Mental Illness Of The Mentally Ill On Deinstitutionalization

​Mental health disorders are a significant cause of morbidity in prisons across the United States (U.S). Deinstitutionalization of the state’s mental health system has turned prisons into America’s “new asylums”; it has become a warehouse for the mentally ill. Our U.S prison rehabilitative services are not equipped to provide care and psychological treatment for the mentally ill which allows for these mental illnesses to persist, worsen or even trigger new ones. It can even cause inmates to wind up back in prison upon release for minor offenses. In addition to the lack of resources for these mentally ill individuals, the prison environment also directly affects the mental

The Mentally Ill Offender Treatment and Crime Reduction Act of 2004: Problems and Prospects by Christine M. Litschgea and Michael G. Vaughn, is a research article whose focus is three-fold. First, the researchers reviewed the literature available on the components that have influenced the considerable increases of incarcerated persons with severe mental illness (SMI). Secondly, they analyzed the Mentally Ill Offender Treatment and Crime Reduction Act of 2004 (MIOTCRA), and evaluated if, since its inception, has reduced the problems associated with incarcerated persons with SMI. Thirdly, they offered recommendations about policy improvements; how to decrease the number of SMI persons imprisoned.

The deinstitutionalization of state mental hospitals has left many individuals untreated and in the community where there come under police scrutiny due to their odd behavior, that is a manifestation of their illness. Majority of mentally ill offenders have not committed a serious crime and are subjected to inappropriate arrest and incarceration (Soderstrom, 2008). This new policy has become quite a concern to the fact that the correctional environment has proven to show no positive results in the mental health of the offender during their time of incarceration or upon their release date and thereafter (Soderstrom, 2008).

Each day vast amounts of people with mental disorders are being cycled through the criminal justice system. A recent study shows that approximately twenty percent of prisoners have a mental illness, and out of all of the mentally ill people alive, forty percent of them will serve some sort of jail time in their lifetime. In recent studies, it has also appeared that individuals being incarcerated have more severe types of mental illness, including psychotic disorders and major mood disorders than they did in the past. In fact, according to the American Psychiatric Association, between two and four percent of all inmates in state prisons are estimated to have a psychotic disorder such as schizophrenia, thirteen to nineteen percent have severe

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

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 theory of ‘deinstitutionalization’ began arising with the theory of providing more freedom to the mentally ill and less spending on full time care facilities. The widespread use of drugs to control the mentally ill in the 1900s led to a mass release of patients and an emptying of asylums. Outpatient Psychiatric Clinics were established. Case Law in the United States began to be generated to provide the mentally ill with greater rights. Shelton v. Tucker 1960 provided that the mentally ill should receive care in the “least restrictive alternative”, which is a practice still utilized. O’Connor v. Donaldson 1975 ruled that non-dangerous mental patients have the right to be treated or discharged if they have been institutionalized against their will. This new approached permitted the mass exodus

Mental sicknesses, like schizophrenia, brain diseases and other living conditions have affected many individuals in the United States from the past until now. Yet in the US, the institutions that usually treat people with these illnesses are not hospitals or psychiatric facilities, but rather jails and prisons. The United States have adopted a system that seems to incarcerate the mentally ill rather than treating them within help centers. “In 2012, there were roughly 356,268 inmates with severe mental illnesses in prisons and jails, while only 35,000 people with the same diseases were in state psychiatric hospitals.” Incarcerating the mentally ill in correctional facilities rather than treating them in health

The homeless- found on city park benches, street corners, and subway grates. Where did all of these people come from? One third, to one half of the homeless suffer from a mental illness. A lot is said about the homeless-mentally ill, but what their plight says about us may be more significant. We still have not found a place for those who are both poor and insane. Once there was a place for them; the asylum fulfilled the basic needs of thousands for decades, but now these institutions lay empty and in ruin. Has the hope to heal the mentally ill also been abandoned? Is there once again a need for the asylum? The disbandment of the asylum was the first step in ending segregation for those

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

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 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).

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.

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.

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).