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Mental Health in Prisons
NB
by
Nicole Bal
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Updated Apr 15, 2021
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Chapters
00:00
Chapter 1
00:07
Chapter 2
00:38
Chapter 3
01:18
Chapter 4
01:19
Chapter 5
01:21
Chapter 6
02:19
Chapter 7
02:54
Chapter 8
02:55
Chapter 9
02:57
Chapter 10
04:17
Chapter 11
04:25
Chapter 12
04:41
Chapter 13
04:42
Chapter 14
06:29
Chapter 15
06:30
Chapter 16
06:32
Chapter 17
08:58
Chapter 18
10:09
Chapter 19
10:29
Chapter 20
10:31
Chapter 21
10:47
Chapter 22
10:54
Chapter 23
10:56
Chapter 24
12:38
Chapter 25
12:39
Chapter 26
12:41
Chapter 27
14:15
Chapter 28
14:24
Chapter 29
14:26
Chapter 30
Audio Transcript
Auto-generated
00:01 - 00:01
Hello everyone.
00:02 - 00:04
My name is Nicole Ball and my project is raising
00:04 - 00:06
awareness of mental illness in prison.
00:08 - 00:08
So let's start with the basics.
00:09 - 00:12
A prisoners were criminals who have been sentenced to a
00:12 - 00:15
year or more, are housed, arrestees who are mentally incompetent
00:16 - 00:17
to stand trial are supposed to be sent for treatment,
00:18 - 00:21
but thousands are being warehouse handrails for months without a
00:21 - 00:25
conviction. The USA has the highest rate of incarceration in
00:25 - 00:25
the world.
00:26 - 00:30
And 50 years ago, 75 of the population was in
00:30 - 00:32
mental hospitals and 25 incarcerated.
00:33 - 00:37
Now it is five in mental hospitals and 95 incarcerated.
00:41 - 00:43
This topic is critical to the treatment those with mental
00:43 - 00:48
illnesses receive in prisons today, including but not limited to
00:48 - 00:54
bullying, marginalisation, isolation, victimization and increased disciplinary measures.
00:55 - 00:57
These are just some of the abuses received by mentally
00:58 - 00:59
ill persons in prison.
00:59 - 01:03
Each of these mistreatment experience exacerbate the effects of mental
01:03 - 01:07
illness. Until recently, the National Health Service would not take
01:07 - 01:10
responsibility for health care in prisons, but it is now
01:10 - 01:14
being proposed that the levels of mental health care in
01:14 - 01:17
prison should be equal to that of the general population.
01:22 - 01:27
Yeah, a closer look, common illnesses in prison inmates in
01:27 - 01:33
michigan are depression, mania, pTSD bipolar disorder, schizophrenia, psychotic disorders
01:34 - 01:35
or substance use disorder.
01:35 - 01:39
Oftentimes inmates may experience more than one of these disorders.
01:39 - 01:40
It is called dual diagnosis.
01:42 - 01:44
Dual diagnosis is when someone suffers from more than one
01:45 - 01:47
mental illness and their symptoms are exacerbated tremendously.
01:48 - 01:51
Mentally ill persons are often found to be incarcerated because
01:51 - 01:54
their illness prevents them from knowing any better.
01:54 - 01:56
And they often live a life of homelessness and addiction,
01:57 - 02:00
in which both of the circumstances lead to deviant behaviors.
02:02 - 02:04
Although it is commonly known that those who suffer from
02:04 - 02:06
mental illness have a high likelihood of being incarcerated.
02:08 - 02:11
Our correction system does not have programs and treatment that
02:11 - 02:14
are readily available for these inmates, mentally ill inmates experience
02:15 - 02:16
worse than symptoms of illness.
02:17 - 02:19
Once incarcerated, we will look into this next.
02:20 - 02:22
Why is this happening first?
02:23 - 02:26
The highly authoritative environment in prison does not allow inmates
02:27 - 02:29
to feel safe in closing information about their mental illness.
02:30 - 02:34
Social structures in prison, such as inmate codes, prevent others
02:34 - 02:38
from reporting changing our we're sending mental health and a
02:38 - 02:39
fellow inmate.
02:40 - 02:45
It is unclear exactly where confidentiality stands in prisons, discipline
02:45 - 02:48
in the prison environment is highly volatile for inmates who
02:48 - 02:52
suffer from mental illness and corrections officers are not trained
02:52 - 02:53
to recognize mental illness.
