Jr. Research Paper-Mental Illness, Homelessness, and Prison
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What Is The Role Of Jails In Treating The Mentally Ill? This sets them apart visually form the other prisoner when they are all mixed together. Almost shameful. Visual description for reader
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"Bright blue pants and neon yellow shirts" for the mentally ill Jackie Lard
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What Is The Role Of Jails In Treating The Mentally Ill? This high rate is reflective of society inability to keep these people out of prisons, and help them to provide for them selfs
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2.1 million people booked in jails with mental illness nationwide Jackie Lard
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What Is The Role Of Jails In Treating The Mentally Ill? There is such a lack in this community today, proving the rashness of the decision. Because we can't change the past we must catch up with the present and create the care in forms beginning with soup kitchen, jobs training, and shelters.
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1970's closed huge state mental hospitals, supposed to be filled with community based care, but the mentally ill were just released to the street Jackie Lard
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What Is The Role Of Jails In Treating The Mentally Ill? This can cause issues is a patients refuses to use this help, because it proves they won't accept the help in the future, outside of jail, and makes them harder to communicate with.
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Jails can't force mentally ill to take meds but must accept them. Jackie Lard
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What Is The Role Of Jails In Treating The Mentally Ill? Proves the connection of mental illness and addiction, especially in cases of wanting to tune out voices, and attempt to be normal. It is also another form of mental illness
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substance abuse patients get counseling (90%)-In twin towers facility Jackie Lard
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What Is The Role Of Jails In Treating The Mentally Ill? This has been proven through their litigation, but the solution to this is creating more space for the mentally ill, or lessening their sentences to keep them out of jail, so they are not subjected to general population.
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Justice appartment "People with psychological disorders are much more likely to be sexual victimised by fellow inmates"-twin towers and mens Jackie Lard
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What Is The Role Of Jails In Treating The Mentally Ill? A form of shame, but also a way to show the guards who to keep their eyes on. Also is a way to protect those who could hurt them selfs. Good visual for readers.
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heavy blue blanket only "suicide gown"-suicide watch Sarah Howe
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What Is The Role Of Jails In Treating The Mentally Ill? This prision has become the defacto mental hospital, like the ones that were closed down. It has come to a point where felons commit crimes to go get help. Jail can not be a place to get better, rather to be punished, so those who don't know why they are being punished, or are being punished for a crime because of their mental illness must be sent somewhere to get better
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30 inmates get mental health treatment, but it's not enough "Are we not turning our prisons into hospitals" "In many ways we are a hospital" Sarah Howe
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What Is The Role Of Jails In Treating The Mentally Ill? This specific jail does not require these homeless patines to have a plan of where they are going when they leave, leading to the revolving door cycle. Instead, during their sentence, part of their recovery needs to be to find a longterm housing option.
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once released the majority is tuned out to the streets with no community treatment centers jail not far from easy access to drugs Steve Lopez
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What Is The Role Of Jails In Treating The Mentally Ill? Because they stop taking their medicines, they are fragile, which leads them to cause crimes, which leads to prison and help, then back on the street with no medicines.
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Most of the patients come in a very fragile and ill stable revolving door syndrome-"stops doig medication and he gets arrested" Story from a family Gabriel Rodriguez
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What Is The Role Of Jails In Treating The Mentally Ill? just because it is a shelter, doesn't mean it is the right shelter for them, and it can not meet all their needs. They can not be healed and punished at the same time. Now that we know about this, we must change it.
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"For some people jail is better than being on the street, but that doesn't mean a jail is a therapeutic environment, and it doesn't mean it's good public policy, and it doesn't mean anybody should find this acceptable" Steve Lopez journalist for the LA times
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What Is The Role Of Jails In Treating The Mentally Ill? This story makes the issue seem real and personal. It allows the reader to see more than just numbers. He actually wanted to go to jail, proving that our jails are becoming mental hospitals. It proves how impossible it is for the homeless to keep up with medications.
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started drugs at 9 schizophrenia, depression, anxiety, poplar, medications and therapy in Jail but too costly outside wanted to commit offences to go back to jail bc no food and shelter had been in Twin Towers got medication and therapy unsupervised med schedule was impossible b/c money, time, accessibility James Pentar
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What Is The Role Of Jails In Treating The Mentally Ill? Just because the jails have gotten better at treating those incarcerated, does not mean the problem has gotten better. Society is not willing to attack the root of the problem witch begins with bringing the mentally ill back into society, because it scares many people. If one public figure showed that incorporating the mentally ill is a good thing, many more people would join.
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"jails have been very good nationwide now at recognising the need to screen for severe mental disorder, and to provide treatment", but this isn't a solution because it's easier to be granted money to build a new correctional facility, than to create a program in the real world people aren't sympathetic to this issue- they are scared we need a public figure to advocate for this issue Dr. Linda Teplin
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Now What: Housing The Homeless This proves the lack of shelter, but also something much bigger. When this many people can't afford housing, we know there is something wrong with society, and mainly there are changes that can be made to legislature and the economy. When "hard times" hit this many people at once, it is not a coincidence.
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over half a million people sleep on the street on any given night in the US
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Now What: Housing The Homeless This is too large of a permeant homeless area. This can not be the end of the solution, but rather we must find them homes, to bring them back into society rather than isolate them.
