment of the patients, it was perceived that the mentally ill were untamed crazy beasts that needed to be isolated and dealt with accordingly. In the opinion of the average citizen, the mentally ill only had themselves to blame (Surgeon General’s Report on Mental Health, 1999). Unfortunately, that view has haunted society and left a lasting impression on the minds of Americans. In the era of "moral treatment", that view was repetitively attempted to be altered. Asylums became "mental hospitals" in hope of driving away the stigma yet nothing really changed. They still were built for the untreatable chronic patients and due to the extensive stay and seemingly failed treatments of many of the patients, the rest of the society believed that once you went away, you were gone for good. Then the era of "mental hygiene" began late in the nineteenth century. This combined new concepts of public health, scientific medicine, and social awareness. Yet despite these advancements, another change had to be made. The era was called "community mental health" and

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).

These investigators report that there are few beds for the mentally ill in psychiatric hospitals (one bed for every 3000 people) and that mentally ill inmates are an enormous financial burden (few inmates have insurance to pay for the costs). Noting that there was one psychiatric bed for every 5000 people in 1850, Torrey and colleagues (2010) cautioned, “ It is also useful to compare the present paucity of beds with the situation in the 1840s, when Dorothea Dix was decrying the practice of keeping mentally ill individuals in jails rather than in hospitals.”

The mentally ill were treated very inhumanly in the early insane asylums. Some of the

During the mid-1800’s the mentally ill were either homeless or locked in a cell under deplorable conditions. Introduction of asylums was a way to get the mentally ill better care and better- living conditions. Over a period of years, the admissions grew, but staff to take care of their needs did not. Asylums became overcrowded and treatments that were thought to cure, were basically medieval and unethical