02:59 - 03:03
What is the effect to effectively implement changes into the
03:03 - 03:06
prison system to accommodate mental health victims, we must understand
03:07 - 03:09
which factors of the prison contribute to poor mental health.
03:10 - 03:14
These include overcrowding violence and forced solitude, lack of privacy,
03:15 - 03:20
lack of meaningful activity, isolation, insecurity about the future and
03:20 - 03:21
inadequate health services.
03:22 - 03:25
Mentally ill individuals have a high likelihood of committing crimes
03:26 - 03:28
and therefore there is a large population of mentally ill
03:28 - 03:32
persons in the present environment, with environments as hostile as
03:32 - 03:35
american prisons, it is nearly impossible for a person struggling
03:35 - 03:39
with mental illness to control themselves or retrieve treatment, receive
03:39 - 03:43
treatment. These inmates are degraded and essentially left Iran prison.
03:43 - 03:47
Whether it is an sl or solitary confinement, they are
03:47 - 03:51
more likely to experience violence, suicide and physical harm by
03:51 - 03:55
other inmates and even prison staff because they are not
03:55 - 03:57
recognized or treated as human beings.
03:58 - 04:04
The treatment they received currently leads to worsening mentally worsening
04:05 - 04:07
mental health problems, which is the opposite of what our
04:07 - 04:09
prison system should strive for.
04:10 - 04:12
I chose this video to share to give an idea
04:13 - 04:15
of what life can be like in prison in ways
04:15 - 04:16
in which prisoners adapt.
04:21 - 04:23
So for some reason, I haven't been able to get
04:23 - 04:26
this video to play in presentation mode.
04:26 - 04:28
So if you'd like to watch it, it is called
04:29 - 04:31
the so it is episode two on adoption in prisons
04:32 - 04:35
and it was created by the Marshall Project.
04:35 - 04:36
So you can go to this link.
04:37 - 04:39
I have here and watch that video.
04:45 - 04:47
I am going to share some things about the video,
04:48 - 04:50
even though we weren't able to watch it, just to
04:50 - 04:54
give an idea of what the prison looks like for
04:55 - 04:58
regular prisoners and what it would look like for somebody
04:59 - 05:00
who is mentally ill.
05:04 - 05:07
So the first scenario that I chose to examine was
05:08 - 05:09
isolation of solitary confinement.
05:10 - 05:15
Oftentimes correction officers will put somebody in solitary confinement if
05:16 - 05:19
they are not obeying their rules or if they just
05:19 - 05:21
had a bad day, that is their way of punishment
05:22 - 05:25
and it can be severely detrimental to any person put
05:25 - 05:26
in solitary confinement.
05:28 - 05:33
Someone with an illness that causes voices in your head
05:33 - 05:36
would lead to drastically worsened health If put in solitary
05:37 - 05:42
confinement, the second scenario is being abruptly moved from prison
05:42 - 05:45
to prison when a corrections officer doesn't like the way
05:45 - 05:49
you're acting, they can send you off whenever they want.
05:50 - 05:53
Somebody with an illness already struggling with drastic changes of
05:53 - 05:57
being imprisoned, are not going to react well to constantly
05:58 - 06:03
changing environments and lastly being assigned to complex work tasks
06:04 - 06:07
such as filing paperwork or doing physical labor, someone with
06:08 - 06:12
mental illness, we'll have a hard time just reading their
06:12 - 06:15
name and some instances are communicating with others.
06:15 - 06:19
So having to do tasks such as filing paperwork or
06:19 - 06:22
physical labor is not going to be feasible for somebody
06:22 - 06:26
like them and they will therefore experience much worse discipline
06:27 - 06:27
from the correction staff.
06:34 - 06:34
What can we do?
06:36 - 06:38
These are just some of the many ways we can
06:38 - 06:40
help those suffering from mental illness in prison.
06:42 - 06:46
First divert the obviously mental health ill away from prison
06:47 - 06:50
and reduce stigma and violence in prison that is experienced
06:51 - 06:54
by those who seek treatment and most importantly provide training
06:55 - 07:00
for employees, specifically correctional officers to recognize the signs and
07:00 - 07:01
symptoms of mental illness.
