Mental Health in Texas Prisons and Jails

A significant number of people who come into prison have a variety of mental illnesses, such as schizophrenia, major depression, and manic depression. Approximately 5-6% of prison inmates have been diagnosed with schizophrenia, these people

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.

According to Correctional Administration, ?approximately 16 percent of prison and jail inmates are mentally ill? (Seiter, 2012). Many incarcerated individuals enter prison with mental health issues, and some have a combination of different mental disorders. ??Approximately one quarter of offenders suffering from mental health problems including a history of inpatient hospitalization and psychiatric diagnoses (Morgan et al, 2011)

The inhumane conditions seen in state prisons today eerily mimic many of the same issues seen in state psychiatric institutions prior to the 1970s. These institutions sought to solve the problem off overcrowding by deeming many of them stable enough to leave, even though many of them were not. The patients were placed into group homes instead of hospitals. This caused an influx of people with mental health problems into a society where they could not function. Many of them inevitably ended up committing crimes, pushing them into the

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

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.

According to a 2006 Bureau of Justice Statistics report found that over half of the inmates in both prisons and in jails had a problem concerning their mental health (James & Glaze, 2006). The estimates in this report were separated by federal prisons, which contained 45 percent of inmates suffering from mental illness, 56 percent in state prisons, and

The mood shifted from hiding the mentally ill to curing the mentally ill. The definition of mentally ill was expanded to include anyone in the family that was unable to help the family in terms of survival and drained their family of money and resources: the aged, the epileptic, and the imbecilic. This caused massive overcrowding. The mentally ill were hidden from the public view along with the elderly and others suffering from debilitating disorders resulting in massive overcrowding of asylums which meant illnesses were not being treated in lieu of managing the ever expanding population.

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

The growing rate of inmates with mental health disorders in correctional facilities is alarming. 54% state jail. 45% federal

In the 1830s and beforehand, jails were used for all purposes throughout the time period. The offenders held within them lived among their own filth and were treated inhumanely, because of these undesirable conditions of being put in jail, crime was decreased greatly. Though no one really cared if anyone who didn’t deserve to be in jail ended up in there anyway, like those with mental illnesses or the wrongfully accused. At the time, people viewed those with ‘retardation’ to be a family’s burden and something to be shameful of, most commonly the family would abandon the mentally ill family member at a hospital or in a public place for authorities to turn in.

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).

Overcrowding was a huge issue in the insane asylums. In 1900 based on the authority of the Lunacy Commissioners report, it was stated that there was one “registered lunatic per every three hundred people.” (Chapman 164). Danvers State Hospital was built in 1878 to house 500 patients. This institution had over 2300 patients at its peak in the 1940s (Taylor). The over population of insane asylums began to deteriorate them and make them some of the most horrible places that existed. The conditions in these institutions were barely livable. The workers were also mean to the patients and did many awful things to them. There were too many patients and not enough nurses and doctors. This made the nurses work harder and put a lot more stress on them (“Pennhurst State”). In the 1950s, the Trans Allegheny Lunatic Asylum was occupied by over 2500 people. However, it was built to occupy only 250 people. The conditions were so filthy that occupants began to get sick and die. Some people were euthanized during this time

Unfortunately, asylum founders could only guess at the causes of insanity. Patient after patient was admitted into the state hospitals, but the cause of their disturbance was often a mystery. Many were inflicted with various organic diseases, like dementia, Huntington’s disease, brain tumors, and many were in the third stage of syphilis. With no treatments available, providing humane care was all that could be done. In the years following the civil war American cities boomed and the asylum began struggling to keep up. Soldiers, freed slaves, and immigrants were stranded in a strange land. The asylum became organized more like a factory or small town. There were upper and lower classman, bosses and workers, patients with nothing, and patients with privileges. Sarah Burrows, a schizophrenic and daughter of a wealthy doctor had a ten bedroom house that was built for her on the hospital grounds. Burrows home was just a stone’s throw away from the hospital’s west wing, where over sixty black women slept side by side. (Asylum: A History of the Mental Institution in America). The hospital began to rely on the free labor the patients provided. However, isolating the hospital from the community meant there was no way of knowing what was happening inside the asylum. The asylum became a world apart. In the 1870’s, Elizabeth Packard, a former patient of St. Elizabeth’s, wrote about her mistreatment and abuse