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LA: Skidrow 18,000 ppl sleep there every night "cardboard and tent houses" 50 square blocks
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Now What: Housing The Homeless This money motivation alone should push the government, and society to make serious changes. With this money we could be buying houses for the next thousand homeless people, and solving the problem.
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800 of the most frequently incarcerated in NYC cost taxpayers 129 million dollars and half of them were homeless
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Now What: Housing The Homeless With this money we could provide them with a house or apartment, which is a long term solution to finding homeless and mental ill people homes, until the problem is eliminated
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30-40 thousand dollars a year paid by the community for a homeless person
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Now What: Housing The Homeless This will lead to many home homeless people with no where to go, except shelters, therefore over crowding the shelters. It could also cause immediate action to be taken to find them homes or facilities as permeant residences.
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60% increase on bands in camping in public new legislation preventing sleeping on streets and cars
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Now What: Housing The Homeless This quote brings the issue back down to terms we can understand and evaluate. It allows us to see the issue in a new light, and even compare the mentally ill and homeless to our family and friends.
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"Homelessness is a very human problem that we have dealt with in a very inhumane way"-Narrator "Maybe the real metric we should be focusing on is the life changing impact it has had on people like Tony"
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Now What: Housing The Homeless His story allow for us to see the real pain of living on the streets, and how much success can come form providing them with a house, in a way that touches our emotions.
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Tonry vietnam vet "I was isolating myself" PTSD-no job "I was like a kid who gets lost" talking about being homeless-"You have nothing that can help you but yourself","There is no where to go" "I don't have to worry like I had to worry out on the streets" "It's like a lot of piece of mind" "It gives you a reason to succeed, it gives you a reason to step forward, because I have something else I can do than rolling up in a blanket and freeze all night"
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Now What: Housing The Homeless Housing first is one of the prime examples of how to solve this issue. It actually is simple and makes sense. Their system already has a high success rate and can be implemented nationwide.
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"Housing first" "People are homeless and they need home..it's so simple you almost don't want to say it" Housing first-Sam's organization works with mayor's office, municipality, and local organizations current systems of care 40-50% success rate in housing firsts first year they got 84% success rate "Because this ultimately is what the solution to homeless is in this country. It's going to be a matter of political will. Were going to have to up the ante and really invest in ending homelessness because we know we can do it. Sam Tsemberis
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Now What: Housing The Homeless Many times we are scared to talk to or interact with the homeless and mentally ill, but the reality is that being homeless can happen to any one, and many more people in society have mental illness, then they let on to. One friend or family member does not change into a monster just because they have no where to sleep.
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"Homelessness I think is a condition that can easily be changed, that same caring, thoughtful person is the same person whos the person who's homeless or housed, were just giving them an opportunity to show more of themselves" Sam Tsemberis
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Now What: Housing The Homeless Mr. Temberlin's experiment worked in new places, showing the success rate that it could have in other places around the US. Also getting another point of view validates his claims.
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Utah $20,000 per year per homeless person, but can house them for $12,000 a year Test-22 months later all 17 were still housed-"We're going to find the most challenging chronically homelessness" "Nothing builds self esteem like having a home" Lloyd Pendleton
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Now What: Housing The Homeless Another example of how the system has helped at a humane level.
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lived on the streets for 3 years "We dropped the dosage of my meds drastically" "Its gotten to the point where I think I'm ready to go back to work now" Susan Bearing
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U.S. Mentally Ill Prisoners Face Abuse (Audio) These actions are not done to regular prisoners who have an understanding of what they are doing wrong, and therefore can not be done to those who don't.
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Mental ill prisoners are more likely to wind up in solitary confinement, have disciplinary problems, and be subjects to use of force by corrections officers Eldon Vail (Former Secretary of Corrections-Washington state)
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U.S. Mentally Ill Prisoners Face Abuse (Audio) This shows and issue with what they are being taught. It must differentiate form those who can not comprehend the orders.
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Officers are taught to give orders, and then give punishments when orders are not complied with Eldon Vail (Former Secretary of Corrections-Washington state)
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U.S. Mentally Ill Prisoners Face Abuse (Audio) Because they are not trained, they can not deal with how to help the prisoners during an episode, and are only left with using force.
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time spent in deescalating situations or understanding the mentally ill is too little correction staff don't get sufficient training in how to avoid the use of force or how to deal with the mentally ill Eldon Vail (Former Secretary of Corrections-Washington state)
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U.S. Mentally Ill Prisoners Face Abuse (Audio) Because officers are taught to reply with all theses forms of force to those who do not obey commands, they act in extreme ways against a person who probably does not comprehend what they are doing wrong, or what they are being asked.
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beaten spray shun gus, lacerations, burns, stitches and sometimes death-B/C They act in ways that might not follow prison rules bc of their mental health Minor non threatening misconduct is being responded to by force Jamie F
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U.S. Mentally Ill Prisoners Face Abuse (Audio) The leadership must be changed, and it is a real situation that is happening all the time, not on specific occasions.
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mis treatment is not done by a few rogue officers-it is taught by the leaders Jamie F
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U.S. Mentally Ill Prisoners Face Abuse (Audio) This is where the Humans right organizations come in, but we should not have to watch out for their human rights to be repeated in america, where a violation of these are illegal.