07:02 - 07:06
This is particularly important because when a correctional officer who
07:06 - 07:08
spends more than half of their day in close contact
07:08 - 07:13
with inmates see signs of mental illness, the behavior is
07:13 - 07:18
often misinterpreted for resistance, leading to increase punishments, such as
07:18 - 07:22
solitary confinement, like we said in the earlier slide or
07:22 - 07:23
physical violence.
07:24 - 07:29
The segregation of offenders in solitary confinement even without mental
07:29 - 07:35
illness leads to depression, panic attacks, hallucinations, paranoia, rage, self
07:35 - 07:38
mutilation and suicidal thoughts and behaviors.
07:40 - 07:43
A person struggling for mental illness, experiences these symptoms in
07:43 - 07:47
everyday life, but it is only worsened by solitary confinement
07:48 - 07:50
and will lead to high rates of suicide for these
07:50 - 07:54
inmates. For a correctional officer to effectively assessment and mate
07:54 - 07:55
with mental illness.
07:56 - 08:01
They must work collaboratively with psychologists In 2004, the inmates
08:03 - 08:07
to psychologist ratio was estimated to behalf of what it
08:07 - 08:11
was during the 1980s, And this was nearly 17 years
08:11 - 08:14
ago. This number has continued to drop for the level
08:14 - 08:17
of professionally trained individuals and mental health disorders in prison,
08:18 - 08:21
along with a multitude of other tasks essential to the
08:21 - 08:22
daily work of a correctional officer.
08:23 - 08:26
It is impossible to assess and evaluate those inmates suffering
08:27 - 08:30
from mental illness without proper training or collaboration with other
08:30 - 08:31
trained workers.
08:31 - 08:34
On the other hand, with a heavy workload forced upon
08:35 - 08:39
correctional officers, the experience Berna and mental health issues all
08:39 - 08:39
the same.
08:41 - 08:44
Therefore, there is little time for these officers to provide
08:44 - 08:47
mental health treatment and assessment for the inmates in their
08:47 - 08:48
supervision on daily basis.
08:50 - 08:52
Furthermore, I would like to talk about the importance of
08:52 - 08:55
integrating a more rehabilitative program into our prison systems.
09:01 - 09:04
In an article titled The Mental health of prisoners by
09:04 - 09:10
luke Birmingham, he states women prisoners in particular worry about
09:10 - 09:12
their family, especially their Children.
09:13 - 09:14
Up to two thirds of women in prison are mothers,
09:15 - 09:17
and nearly half of all women who were sent to
09:17 - 09:19
prison have a dependent child living with them when they
09:19 - 09:19
are imprisoned.
09:21 - 09:24
Women who are imprisoned are far more likely to have
09:25 - 09:28
suffered from traumatic experiences in her childhood than men.
09:28 - 09:31
It could include sexual, mental or physical abuse.
09:32 - 09:35
Half of these women will have experienced domestic violence, one
09:36 - 09:38
third sexual assault and one in 10 will have attempted
09:38 - 09:40
suicide before being imprisoned.
09:41 - 09:44
Eight out of 10 women in prison will suffer from
09:45 - 09:48
diagnosable mental health problems, and two thirds will be drug
09:48 - 09:51
dependent for years alcohol to a dangerous success.
09:53 - 09:56
Whatever the circumstance, maybe for a person in prison and
09:56 - 09:58
is critical to provide them with the freedom to interact
09:58 - 10:00
with friends and family for their own mental health and
10:01 - 10:02
also that of their families.
10:03 - 10:05
Next, we will look deeper into different prison systems around
10:05 - 10:08
the world and why their policies could be beneficial to
10:08 - 10:09
implement in american prisons.
10:11 - 10:15
But before that, I wanted to share this photo, it
10:15 - 10:18
looks like an almost normal life silent in a prison
10:18 - 10:21
that promotes rehabilitation rather than cruel punishment.
10:22 - 10:24
And the plants in this room also represent and promote
10:25 - 10:27
the ideas of growth and life, which can heavily influence
10:28 - 10:29
the mindset of an inmate in prison.
10:34 - 10:37
Now to move on to german prison systems, also known
10:37 - 10:42
as a prison without punishment, german prisons allow inmates to
10:42 - 10:44
wear their own clothes, cook their own meals and have
10:44 - 10:46
romantic visits with the outside world.
10:48 - 10:51
This picture shows inmates enjoying work outside in the garden
10:52 - 10:53
and wearing civilized clothing.
