Mental Health in Prisons

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by Nicole Bal3 views·Updated Apr 15, 2021

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  1. Hello everyone.
  2. My name is Nicole Ball and my project is raising
  3. awareness of mental illness in prison.
  4. So let's start with the basics.
  5. A prisoners were criminals who have been sentenced to a
  6. year or more, are housed, arrestees who are mentally incompetent
  7. to stand trial are supposed to be sent for treatment,
  8. but thousands are being warehouse handrails for months without a
  9. conviction. The USA has the highest rate of incarceration in
  10. the world.
  11. And 50 years ago, 75 of the population was in
  12. mental hospitals and 25 incarcerated.
  13. Now it is five in mental hospitals and 95 incarcerated.
  14. This topic is critical to the treatment those with mental
  15. illnesses receive in prisons today, including but not limited to
  16. bullying, marginalisation, isolation, victimization and increased disciplinary measures.
  17. These are just some of the abuses received by mentally
  18. ill persons in prison.
  19. Each of these mistreatment experience exacerbate the effects of mental
  20. illness. Until recently, the National Health Service would not take
  21. responsibility for health care in prisons, but it is now
  22. being proposed that the levels of mental health care in
  23. prison should be equal to that of the general population.
  24. Yeah, a closer look, common illnesses in prison inmates in
  25. michigan are depression, mania, pTSD bipolar disorder, schizophrenia, psychotic disorders
  26. or substance use disorder.
  27. Oftentimes inmates may experience more than one of these disorders.
  28. It is called dual diagnosis.
  29. Dual diagnosis is when someone suffers from more than one
  30. mental illness and their symptoms are exacerbated tremendously.
  31. Mentally ill persons are often found to be incarcerated because
  32. their illness prevents them from knowing any better.
  33. And they often live a life of homelessness and addiction,
  34. in which both of the circumstances lead to deviant behaviors.
  35. Although it is commonly known that those who suffer from
  36. mental illness have a high likelihood of being incarcerated.
  37. Our correction system does not have programs and treatment that
  38. are readily available for these inmates, mentally ill inmates experience
  39. worse than symptoms of illness.
  40. Once incarcerated, we will look into this next.
  41. Why is this happening first?
  42. The highly authoritative environment in prison does not allow inmates
  43. to feel safe in closing information about their mental illness.
  44. Social structures in prison, such as inmate codes, prevent others
  45. from reporting changing our we're sending mental health and a
  46. fellow inmate.
  47. It is unclear exactly where confidentiality stands in prisons, discipline
  48. in the prison environment is highly volatile for inmates who
  49. suffer from mental illness and corrections officers are not trained
  50. to recognize mental illness.
  51. What is the effect to effectively implement changes into the
  52. prison system to accommodate mental health victims, we must understand
  53. which factors of the prison contribute to poor mental health.
  54. These include overcrowding violence and forced solitude, lack of privacy,
  55. lack of meaningful activity, isolation, insecurity about the future and
  56. inadequate health services.
  57. Mentally ill individuals have a high likelihood of committing crimes
  58. and therefore there is a large population of mentally ill
  59. persons in the present environment, with environments as hostile as
  60. american prisons, it is nearly impossible for a person struggling
  61. with mental illness to control themselves or retrieve treatment, receive
  62. treatment. These inmates are degraded and essentially left Iran prison.
  63. Whether it is an sl or solitary confinement, they are
  64. more likely to experience violence, suicide and physical harm by
  65. other inmates and even prison staff because they are not
  66. recognized or treated as human beings.
  67. The treatment they received currently leads to worsening mentally worsening
  68. mental health problems, which is the opposite of what our
  69. prison system should strive for.
  70. I chose this video to share to give an idea
  71. of what life can be like in prison in ways
  72. in which prisoners adapt.
  73. So for some reason, I haven't been able to get
  74. this video to play in presentation mode.
  75. So if you'd like to watch it, it is called
  76. the so it is episode two on adoption in prisons
  77. and it was created by the Marshall Project.