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"not treated with respect, no one protecting their basic humanity" Jamie F
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U.S. Mentally Ill Prisoners Face Abuse (Audio) This specific case is so detailed that it shows the reader specifically how these violations are taking place. It shows what measures are taken and what can be done to prevent it in the future.
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christopher lopez Suffered mental illness most of adult life San Carlos correctional facility officers videotaped last hours of his life-following policy Restraint chair-like a wheel chair, but restrained at waist, hands, spit hood to prevent spitting on officers-full face mask He has a seizure and the officers saw it but didn't do anything except take him out of the chair and take off the spit hood-had they taken blood and realised the sodium deficiency they could have given him a salen IV and saved him David Lane (Lopez family lawyer)
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U.S. Mentally Ill Prisoners Face Abuse (Audio) When a professional states that these inmates are not able to comply with strict order, it must be taken seriously by officers.
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Mentally ill may feel threatened and scared by jails less likely to obery direct orders get so confused that they don't understand how to obey orders like a normal person would Jeffrey Metzner (Psychiatrist-Corrections mental health expert)
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United States: Force Against Prisoners... This proves the multitude of ways the inmates rights are being violated, and gives the reader a sense of disgust. It also shows a similarity to the mental hospitals closed by Raegan
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Callous and Cruel: Use of Force Against Inmates with Mental Disabilities in teh US-Painfull Chmeical sprays, Shocks with electric powerfull stun weapons, Strapped for days in restraining chairs or beds, broken their noes, jaws, ribbs,, left them ith stiches, decond degree burns, and damages internal organs-even DEATH
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United States: Force Against Prisoners... There are the many problems with the metal health care in prison systems.
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deficient mental health treatment, inadequate use of force policys, insufficent staff training, poor leadershit
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United States: Force Against Prisoners... This statistic proves the urgency of this issue.
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excessive force used in prisions against prisioners with mental health in 5,100 jails.
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United States: Force Against Prisoners... These actions could be better taken care of in a hospital with treatment and communication about why it is wrong.
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Correctional facility staff are aloud to use force when necessary ( to control dangerous or highly disruptive prisoner), but it has been used to control the who engage in behaviors such as urinating on the floor, using profane language, banging on cell door, masturbating, complaint or refusing to come out of a cell, or just being annoying. Bc their mental illness, even when it is nonthreatening.
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United States: Force Against Prisoners... This is the definition of excessive force, and proves that force has become an issue in US jails.
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Case one- staff at a California prison sprayed a prisoner 40 times with pepper spray and threw four paper spray grenades into his cell after he refused to come out of his cell
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United States: Force Against Prisoners... Because they knew what they were doing, they knew they were sending this man to their death, justifying it as murder.
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In florid, a schizophrenic patient defeated on the floor in his cell, and refused to clean it up, officers put him a really hot shower, knowing the inmate couldn't control the flow or temperature of the shower. Was left there for over an hour and died.
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United States: Force Against Prisoners... This extreme amount proves that this issue is relevant to the entire world, to help neighbors, friend and family.
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one in 5 prisoners in the US has a serious mental illness. and 5% of those are actively psychotic at any given moment.
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United States: Force Against Prisoners.. Because the officers use force for their own will, the mentally ill suffer. The force is clearly not working as a form of communication of right and wrong and therefore must be changed.
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"Prisoners with such conditions often find it difficult to cope with the extraordinary stresses of incarceration and to comply with the prison regimen and staff orders. Untreated or undertreated because of inadequate mental health services, these prisoners may engage in conduct correctional staff consider annoying, bizarre, frightening, disruptive, or dangerous. They may refuse to obey orders, and they break the rules at higher rates than other prisoners. The default response of staff may be the use of force"
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United States: Force Against Prisoners... This is only a law in two states, which shows the magnitude of prisons nationwide using chemical sprays.
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prison officials in Arizona and California-policies that greatly restrict the use of chemical sprays on prisoners with mental illness except in an emergency (Only ones)
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United States: Force Against Prisoners... If we are able to increase the help that the mentally ill are able to get out of prison, we will be able to keep them out of prison, and avoid the trout. Also they must find justice for them in a operate way.
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"reduce the number of prisoners with mental disabilities confined in prisons and jails, including by increasing the availability of community mental health resources and access to criminal justice diversion programs"
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United States: Force Against Prisoners... While although they did video tape him, doing nothing was just as bad a killing him. They also restrained him for doing nothing, which lead to his death.
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"At 3:30 a.m. on March 17, 2013, Colorado prison staff found Christopher Lopez, a 35-year-old with schizoaffective disorder, bipolar type, lying face down on the floor of his cell, semi-conscious and barely able to move. Staff did not take him to the prison clinic or call for medical help. Instead, as shown in a publicly available video, the officers handcuffed him, fastened the cuffs to a belly chain, shackled his ankles, and chained him in a restraint chair. A couple of hours later they removed Lopez from the chair and left him on the floor of another cell, still in restraints, still scarcely able to move, his breathing increasingly labored. Lopez died at around 9 a.m. from hyponatremia, a blood condition that is treatable with prompt medical attention"
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United States: Force Against Prisoners... His crime was non violent, but he was still tortured to a point that a human with out mental illnesses would have collapsed under. This has become the norm, but must remain unacceptable.
