Tag Archives: prisoners

Art, Health, Prisons

Breaking Icons

8 Comments

My second human sculpture, Dr John Jumoke, holds a prescription pad that reads,

Rx: Art, Poetry, and Music.20121223-000808.jpg

I think that is a pretty good first line defense for much of what ails the human condition. That and a good dose of empathic understanding from people who eschew employing violence, sarcasm and undermining skepticism in their efforts to help others. Too often people who are diagnosed, as I was, and still am, with “schizophrenia” are rushed into treatment that degrades and humiliates, even as it inflicts terrible effects, not to mention side effects…all without curing the so-called illness. I am not convinced that a person with “schizophrenia,” given the simple luxury of TIME, and a safe place with really good, caring, kind and intelligent people who know how to help without hurting her or him, would not heal better and more effectively than with any of all the so-called miracle anti-psychotic drugs our billion dollar medico-pharma industry has foisted on us. And I say this even though I still feel that Zyprexa was a “miracle drug” for me, once upon a time, (though also the miracle drug from hell…) and that it gave me a life I had never known before. I say this even though I take Abilify and Geodon and do more art and writing than I ever have…I say this even though I am better now than I have been in decades. I think the drugs are only fixing problems that the system largely caused. And had I had the chance, way back when, I wish I had had the chance to fight back without them…

If I could do anything to fix the mental health system, in Connecticut or this country or the world, one small thing, it would be to end ALL use of seclusion and restraints, period. Violence begets violence, in all cases. In ALL cases. In fact, get this, I would change the prison system as well, so that punishment qua punishment would be a thing of the past. Punishment is only a form of revenge and it does nothing to change a person or make them better. It only makes society feel better the way a bully feels better when he or she smacks a victim upside the head for smiling lopsidedly. I mean this. Sure, people can do very bad things. Yes. And certain people may be so damaged that they are too dangerous  to safely release into “normal” society. (I maintain that this is largely because of how we, as a society, treated them, either at large or in prison.) But prisons and penitentiaries, especially in America, should be seen as an abomination on God’s green earth.

They say a society is judged by how it treats its dead? Well, I think we are judged by how we treat our prisoners, and if so, we will be judged poorly indeed for we treat our prisoners like hated animals…Not like cats and dogs that is for certain, nor even like horses…No, because we generally treat cats, dogs and horses well. Rather, we treat prisoners like vermin, like roaches…and then we blame them when they behave like the vermin they have become!

Have I gotten off the subject? Well, some mental institutions are largely prisons to their populations of involuntary or coerced patients, and most patients, involuntary or not, are cowed into doing as they are told for fear of the consequences. So to a degree the prison metaphor is valid. But if you have been restrained and secluded, brutally, and for hours upon hours, for many days, as I have been, the notion that you are a prisoner becomes more reasonable. That said, I will advance yet another idea: that bad behavior should be treated, not punished. Yes, I mean that. We should treat the person guilty of repeated criminal offenses as if he or she has a treatable behavioral disorder, and not punish them.

I know this will earn me some outrage. But think about it. What good does it do to punish a person repeatedly? Does it do anyone any good to torture that person with “the hole” or with repeated cell extractions and mace in the face? Clearly it doesn’t rehabilitate them or teach them the ways of kindness. It only makes them worse, and in our system an in-prison offense can add years to what started as a short sentence. So we create hardened criminals inside our prisons. I ask again, what good did it do?

But if instead we took that person, guilty of an offense and treated them as if they needed help — help learning how to behave better — and all that might entail, perhaps we might end up not only with someone ready to leave the institution at the end of the shorter stay, but someone ready to stay out afterwards! It only makes sense to treat everyone, including prisoners, with kindness and understanding and education, and if you don’t believe this, you should for one reason only: it would cost less money. (Of course, the owners of the private prisons don’t want you to know this, because they MAKE money on all the prisoners who keep coming back or who never get out, in fact there is a whole industry based on keeping as many people in prison, their private prisons, as possible…)

But I don’t believe in prisons either. I think the institution is a nightmare. You put bad people together with one another and what do you get but people learning how to behave worse together! It is a truly ridiculous idea. Analogous to the hospital, which is currently the worst and most dangerous place to go when you get ill (because that is where the most dangerous infections are and are often out of control). In the “old days” prisons were merely waiting stations. Penalties were sure and swift, and brutal. But no one waited for decades in a crowded prison with society pretending that it was humane. Now, we pretend it is..I dunno. Do we pretend anything, or just not care?