  78. So you can go to this link.
  79. I have here and watch that video.
  80. I am going to share some things about the video,
  81. even though we weren't able to watch it, just to
  82. give an idea of what the prison looks like for
  83. regular prisoners and what it would look like for somebody
  84. who is mentally ill.
  85. So the first scenario that I chose to examine was
  86. isolation of solitary confinement.
  87. Oftentimes correction officers will put somebody in solitary confinement if
  88. they are not obeying their rules or if they just
  89. had a bad day, that is their way of punishment
  90. and it can be severely detrimental to any person put
  91. in solitary confinement.
  92. Someone with an illness that causes voices in your head
  93. would lead to drastically worsened health If put in solitary
  94. confinement, the second scenario is being abruptly moved from prison
  95. to prison when a corrections officer doesn't like the way
  96. you're acting, they can send you off whenever they want.
  97. Somebody with an illness already struggling with drastic changes of
  98. being imprisoned, are not going to react well to constantly
  99. changing environments and lastly being assigned to complex work tasks
  100. such as filing paperwork or doing physical labor, someone with
  101. mental illness, we'll have a hard time just reading their
  102. name and some instances are communicating with others.
  103. So having to do tasks such as filing paperwork or
  104. physical labor is not going to be feasible for somebody
  105. like them and they will therefore experience much worse discipline
  106. from the correction staff.
  107. What can we do?
  108. These are just some of the many ways we can
  109. help those suffering from mental illness in prison.
  110. First divert the obviously mental health ill away from prison
  111. and reduce stigma and violence in prison that is experienced
  112. by those who seek treatment and most importantly provide training
  113. for employees, specifically correctional officers to recognize the signs and
  114. symptoms of mental illness.
  115. This is particularly important because when a correctional officer who
  116. spends more than half of their day in close contact
  117. with inmates see signs of mental illness, the behavior is
  118. often misinterpreted for resistance, leading to increase punishments, such as
  119. solitary confinement, like we said in the earlier slide or
  120. physical violence.
  121. The segregation of offenders in solitary confinement even without mental
  122. illness leads to depression, panic attacks, hallucinations, paranoia, rage, self
  123. mutilation and suicidal thoughts and behaviors.
  124. A person struggling for mental illness, experiences these symptoms in
  125. everyday life, but it is only worsened by solitary confinement
  126. and will lead to high rates of suicide for these
  127. inmates. For a correctional officer to effectively assessment and mate
  128. with mental illness.
  129. They must work collaboratively with psychologists In 2004, the inmates
  130. to psychologist ratio was estimated to behalf of what it
  131. was during the 1980s, And this was nearly 17 years
  132. ago. This number has continued to drop for the level
  133. of professionally trained individuals and mental health disorders in prison,
  134. along with a multitude of other tasks essential to the
  135. daily work of a correctional officer.
  136. It is impossible to assess and evaluate those inmates suffering
  137. from mental illness without proper training or collaboration with other
  138. trained workers.
  139. On the other hand, with a heavy workload forced upon
  140. correctional officers, the experience Berna and mental health issues all
  141. the same.
  142. Therefore, there is little time for these officers to provide
  143. mental health treatment and assessment for the inmates in their
  144. supervision on daily basis.
  145. Furthermore, I would like to talk about the importance of
  146. integrating a more rehabilitative program into our prison systems.
  147. In an article titled The Mental health of prisoners by
  148. luke Birmingham, he states women prisoners in particular worry about
  149. their family, especially their Children.
  150. Up to two thirds of women in prison are mothers,
  151. and nearly half of all women who were sent to
  152. prison have a dependent child living with them when they
  153. are imprisoned.
  154. Women who are imprisoned are far more likely to have
  155. suffered from traumatic experiences in her childhood than men.
  156. It could include sexual, mental or physical abuse.
  157. Half of these women will have experienced domestic violence, one
  158. third sexual assault and one in 10 will have attempted
  159. suicide before being imprisoned.
  160. Eight out of 10 women in prison will suffer from
  161. diagnosable mental health problems, and two thirds will be drug
  162. dependent for years alcohol to a dangerous success.