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"Nick Christie, an agitated and confused 62-year-old man who had recently stopped taking his medications for depression and anxiety, was jailed in Florida in 2009 for a nonviolent misdemeanor. Locked in a cell and not receiving any mental health services, he kept yelling and banging on the cell door. Deputies sprayed him with chemical spray more than a dozen times in a 36-hour period and immobilized him in a restraint chair with a spit mask covering his face. He died from cardiac arrest"
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United States: Force Against Prisoners... Booked for a crime, which took place because he was not given residency. Because of his illness he could not instated the officers, leading to serious injury, rather than just simple punishment.
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"Robert Sweeper was booked into a South Carolina jail on February 7, 2013, charged with trespassing after police found him sleeping in a classroom building doorway on a cold night. Sweeper was uncooperative, disoriented, and incoherent, but staff did not send him to a hospital for psychiatric care. During a routine search of Sweeper's cell, an officer twisted Sweeper's wrist and arm, and repeatedly kicked him in the upper body, puncturing his lung, breaking three ribs and fracturing two vertebrae"
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United States: Force Against Prisoners... She was incarcerated for a non violent reason, and was not accurately provided for, leading to a violent episode.
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"Marie Franks, a 58-year-old woman with bipolar disorder, was incarcerated in an Iowa jail in the fall of 2013, after she made multiple non-emergency calls to 911 and then resisted arrest. She did not receive her prescription medications while in jail and her mental health deteriorated. On October 7, she refused to voluntarily change her jumpsuit and swore at the jail staff. In response, a jail deputy shocked her with a Taser several times in eight minutes."
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Helping Families in Mental Health Crisis Act 2015 We also must understand why it takes so long to approve improvements to society and that changes are taking place.
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2013 version did not pass-2015 did
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Helping Families in Mental Health Crisis Act 2015 This allows those that know the issues to be in charge.
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replaces its administrators with Psychiatrists or clinical psychologists (Assistant Secretary for Mental Health and Substance abuse Treatment)
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Helping Families in Mental Health Crisis Act 2015 This allows for grants to be given only to those who will use it properly
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requires states to report outcomes for grants, and case management services
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Helping Families in Mental Health Crisis Act 2015 This new funding will be able to provide for programs to experiment in creating new facilities.
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increases amount given to states by $5 million to $20 million annually and extends the grants through 2018. (20% to existing programs and 80% to new programs.) States with an AOT law on their books will receive a 2 percent increase in their block grant funding. (Roughly $10 million annually split between them)
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Helping Families in Mental Health Crisis Act 2015 This helps caregivers to know how to deal with patients
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allows patient confidentiality to share some limited information (diagnoses, treatment plans, appointment scheduling, medications, and medication related instructions, but not psychotherapy notes) with "caregivers". Numerous conditions must be met before the information may be disclosed.
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Helping Families in Mental Health Crisis Act 2015 This allows hospitals to be more welcoming to those whir mental illness.
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"It allows hospitals to get Medicaid reimbursement for care of adults in IMDs where the facility- wide average length of stay is less than 30 days assuming CBO scores appropriately"
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Helping Families in Mental Health Crisis Act 2015 Which helps them get into long term facilities .
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It eliminates the 190 day lifetime cap on inpatient psychiatric hospitalization in Medicare.
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Helping Families in Mental Health Crisis Act 2015 This can allow for a mental health service like medication, as well as drug and alcohol recovery program
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allows payment for two services received in a single day and requires formularies to include meds on their formularies
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Helping Families in Mental Health Crisis Act 2015 Helps patients from hospitals have somewhere to go, and allows hospitals to take the patines
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It requires (medicare reimbursed?) hospitals to prepare discharge plans and facilitate connection with outpatient treatment for patients they are discharging.
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Helping Families in Mental Health Crisis Act 2015 This will allow for better control of violent inmates
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It provides $40 million annually for four years specifically for NIMH (National Institute Of Mental Health) to start studying violence to self and others plus the Brain Initiative.
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Trapped by Rules... He will never be able to be fully healed, because he is unable to leave the jail. If he were treated by a doctor he could reenter society
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Mr. James, 59 years old,bipolar, paranoid and schizophrenic 16 years after robbing a convenience store-has been rejected for parole three times. sentence tops 100 years, parole is only path Next hearing, December 2007, he will be rejected again b/c history of prison-rule violations (bc his illness), and even if his record were clean, there are few qualified institutions to take him in. That alone would be grounds to deny his application.
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Trapped by Rules... With a lack of parol, there is no way for them to be reincorporated into society.
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self-perpetuating-imprisoned, mentally ill inmates are rarely paroled. Some "max out" their sentence, serving at least 85% of their term, then released, nowhere to go, and with a recidivism rate higher than that of the general prison population, they often end up back where they started.
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Trapped by Rules... This discharge process is severely lacking
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James Keithley (Joseph harp prison psychologist and clinical coordinator) And then, if a violent inmate completes his sentence and is discharged, "Where do I send him? Mama don't want him," Dr. Keithley says. "If they act up here, you know what will happen if they're released. It scares the hell out of me."