Do we care at all that we warehouse so many millions in dead-end lives that only get worse by the day, and then deprive them the more if they manage to leave prison eventually and not return? Oh, we have three strikes laws to put a person in prison for life, but no one gives a damn that there are three strikes against any person who actually earns his or her way OUT of prison. Nowhere to live, no job, no money, and no safety net whatsoever. (Unless you happen to be a former governor of Connecticut, and then you have it made in the shade.)

Enough for now.

Health Care Reform, Lyme Disease, Mental Health, Prisons, Psychiatry, Schizophrenia, Uncategorized, Violence

The Mentally Ill in Prison and Out-patient Commitment Laws

3 Comments

Dear Pam,

Thank you for the link to the Dr. Manny Show. There are indeed many faces of mental illness. Some people have mild cases and are able to work and function at the same level as anyone else.

Congress passed mental health legislation in 2008 providing for workers who have psychiatric dysfunctions to be covered under their employers’ health insurance at the same rate as employees with physical illness (certain exclusions apply). That was a positive step. However, acute mental patients do not benefit by that law, because severe mental illness is often too debilitating for victims to work, especially without the psychiatric treatment they need. In fact, people with acute schizophrenia, bipolar disorder, PTSD, and other conditions frequently resist treatment even when it is available to them.

Unfortunately, 1.25 million mentally ill Americans are currently imprisoned for offenses ranging from simple vandalism or disturbing the peace to murders. Last January, Rep. Eddie Johnson (D-TX 30) introduced H.R. 619, a congressional bill to resume Medicaid coverage for inpatient psychiatric care for patients in crisis and for people who require long-term containment in a secure treatment environment (such as patients who have done violence).

H.R. 619 is an important bill that deserves our support. It was largely the removal of Medicaid funding several decades ago that led to criminalizing mental illness. That in turn led to many other problems, such as overcrowded prisons and a burdensome prison budget. Hundreds of thousands of acute patients were “de-institutionalized” in the 60’s and 70’s only to become homeless and/or prisoners. Thousands of acute mental patients continue to be dismissed from mental hospitals and prisons without subsistence assistance and provisions for continuous monitoring and treatment under programs like Kendra’s Law.

Assisted Outpatient Programs like Kendra’s Law have been proved to reduce homelessness, arrests, hospitalizations, and incarcerations by up to 85% (among New York participants, compared to their circumstances three years before becoming program participants). The impressive rate of reduced arrests and incarcerations also indicates that community safety was improved significantly as less crime was done, and it also follows that the prison budget was lessened by helping patients with living arrangements and mandating continuous psychiatric care for ex-offenders and former inpatients who often lack the wherewithal to make wise treatment choices and avoid psychiatric crises.

Assistance to the Incarcerated Mentally Ill (AIMI) supports Rep. Johnson’s bill, H.R. 619, as well as NAMI, Treatment Advocacy Center, and many other mental health advocates who believe resuming funding for inpatient treatment is best for patients and for America. In fact, 100% of police officers I polled agree that prison is not the place for severe mental patients, where they comprise 60% of the inmates kept naked in solitary confinement cells.

I solute Congresswoman Johnson, a former psychiatric nurse, for introducing H.R. 619, and I hope everyone who is concerned about human and civil rights will support the bill and end the discriminatory practice of punishing Americans for being sick. I pray for another bill to be introduced to address the second cause of mental illness having been criminalized in America – the lack of continuous care and subsistence assistance for released prisoners and former inpatients. Kendra’s Law should be applied nationwide so that acute mental patients will be treated, not punished, for having a common, treatable health condition that requires monitoring and care just as diabetics and heart patients receive.

Inpatient hospitalization was not included under the national health care plan, so it is very important to pass H.R.619 as a separate bill. Please write an email to your representatives tomorrow and ask them to co-sponsor the resumption of Medicaid for psychiatric hospitalization and to institute Assisted Outpatient Treatment progams, which would not only be more fair and humane to sick people and their families, but would also save taxpayers billions each year as our prison rolls decrease.

Thank you, Pam, for this forum and for the useful information that WagBlog always has. I will share the link to the Dr. Manny Show with many people at my Care2 Sharebook and at FreeSpeakBlog, where we often publish mental health news as well as other matters that have to do with promoting human rights for prisoners.