  163. Whatever the circumstance, maybe for a person in prison and
  164. is critical to provide them with the freedom to interact
  165. with friends and family for their own mental health and
  166. also that of their families.
  167. Next, we will look deeper into different prison systems around
  168. the world and why their policies could be beneficial to
  169. implement in american prisons.
  170. But before that, I wanted to share this photo, it
  171. looks like an almost normal life silent in a prison
  172. that promotes rehabilitation rather than cruel punishment.
  173. And the plants in this room also represent and promote
  174. the ideas of growth and life, which can heavily influence
  175. the mindset of an inmate in prison.
  176. Now to move on to german prison systems, also known
  177. as a prison without punishment, german prisons allow inmates to
  178. wear their own clothes, cook their own meals and have
  179. romantic visits with the outside world.
  180. This picture shows inmates enjoying work outside in the garden
  181. and wearing civilized clothing.
  182. Some inmates are even provided with a small room with
  183. a kitchenette crib and couch that folds out into bed
  184. into a bed to have their parents or Children in
  185. an unsupervised visit approved by a social worker, knives, darts
  186. and fruit are commonly seen in german prisons and this
  187. is because they do not treat the inmates like they
  188. are dangerous and in that case they do not act
  189. in violent or dangerous ways.
  190. All of the different aspects of the german prison system
  191. allow and made to keep a sense of self when
  192. they are incarcerated and they are less likely to lose
  193. their sanity or experience symptoms of mental illness.
  194. Having a sense of self includes having the freedom to
  195. express your individual wants needs and beliefs, allowing self analysis
  196. would be a tremendous step forward for our prison system
  197. and it would allow prisoners to continually assess what they
  198. need us humans to be comfortable and survive.
  199. I think these simple, basic human interactions that german prison
  200. systems provide can help inmates keep their identity, sanity and
  201. health intact, unlike the american system that completely confines the
  202. cuts off and strip some of their privacy at the
  203. same time, we do have to realize that these people
  204. are in prison because they have committed a crime.
  205. So keeping the minimum sentence on felonies such as murder
  206. would remind inmates that they are still incapacitated and hopefully
  207. that would deter them from future crimes.
  208. Self assessment is a key component to keeping yourself conscious
  209. and intact with the real world.
  210. I strongly believe in increasing the number of social workers
  211. and the american prison system.
  212. This will go along with the idea of helping prisoners
  213. come to the realization of self awareness and reintegration decide
  214. into society after their sentence.
  215. In conclusion, mental illness is a serious condition, one that
  216. leads individuals down the road of substance abuse or incarceration.
  217. Unfortunately, these three aspects go hand in hand when they
  218. should not.
  219. Instead of incarcerating those with mental illness, we should be
  220. providing them with help and treatment to get their illness
  221. under control and divert them from a life of crime.
  222. Even though there are high rates of mentally ill people
  223. in prison, other inmates and correctional staff do not provide
  224. a safe environment to provide these people with the treatment
  225. they need.
  226. Rather they are bullied and ridiculed more than ever, which
  227. drives their mental health to get worse.
  228. If our prisons were to focus more on rehabilitating a
  229. rehabilitative outlook, it would benefit not only the mentally ill,
  230. but also others that deal with incarceration.
  231. Prison systems such as those in Germany offer a program
  232. that allow inmates to keep their sense of self and
  233. pride, allowing these simple freedoms can benefit.
  234. Mental health is not back into society and divert them
  235. from a lifetime in Germany.
  236. They are not completely stripping inmates of their life and
  237. they have larger support groups to rely on and go
  238. home to.
  239. In order to do this, politicians and policymakers need to
  240. commit to better health and better justice.
  241. There is a need to send out a message that
  242. good prisons can be good for public health and that
  243. good prison practice that promotes mental health makes the country
  244. safer because people in prison who have problems that are
  245. addressed are less likely to commit more crime after they
  246. leave. Lastly public.
  247. And the justice system must understand that prison should not
  248. be a dumping ground for people with mental illness.
  249. Thank you.