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Trapped by Rules... While the new medication is helpful, it still shows the lack of care they receive.
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Oklahoma recently shuttered state-run, mental-health facilities: number of inmates on psychiatric medications more than tripled between 1998 and 2005 to 4,017 the system's budget for such medication climbed even faster, growing from $154,000 a year to more than $2 million, in part because of the growing number of medications available-the ---overall prison population rose 14% to 23,205.
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Trapped by Rules... These extreme numbers show how many people it effects and why we need to solve it.
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The National Alliance on Mental Illness estimates there are 300,000 people suffering from mental illness in state and federal prisons, compared with 70,000 in state psychiatric facilities.
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Trapped by Rules... This has been repeated many times, showing its validity.
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"Our jails and prisons are our largest mental-health facilities now," says U.S. Sen. Mike DeWine, a Republican from Ohio who has co-authored bills to create federal programs to improve services for mentally ill inmates.
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Trapped by Rules... These patients all would be much better served with constant attention from doctors.
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440 of the prison's 1,100 inmates are on psychiatric medication ($30,000 a month)
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Trapped by Rules... This shows the harsh conditions.
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It takes more than two hours for the last inmate in the line to make his way to the infirmary.
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Trapped by Rules... They are not treated for in a way to solve these problems, letting them foster into violent outbreaks. It also causes fear in officers.
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Intermediate unit: 1. tried to commit suicide by tying an electrical cord around his neck and jumping from the second tier. Misjudging the distance and length of cord required, he hit the deck of the first floor. As the lone officer on duty ran to the area, the inmate limped back upstairs and jumped again. He misjudged the distance once more and broke his foot.
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Trapped by Rules... They are not treated for in a way to solve these problems, letting them foster into violent outbreaks. It also causes fear in officers.
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Intermediate unit: Another time an inmate set a fire in his cell and took the responding officer hostage, periodically slashing him with a blade from a disposable razor.
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Trapped by Rules... The description helps readers visualize it.
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acute care unit/ fantasy Island: 12-foot fence, walls made of unbreakable glass, allow staff to see most of the unit at a glance. There is a four-point restraint table "it's a prison within a prison for 108"
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Trapped by Rules... They are put in solitary confinement which does mental damage to those with out mental illness.
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Those considered too unpredictable and uncontrollable ever to be free are locked behind thick doors with small windows. Screams, moans and chanting are normal. The noise level rises as the sun goes down and before the medication kicks in
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Trapped by Rules... The state is accepting less and less people to house, which means more on the streets. Also it is becoming almost impossible for the mentally ill to find residence at a metal hospital is they have been convicted.
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The number of long-term, non-criminal psychiatric patients housed in Oklahoma's state facilities is about 200, a fraction of the 1,300 they held in the 1980s, (state's department of mental health) the remaining state hospital, houses about 162 for two weeks at a time until they can be released back to community
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Trapped by Rules... The mentally ill can not be judged like the rest of the inmates because their brains do not work the same way, and they simply require more attention.
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"The [parole] board here in Oklahoma is conservative towards these types of issues and unfortunately they judge the mentally ill like they judge the rest of the inmates in the system," says J.D. Daniels, deputy director of the Oklahoma Pardon and Parole Board.
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Trapped by Rules... This then created all of the homeless and mentally ill that we see today living on the streets.
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Closed mental hospitals so.."The idea was that community agencies would take over treating and monitoring these patients but in almost all cases they haven't picked up the slack"
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Trapped by Rules... The need is so great that it can not be meat, therefor the problem must be attacked at the routes.
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Jesus House (homeless and mentally ill shelter) 1or 2/70 beds for fellons "I could fill up another couple hundred beds if I had them," Executive Director Jan Mercer.
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Trapped by Rules... When they are aloud to finish their sentence, it makes it so that no one is watching out for them after jail.
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Dr. Keithley: would rather Mr. Bruton be paroled and put on supervision than be allowed to finish his sentence and simply dissolve into the outside population. "The parole board doesn't necessarily see it that way," the doctor says. "He deserves to have a better life than being crazy."
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Trapped by Rules... These are the people that need the most help, and should be deferred to mental health facilities rather than jail, to be treated first, and then deal with their punishments.
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Mr:Smith: Threatened mom with knife, gouges himself with fingernails, almost at release date, doctors refer him to available community programs-no guarantees, won't take meds "Because I want to do drugs. I like crack and marijuana and drinking."
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With Consensus and Money... The tie in with the government and commit creates an environment that everyone is happy with and has allowed it to grow so large.
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Haven for Hope of Bear County: 20-acre community, provides services, shelter and safety for people who are homeless or nearly so. Works with government agencies, nonprofit organizations, mental and medical health providers and religious groups
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With Consensus and Money... While Texas is attempting to move up the spectrum, it must be every states mission to move to number one, until the problem is solved.
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2006 to 2009: Texas ranked last in the nation in per-capita spending on mental health services. In fiscal year 2010, Texas spent $39 per capita and moved up, Maine $300 per capita.
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With Consensus and Money... This is a sentiment that is repeated many times, showing how the closing of some mental hospitals only lead to the opening of them again, only in jails.
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"Houston's Harris County Jail has become a de facto state hospital where psychotropic medication is needed for 2,000 inmates a day"Sheriff Adrian Garcia has said.
