Mentally Challenged Offenders

The United States has the highest rate of incarceration among the developed countries, with 2.2 million currently in jails and prisons. The number of inmates with mental disorders has been increasing during the past three decades, most likely the result of the deinstitutionalization of the state mental health system. Correctional institutions have become the de facto state mental hospitals. There are more seriously and persistently mentally ill people in prisons than in all state hospitals in the United States. When incarcerated these people face many disadvantages on top of their sickness. They do not receive the psychiatric help they need, nor do they receive proper medication or therapy. In addition, the guards do not know how to properly deal with people with mental disabilities. With so many issues in the criminal justice system there is no room for improvement for these inmates.

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.

Jails and prisons are not set up to meet the treatment and accountability needs of the mentally ill (“Mental Health Court”, n.d.). “Inmates with mental illnesses are more likely than other to be held in solitary confinement, and many are raped, commit suicide, or hurt themselves” (Swanson, 2014). Making mental health courts mandatory would better address these needs by offering treatment,

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 number of people with mental illness in the criminal justice system is one of the most pressing problems facing law enforcement and corrections today (Cuellar, McReynolds, & Wasserman, 2006). The Surgeon General’s Report on Mental Health estimated that about 20% of children and adolescents in the general population have mental disorders with some degree of at least mild functional impairment (USPH, 1999). Subsequent research has found much higher rates of serious mental health problems among youth in the juvenile justice system. Among youth who have been arrested, one study found that 31% of youth had received services from the mental health system (Rosenblatt, Rosenblatt, & Biggs, 2000). Two studies of youth in juvenile detention found that between 60% and 68% met the diagnostic criteria for a mental health disorder (Teplin, Abram, McClelland, Dulcan, & Mericle, 2002; Wasserman, Ko, & McReynolds, 2004). Once youth with emotional disturbances enter the justice system, repeated arrests are common through the remainder of childhood and into adulthood. Recidivism rates for individuals with a serious mental illness are nearly double those in the general population (Baillargeon, Binswanger, Penn, Williams, & Murray, 2009; Constantine, Petrila, Andel, Givens, Becker et al., 2010). In an analysis of juvenile trajectories, youth with emotional disturbances in their late adolescent years were more likely to fall into the high arrest trajectory class and much

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

Jail diversion is a mental health platform explicitly premeditated to isolate and divert individuals with mental health, substance abuse disorders or both from the criminal justice system into a need-specific treatment in the mental health system. Specifically, the program provides linkages to community-based treatment and support services to assist the individual in reducing deviant behavior. For this reason, the individuals avoid arrests and spend a lesser period in jail. The effectiveness of the diversion program relies on various activities that involve the identification of the target group and a proper integration of the victim into the program. While there are many different types of jail diversion programs the accessibility to jail diversion programs are limited, due to the strict qualification guidelines set. In addition, the availability of appropriate mental health professionals is paramount to the efficiency of the program. It is a common belief that linking mentally ill offenders to Community-Based Services decrease their chances of recidivism and contact with security officers (Sirotich, 2009).

In a fight to reduce overcrowding, improve public health and public safety, and reduce the costs of criminal justice and corrections, federal, state and local leaders are constantly looking for alternatives to incarceration. A number of strategies have been put in place to save public funds and improve public health by keeping low-risk, non-violent, possibly drug-involved offenders out of prison or jail while still holding them accountable and securing the safety of our comminutes. These programs have been put in place to help those who don’t necessarily need to be in jail, get their priorities straight while also holding them accountable for their actions. They have been put in place to help reduce incarceration rates, but also help those who may have mental health issues or substance abuse issues that have caused them to make bad decisions (Treatment Court Divisions).

Due in part to the community's lack of preparedness and resources, the needs of many of the deinstitutionalized has not been meet. Therefore many of the mentally ill have ended up exchanging hospitalization for institutionalization in prison or jail." This situation left many mentally ill on the streets with no one to look after them except the nation's police. Another reason for the increasing number of mentally ill individuals in the community is the expense of mental health services. Many individuals are unemployed and therefore without income. Many are not covered by health insurance and the individuals who do have insurance are often smothered under restrictions on coverage for mental illness. Others face time limits on in-patient treatment that will have rewarding effects. Others have difficulty accessing government-funded health coverage. Others depending upon their condition are not even aware that this program exits. Regardless of the reasoning police, as well as judge's and probation officers are on a daily basis faced with the increasing number of mentally ill individuals that are rotated amongst the system.

His research can be seen as mind opening for those who do not know much about the struggles mentally ill people face in society and within system. It also shows a different reality of what the term “care” really means to those who make the failed policies. He has provide us not only with firsthand experience, but extensive research that reveals why the mental health system and jails have failed those who suffer from mental illness and their families. He not only explains why CIT has worked so well, but proves with facts. For example, in Memphis, CIT had transported 1,533 to local mental centers, rather than jails without any of them being injured. This alone shows how effective the program has been and why it must be taken into more consideration in all police departments. Ultimately, the book teaches the reader the differences that effective and ineffective programs can do and the ignorance of those who think that mentally ill people are safe in

The article Mentally Ill Inmates Prone to Violence After Release: Study by Robert Preidt on September 3rd 2015 in Healthday discusses how prisoners with mental and substance-use disorders are more likely to commit violent crimes after their release than other inmates. Researchers did a study of ex-convicts in Sweden to get their results. 42 percent of men and 60 percent of women were diagnosed with at least one mental disorder prior to release. Researchers have found that the more co-existing psychiatric disorders the ex-inmates had, the greater risk of committing violent crimes. One in seven prisoners has a psychotic illness or major depression. In an average of three years, one quarter of men and 11 percent of women were convicted of

Individuals with mental illness state that being in this type of environment causes them to feel alone. This type of feeling from being confined leads to depression and severe self-harm (such as the prisoners who had cuts all over his arms). In addition, many inmates become delusional and have hallucinations, which is another huge issue that causes many of the behavior issues. There is one positive effect of mentally ill being incarcerated (in some cases) because they are able to get medication that they were otherwise not able to get when on the streets.

The next challenge criminal justice professionals face during the initial court hearing for the offender. During this time, the court has the burden of figuring out the best place for the individuals' case to be heard as well as ensure that the offender receives proper medical care. Unfortunately, during this time the responsibility of funding for care changes and due to limited funding a "lack of continuity" in medical care often occurs (Blough, 2009). Another significant challenge for criminal justice professionals is how to adequately deal with a mentally ill offender once they have been convicted of a crime. Typically, mentally ill offenders will end being incarcerated or part of community-based supervision (Blough, 2009). The challenge hears lies within how to adequately meet the needs of mentally ill offenders while serving their time. Meeting these requirements place a significant burden on criminal justice professionals in several ways. For example, corrections officers are given the task of protecting the mentally ill offender from both the rest of the prison population as well as themselves, and this is where the lack of training comes into play again because more often than not these correction officers are not taught the correct techniques needed for the job. In community-supervision