Human Rights Watch (“HRW”) recently issued a new Report finding that mentally ill inmates in US prisons are frequently mistreated, neglected and abused. The Report also contains a lot of information concerning the role of prisons in the mental health system in this country.
First, according to the HRW Report, prisons have become the primary mental health care facilities in the United States. One in every six inmates is mentally ill. In fact, there are three times as many mentally ill prison inmates as there are patients in mental health care facilities. The rate of mental illness in our prison population is three times higher than in our general population. Figures gathered by the US Justice Department buttress these findings. According to a DOJ study, 75% of women and 50% of men in State prisons, and 75% of women and 63% of men in local jails, will have a mental health problem requiring services in any given year.
Mentally ill inmates experience mistreatment and abuse on two different fronts. First, inmates who do not suffer from mental illness routinely exploit them. Additionally, their mental illness frequently leads them to violate institutional rules (e.g., making excessive noise, failing to comply with orders, cursing, banging on cell doors), with the result that they are punished for displaying the symptoms of their respective illnesses. Depending upon the facts and circumstances surrounding a given violation, an inmate can be punished with placement in administrative segregation (the “hole”). A sufficiently long period of time in such an environment can cause their illness to worsen significantly. Inmates have also been subjected to excessive force by corrections officers, and some have even died from asphyxiation because of the manner in which guards have tried to control them. Continue reading ›