Mary Neal
Assistance to the Incarcerated Mentally Ill
http://www.Care2.com/c2c/group/AIMI

PS Please VOTE for H.R.619 to replace prisons w/ hospitals for acute mental patients. The link below will take you to OpenCongress.org where you can use your voice to say to our elected officials, “We care about the least of these, His brethren: naked, sick prisoners.” (Matt.25:36) http://www.opencongress.org/bill/111-h619/show

While many Americans celebrate the health care reform bill’s victory, please agree that millions of citizens should not be left imprisoned or live under the threat of prison because their health care needs were omitted. Put the “NATIONAL” into health care reform by supporting H.R.619: Medicaid funding for psychiatric hospitals instead of prison cells for mentally challenged people – a change that will save money and restore lives!

Thanks in advance for voting. Please invite others!

___________________________________________________

Dear Mary

I think you know that I was quite ill until starting in 1996 when Zyprexa came out, but not truly until 2005,  when a complete transformation occurred. However, when I relapse, I “relapse good” — as my medical record from the October hospitalization attests, with nearly constant locked seclusion or restraints for 6-8 days etc. Nevertheless, I am with you, though reluctantly, as I also know how terrible the side effects are of some of the older medications are as well as the newer ones, and the horrible state of affairs when a harried or burned out psychiatrist simply rams them down your throat without consultation at least after the acute psychosis resolves and you are able to discuss such things.

When I was in Manchester Hospital, I begged to be put back on my anti-convulsants and the Abilify/Geodon combination that had served me well for many months, believing, with reason, that I was suffering from a flare-up of my neurological Lyme disease, an illness that had always and invariably produced severe psychiatric symptoms. I needed, I knew, an increase of those drugs rather than a wholesale change to the “old drug” Trilafon. But did the doctor listen to me? No, he did not, despite my  ability to say as much to him, my psychosis consisting not of incoherence but of paranoia and command hallucinations to  harm myself in order to atone for being the Devil…I could and did argue with him, vehemently, and steadfastly, refusing to take the Trilafon, until he instituted a standing restraints order for every time I was non-compliant.

These are the sorts of things that trouble me about  forced treatment and/or outpatient commitment laws. It is not that I think people suffering from severe psychiatric illness do not need or deserve treatment, only that the treatments available are not always effective or tolerable. And until they are, I am not sure that the only way to go is only to force medication on everyone willy-nilly, not, at least against their protestations of extreme discomfort. At the very least every effort must be made to find a medication or medication combo that keep the psychosis at bay while making the person as comfortable as is humanely possible…which is difficult when a psychiatrist is saddled with a hundred patients to see in a week. It took Dr O and me six years or more to find  the right combination of drugs, and to titrate them precisely enough to treat my symptoms,  reducing them significantly while keeping unpleasant side effects to a minimum.

There is much about the treatment of the mentally ill that is so disgusting I cannot begin to cover them all here, though your comment is very thorough, which is why I have put it up  as a regular post. I appreciate your links to sites that do so as well. You did not mention one horrific situation: where under-utilized supermax prisons now house “uncooperative mentally ill prisoners” whose lack of compliance or cooperation is due solely to their illness. Though it is well-known that such brutal conditions drive “normal” or reasonably sane prisoners to insanity, can you imagine the brutality of forcing a psychotic individual to reside in such isolation? (Note however that in years past, as you know, isolation and seclusion of disruptive patients in hospitals was also the norm, since “overstimulation” from the outside world was considered to cause their agitation…I have been in hospitals where, in bare seclusion rooms, I was not permitted access to letters or phone calls, visitors or even reading material. As for restraints, they too were inhumane as I was shackled SPREAD- EAGLE, to the four corners of the bed and not, as even then was considered proper, with my legs straight and my arms in position by my side. This treatment moreover was considered normative for agitated psychotic patients rather than cruel in the extreme  as recently as the 1980s in some municipal hospitals in Connecticut.

I  recommend the book, THE DAY THE VOICES STOPPED, by the late Ken Steele, who wrote of his experience as a 14 year old with the savage isolation policies in NY hospitals in the 60s and 70s,  treatment that today seems literally incredible.

Well, I thank you for your contribution to my blog, Mary. You are welcome here at any time. I will post as many of your comments as I can.

Sincerely,

Pam W