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With Consensus and Money... Because of the surplus they were able to spend more, but increased spending on this issue must be a common occurrence even in years of debt.
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12 billion surplus, $1.77 billion into mental health care, an increase of $259 million
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With Consensus and Money... This allocation of money will allow for much growth of public and charity organizations.
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$57 million-eliminate waiting lists for mental health services for children and adults, $25 million-finance grants to local mental health authorities and crisis programs $10 million-substance abuse treatment.
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With Consensus and Money... This new community is one new solution to the issue, which reinstates segregation from society until one is ready to return.
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"The campus includes an intake center and mental health and medical clinics. A converted warehouse holds dozens of offices for nonprofits. About 790 residents live in barracks-style dormitories for men, women and families. Prospects Courtyard provides a safe outdoor sleeping area for more than 500 homeless people nightly."
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With Consensus and Money... This program is clearly working in that it as decreased spending and incarceration.
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"In the first year it was open, there were about 5,000 fewer bookings at Bexar County Jail. Haven estimates its services saved about $50 million that would have otherwise been spent on local jails, emergency rooms and courtrooms"
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H.R.3717 The pilot programs will allow the government to see which is the most successful, with the aid of the grant
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Amends the Public Health Service Act (PHSA) to require-four-year pilot program, 50 grants each year to counties, cities, mental health systems, mental health courts
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H.R.3717 This body will be solely focusing on this issue, allowing them to stay focused on solving it
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National Mental Health Policy Laboratory to: (1) implement most useful policy (2) collect information from grantees
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H.R.3717 This will allow monitoring of the life long incarceration of the mentally ill, as well as provide research
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Requires any for the Attorney General or the Director of the Federal Bureau of Investigation (FBI) with respect to homicides, law enforcement officers killed and assaulted, or individuals killed by law enforcement officers to include data about the involvement of mental illness in such incidences, if any.
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H.R.3717 This will help them to find jobs, home, and stay out of prison
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forces medicaid to cover prescription drugs for mental health disorders
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H.R.3717 The campaign will create a new generation of kids not scared of the mentally ill, and a new generation who will get hands on and solve the problem.
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Directs the Secretary of Education: organize a national awareness campaign to assist secondary school students and postsecondary students in: (1) reducing the stigma of mental illness; (2) understanding how to help those with illness and (3) understanding the importance of seeking treatment from a doctor
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H.R.3717 This will help them stay out of jail, and be able to eventually reintegrate to society
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asks medicaid to allow those with these needs to attend mental hospitals, mental health centers, or abuse treatment facilities
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A crime against mentally ill This huge number shows the dire need to solve this issue
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LA county jail held 3,200 inmates diagnosed with a mental illness and accused of a crime.
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A crime against mentally ill When they sit in jail, they are prevented from being able to get mental help.
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not been to trial, waited months for their day in court, and the majority have cycled through at least once before
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A crime against mentally ill This causes rape and other violent situations
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1,000 mentally ill men and 300 women are housed with the general population.
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A crime against mentally ill There are too many, and therefore prison sentences should be changed to rehabilitation for the mentally ill
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Meanly illl warde-bunks were squeezed into the common dining area to handle the overflow. Beds 2-3 high
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A crime against mentally ill There is no way for an inmate to heal in prison
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Privacy and quiet do not exist for inmates or their jailhouse therapists. "If you're trying to figure out what makes for a desirable therapeutic environment" said Sara Hough, who runs the jail clinical program for the county Mental Health Department and takes pride in trying to deliver desperately needed care, "this ain't it."
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A crime against mentally ill The number of times he has been in the prison is too long, and is proof of the revolving door syndrome. Also it shows how he is not getting treatment.
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"a 49-year-old inmate squatted and spoke to me through a small opening in a locked door. He was diagnosed with paranoid schizophrenia as a young man, he said. I asked how many different times he's been in jail since then" "About 15," he guessed (about 27 years)
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A crime against mentally ill The update will allow the mentally ill to be treated as they should, and prevent rape and violence
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The county Board of Supervisors -plans to update jail facilities in hopes of fending off federal intervention (inmate abuse and deplorable conditions)- hired a consultant to make proposals for demolishing the Men's Central Jail, building a new facility-mental health jail
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Violent Mental Patients Must Have Treatment This allows the public to view all those with mental disabilities as villains
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tragic incidents, the latest having been the death of a woman pushed in front of a subway by Reuben Harris, an escapee from a state psychiatric hospital.
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Violent Mental Patients Must Have Treatment These two issues must be solved together, and the people should be reintegrated, rather than warded off
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The conclusions, however, that homeless, mentally ill, chemical-abusing people are "double trouble killers" who threaten the safety of all New Yorkers, and that there should be stepped-up security measures around them, are incorrect and may lead to greater risks to society.
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Violent Mental Patients Must Have Treatment This shows the issues with society and how its not treating those who need help
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"Homeless, mentally ill chemical abusers are no more a threat to society than society is a threat to itself in allowing the conditions where homelessness, mental illness and chemical abuse converge. This convergence is no coincidence"
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Violent Mental Patients Must Have Treatment More of these must be created to help all those dealing with both
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NYC-ommunity-based treatment programs: substance abuse+mental illness as one: Harbor House in the Bronx and Patchen and Montrose community residences and Fulton House in Brooklyn. "miraculous improvements"
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Prevalence and Risk Factors... These are the stereotypes associated with it, and this can be changed by a new public campaign.