10:57 - 11:00
Some inmates are even provided with a small room with
11:00 - 11:03
a kitchenette crib and couch that folds out into bed
11:03 - 11:05
into a bed to have their parents or Children in
11:06 - 11:10
an unsupervised visit approved by a social worker, knives, darts
11:11 - 11:13
and fruit are commonly seen in german prisons and this
11:14 - 11:16
is because they do not treat the inmates like they
11:16 - 11:18
are dangerous and in that case they do not act
11:18 - 11:19
in violent or dangerous ways.
11:21 - 11:23
All of the different aspects of the german prison system
11:23 - 11:25
allow and made to keep a sense of self when
11:25 - 11:28
they are incarcerated and they are less likely to lose
11:28 - 11:30
their sanity or experience symptoms of mental illness.
11:31 - 11:34
Having a sense of self includes having the freedom to
11:34 - 11:37
express your individual wants needs and beliefs, allowing self analysis
11:38 - 11:40
would be a tremendous step forward for our prison system
11:40 - 11:44
and it would allow prisoners to continually assess what they
11:44 - 11:46
need us humans to be comfortable and survive.
11:47 - 11:50
I think these simple, basic human interactions that german prison
11:50 - 11:55
systems provide can help inmates keep their identity, sanity and
11:55 - 12:00
health intact, unlike the american system that completely confines the
12:00 - 12:04
cuts off and strip some of their privacy at the
12:04 - 12:06
same time, we do have to realize that these people
12:06 - 12:08
are in prison because they have committed a crime.
12:08 - 12:11
So keeping the minimum sentence on felonies such as murder
12:12 - 12:15
would remind inmates that they are still incapacitated and hopefully
12:15 - 12:17
that would deter them from future crimes.
12:19 - 12:22
Self assessment is a key component to keeping yourself conscious
12:23 - 12:24
and intact with the real world.
12:24 - 12:26
I strongly believe in increasing the number of social workers
12:27 - 12:28
and the american prison system.
12:29 - 12:32
This will go along with the idea of helping prisoners
12:32 - 12:35
come to the realization of self awareness and reintegration decide
12:36 - 12:38
into society after their sentence.
12:45 - 12:48
In conclusion, mental illness is a serious condition, one that
12:48 - 12:51
leads individuals down the road of substance abuse or incarceration.
12:52 - 12:56
Unfortunately, these three aspects go hand in hand when they
12:56 - 12:56
should not.
12:57 - 12:59
Instead of incarcerating those with mental illness, we should be
13:00 - 13:02
providing them with help and treatment to get their illness
13:02 - 13:05
under control and divert them from a life of crime.
13:07 - 13:09
Even though there are high rates of mentally ill people
13:10 - 13:12
in prison, other inmates and correctional staff do not provide
13:12 - 13:14
a safe environment to provide these people with the treatment
13:15 - 13:15
they need.
13:15 - 13:18
Rather they are bullied and ridiculed more than ever, which
13:18 - 13:20
drives their mental health to get worse.
13:21 - 13:23
If our prisons were to focus more on rehabilitating a
13:24 - 13:27
rehabilitative outlook, it would benefit not only the mentally ill,
13:27 - 13:29
but also others that deal with incarceration.
13:32 - 13:34
Prison systems such as those in Germany offer a program
13:34 - 13:36
that allow inmates to keep their sense of self and
13:36 - 13:39
pride, allowing these simple freedoms can benefit.
13:39 - 13:42
Mental health is not back into society and divert them
13:43 - 13:44
from a lifetime in Germany.
13:45 - 13:47
They are not completely stripping inmates of their life and
13:47 - 13:49
they have larger support groups to rely on and go
13:49 - 13:50
home to.
13:51 - 13:54
In order to do this, politicians and policymakers need to
13:54 - 13:56
commit to better health and better justice.
13:57 - 13:59
There is a need to send out a message that
13:59 - 14:02
good prisons can be good for public health and that
14:02 - 14:05
good prison practice that promotes mental health makes the country
14:05 - 14:11
safer because people in prison who have problems that are
14:11 - 14:14
addressed are less likely to commit more crime after they
14:14 - 14:17
leave. Lastly public.
14:18 - 14:21
And the justice system must understand that prison should not
14:21 - 14:23
be a dumping ground for people with mental illness.
14:28 - 14:28
Thank you.
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