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Homelessness was associated with male gender, African American eth- nicity, presence of a substance use dis- order, lack of Medicaid, a diagnosis of schizophrenia or bipolar disorder, and poorer functioning
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Prevalence and Risk Factors... These statics are why we must target the mentally ill, to solve the issue of homelessness
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Between one-fourth and one-third of homeless persons have a serious mental illness such as schizophrenia, bipolar disorder, or major depression
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Prevalence and Risk Factors... These factors can be greatly reduced by solving the homelessness factor
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Homelessness exacts a heavy toll, including low quality of life (5), risk of assault (6), and early death (7)
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Prevalence and Risk Factors... This is why there mental health care needs to be taken care of, so they can just worry about what all other normal people do
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mental and physical illnesses are high among homeless persons (8, 9), their access to health services is more difficult (10, 11). They often do not have a regular source of health care (12), and the daily struggle for food and shelter may take priority over mental health care (12).
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Prevalence and Risk Factors... there episodes are usually cause of an arrest, which leads these people to jail, and the revolving door cycle
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In persons first hospitalized for a psy- chotic disorder, 15% had an episode of homelessness
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Prevalence and Risk Factors... This proves that if the issue is targeted at the roots, then the rest of it will be solved
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The San Diego Regional Task Force on Homelessness estimates that there are 15,000 homeless persons in San Diego on any given night, but only 4,200 shelter beds
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Prevalence and Risk Factors... This proves who needs to be targeted first
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Mean education years for both was 12 years 6.9% of the homeless patients were married 68% of the homeless patients were caucasian 15.9% were african american 60.5% had substance abuse disorders only 39.2 were medi-Cal benificairys
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Prevalence and Risk Factors... These then cost most money, and the issue could be solved chapter with housing
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The homeless patients were 10 times more likely to use crisis residential treatment and four times more likely to use inpatient psy- chiatric hospitalization and the emergency psychiatric unit, compared to their housed counterparts. home- less patients were more likely to use emergency-type ser- vices, including inpatient services, crisis residential ser- vices, and the emergency psychiatric unit, and less likely to receive outpatient-type services.
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Prevalence and Risk Factors... Which proves that the issue needs to be solve now
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study of patients treated for serious mental illness in a large public mental health system, 15% were homeless at the time of at least one service encounter in a 12-month period.
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Prevalence and Risk Factors... Which is mainly because of a lack of place to go ie: Friends, family, shelter
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persons with serious mental illness are at greater risk for homeless- ness than the general population.
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Prevalence and Risk Factors... different diseases effected the homeless population differently which shows where treatment is lacking
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Patients with schizophrenia were 2.4 times more likely, and those with bipolar disorder 1.6 times more likely to be homeless than those with major depression. A prior study found that 9.7% of patients with schizophrenia used a public shelter, compared with 6.7% of patients with affec- tive psychosis
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Prevalence and Risk Factors... This shows the areas that need the most improvement
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A higher rate of home- lessness in men versus women related to the presence of additional resources and support for families that are homeless or at risk of homelessness.
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Prevalence and Risk Factors... This shows why it must be given to all homeless
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patients who did not have Medi-Cal insurance were twice as likely to be homeless as patients with Medi-Cal
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Medicaid Enrollment... Most of the mentally ill are going back to jail multiple times
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"1,210 persons who had 2,878 detentions were identified in Pinellas County: 2,215 of these detentions represented persons with Medicaid and 663 represented those without Medicaid. For King County, the cor- responding numbers were 1,816 persons and 4,482 detentions: 2,752 of these detentions represented persons with Medicaid and 1,730 repre- sented those without Medicaid."
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Medicaid Enrollment... The community services then can keep them off the streets and out of jail
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Medicaid enrollment enhanced receipt of community services after jail release in these two large urban counties. These are the best currently available data, and the data suggest that efforts to enroll persons with severe mental illness in Medicaid and ensure enrollment upon jail re- lease will improve their access to and receipt of community-based serv- ices after release.
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Medicaid Enrollment... Which can be reduced by aiding the mentally ill
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Jails now process approximately 12.5 million bookings each year
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Medicaid Enrollment... This shows the extremity of the problem
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p- proximately 8 percent or one million, of these book- ings involve persons who have severe mental illness
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Medicaid Enrollment... This will allow them to take advantage of the many services provided by medicare
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Prisons are long-stay institutions and virtually all prison inmates lose Medicaid and other Social Security benefits during their incarceration. Because of this regulation, special efforts are required to help inmates reacquire Medicaid before their re- lease
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Medicaid Enrollment... If those who are incarcerated for a long time were given the opportunities of medicaid earlier, they could have been kept out of jail.
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Quote: short jail stays allowed jail detainees to retain their Medicaid benefits while incarcerated. In com- bination with the findings reported here, this suggests that in-jail inter- ventions designed to enroll or keep people on Medicaid might be more effectively used by focusing on high risk persons before the point of ar- rest and jail detention.
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Medicaid Enrollment... There is simply more service provided to those with medicaid.
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Quote: in both counties, participants with Medicaid received significantly more days of service compared with those without Medicaid (7.5 days compared with 4.5 days in Pinellas County and 11 days compared with seven days in King County,
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Medicaid Enrollment... The action must be devoted to after or around the 90 days to ensure they are continuing getting help
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Quote: In King County, 50 per- cent of participants who received a service did so within four to six days of release, with the remainder spread across the subsequent seven to 90 days. In Pinellas County, the corre- sponding figures were 50 percent within ten to 17 days of release, and the remainder was spread over the subsequent 18 to 90 days. In both counties, a sizeable percentage did not receive any services at all within the 90-day period (36 percent in King County and 46 percent in Pinellas County).
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Medicaid Enrollment... The group with medicaid was then able to recover faster and stay out of jail.
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Quote: Pinellas County, FL the Medicaid group was 1.6 times as likely as the non-Medicaid group to access servic- es (59 percent of sample that used any service compared with 37 per- cent) and in King County,WA the Medic- aid group was 1.25 times as likely to access services
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Medicaid Enrollment... Because medicate ben's are able to have it free, and are therefore more committed to their recovery
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Quote: In a recent national study of adults, Wells and colleagues (15) reported that the likelihood of using services for alcohol abuse, drug abuse, and mental health care was highest for Medicaid beneficiaries and lowest for the uninsured.
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Medicaid Enrollment... The series can prove that they are able to live in society, and it was just their illness, not their character that caused issues
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Quote: Often, their mental illness is a contributing factor to their of- fense, so timely access to appropriate mental health services after release may be crucial if they are to stabilize their psychiatric and functional con- ditions and avoid repeated revolving- door detentions in jail.
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Medicaid Enrollment... This doesn't give them the chance to be treated, and then reintegrate into society
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Quote: Usually, jail stays are brief, with most persons released within 48 hours. However, in some ju- risdictions, detainees with severe mental illness tend to stay four to six times longer than the average de- tainee
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Medicaid Enrollment... Medicaid to more people will allow them to stay out of prison and take advantage of the community
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Quote:Among persons with severe mental illness, those who have Medicaid upon jail release will make more timely and more extensive use of community-based services than those without Medicaid benefits.
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Medicaid Enrollment... Because then they are unable to take advantage of it when they get out of jail, and when they need it the most.
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Quote:it does not make good public policy sense to disenroll persons with severe mental illness from Medicaid when they are in jail.
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Homelessness Halved Just gives the homeless a house
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"Pathways to Housing, a New York nonprofit agency-apparent and a set of keys with no strings attached"
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Homelessness Halved prof that it was not a scam
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Mr.Holson (addict) "They were true to their word"
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Homelessness Halved This allows a more personal commitment
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does not require any clients to seek treatment before moving into percent housing. Never requires treatment
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Homelessness Halved It becomes the reverse cycle of the revolving door cycle
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"Home provides stability, clients then hopefully use the job-placement, substance abuse, and metal-health services"
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Homelessness Halved This quote shows her as a person and not a statistic, showing how human the problem is. It also shows the connection with addiction
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Quote: "Clean and serene for almost five years" has a part time job as a maintenance worker with pathways, "I'm very happy with my life now"-Bernadette Hopson
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Homelessness Halved This huge increase is a static that should prove to legislators that the issue can be solved
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Westchester county has cut homelessness by 2/3-1216 january 2006 v. 3660 in january 1998
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Homelessness Halved This especially applies to the mentally ill.
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single adults don't get what families get-aka living spaces
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Homelessness Halved Solution must be made with the help of the community
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local officials first response was to place the homeless is a series of cheap motels around the country-friction with community (AKA Elmsford)
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Homelessness Halved This solution did not work, and now others can be tested
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1990' county had 4 motels on Tarrytown Road in Elmsofrd, and in 1991, they reached 560 homeless in a city with 3900 ppl-"Homeless capital of westchester" housing slases dropped-2006: All closed except one which is now a full time shelter
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Homelessness Halved This issue was solved, and solutions can be worked through
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Community see loud music, drug activity, garbage tossed on neighbors lawns until security in 2000-15 foot wall
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Homelessness Halved This was a huge step in this issue, and must be done with the mentally ill
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200- county financed effort: paid part of rent for 200 families homeless or almost homeless while they waited for federal vouchers
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Homelessness Halved The increase eventually helped the family but it must be contumely increased as out currency does.
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lawsuits that the state doesn't provide enough money for housing even though there were 2 slight increases in 2003, and 1998-allouance for a family of 4 jumped from 479 to 985 a month
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Homelessness Halved With evidence from the study, this should be implemented in a few states to start.
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Sam Tsemberis -executive director of pathways, federally funded research: randomly assigned 225 homeless people to Pathways to NYs rational homeless service program and tracked them for 24 months: 80% pathways clients found and maintained housing the whole time v. 24% of NY
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Homelessness Halved This price increase alone must be a reason for politicians to invest.
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a year of pathways housing costs 23000 versus 36000 to 48000 a year for shelter according to Kevin Mahon: Commissioner for the county department of Social Services
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Homelessness Halved Because this was never fully excited, it must be attempted again
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Bush administration made it the center of their 10 year plan
