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Deborah De Santis

Deborah De Santis

Posted: June 2, 2010 05:54 PM

Homeless and severely mentally ill, Lavelle has been arrested more than 150 times in the last decade, traveling between Chicago's littered skid row and the Cook County Jail without ever getting any meaningful treatment. A recent study issued by the National Sheriff's Association and the Treatment Advocacy Center, entitled "More Mentally Ill Persons Are in Jails and Prisons Than Hospitals: A Survey of the States," shows that Lavelle is not alone.

The study describes the shocking fact that there are now three times more mentally ill persons in American jails and prisons than there are in hospitals. In many urban areas, it's much worse. In California, it's about four times worse, in Florida, the figure is five times, and in Arizona, there are nine times more people with mental illness imprisoned than in psych wards. The human and financial implications of this worsening national trend are frightening. People with mental illnesses should have mental health treatment and a safe place to live instead of languishing in already overcrowded jails and prisons. Shockingly, in the end, it's the taxpayers that get stuck. In California alone, more than $100,000 a year is spent to incarcerate a single person with mental illness.

Today, I'm joined in this blog by Martin F. Horn of John Jay College of Criminal Justice, former Commissioner of NYC Department of Correction and Probation, and the Honorable Evelyn Stratton of the Ohio State Supreme Court, both co-chairs of CSH's Returning Home Advisory Committee, to say that there is a better way. And the Sheriff's Association report provides a road map. It calls for more mental health courts like the ones in Ohio that get people into community treatment programs rather than imprisoning them. It calls for overhauling our mental health laws and improving community-based services as is happening in states like New York. And we also need supportive housing -- safe, affordable housing that is closely linked to the mental health services and other supports people with mental illnesses need to thrive in the community and stay out of jail. Communities across the country are proving supportive housing works.

These communities are making certain that people with serious mental illness move into apartments and get the services they need when they are released from jail, rather than being dumped homeless on the streets. By making supportive housing available, cities have been able to drastically reduce the number of days people with mental illness stay in jail. In New York, the reduction has been 53%, in Denver the reduction is 76% and in Rhode Island it is 79%. A recent study by John Jay College of Criminal Justice found that supportive housing not only broke the cycle of incarceration and homelessness, but also is expected to begin saving tax dollars after three years by reducing stays in jail (which costs $129 a day) and reliance on homeless shelters (which costs $68 per day).

Lavelle adds a human face to this story. After his last stint in jail, he moved into supportive housing, was enrolled in treatment, got re-connected to his family, and has remained out of jail since then -- something that even he thought would be impossible.

The National Sheriff's Association and the Treatment Advocacy Center's disturbing report has sounded yet another alarm about our need to stop incarcerating people who are seriously mentally ill, homeless, and suffer from co-occurring disorders such as alcoholism and drug addiction. For those who listen the report demonstrates that addressing the housing needs and providing services to Lavelle and the thousands more like Lavelle is the right solution.

 
 
 
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DJ Jaffe
Founder, Mental Illness Policy Org.
10:00 PM on 06/09/2010
The report also concluded that people need Assisted Outpatient Treatment. This is called Kendra's Law in NY and Laura's Law in California. Both should be supported
09:36 AM on 06/21/2010
Working with AOT individuals I must say that it is unenforceable. Moreover, most psych outpatients are in sore need of education about their illness. Med & treatment non-compliance (in my experience) is the result of lack of timely intervention. This may be due to chronic homelessness (as was in my case). AOT can be likened to added stigma, and combined with other obstacles ex-cons and mentally ill in general may face including homelessness may seem insormountable..
10:54 PM on 06/03/2010
My experience working on the streets in Chicago with persons with a mental illness leaving Cook County jail suggests something quite different than a desire for a hot and a cot. I found people wanted to live in a real place that they could call their own. I found lots of people who had hundreds of previous arrests and dozens of psychiatric hospitalizations wanting to be housed and readily accepting ongoing support to stay in affordable housing if provided adequate ongoing supportive services delivered in their home.

There is a need to develop better housing and services instead of incarceration.
03:58 PM on 06/03/2010
At a time when California is facing a $19 billion budget shortfall it's remarkable that we continue to waste so much money incarcerating people who can successfully live in the community with the right mix of housing and supportive services.
03:32 PM on 06/03/2010
It's sobering to think that we learned so little about the need for good community-based housing and services from the de-institutionalization of mental health hospitals over the last decades. If we don't start investing in community solutions, communities will be paying a price they can't afford.
11:52 AM on 06/03/2010
Thank you for highlighting this very tragic situation. The mentally ill, through no fault of their own, are already imprisoned mentally, and our society then imprisons them physically. We don't sentence diabetics to three-to-five if they miss their insulin!
10:53 AM on 06/03/2010
Our jails and prisons have become the institutions where we house the mentally ill. Those who are coming out of jails and prison with serious mental illness, co-occurring disorders and addictions issues require a safe place to live that is affordable and provides needed supportive services - supportive housing. It is time to stop incarcerating those individuals who need housing, services and treatment rather than inappropriately incarcerating.
10:20 PM on 06/02/2010
Thank you for echoing the message that the families of the UNION have been calling out on a daily basis for the past twelve years. The bureaucracy in California runs off the dollars of human bondage, our state's largest industry. Even the legislature operates off punishing the mentally ill. In 1850 Dorothea Dix and the Quakers were able to get the prisoners out of jails and placed into private homes. The federal government built hospitals for them. There were alternatives to the streets or prisons until Reagan denied the funding to continue prevention and treatment. The state refused to pick up this responsibility so we have prisons full of mentally ill people.

It would be far less expensive to adopt an attitude of healing instead of mindless punishing that degrades society. The top three candidates for Gov in our state all plan to spend billions building more prisons and the people keep letting this type of person make it into office. Reform is only possible here by doing initiative campaigns and filing lawsuits. We, the people, just don't get our roles in using the ballot box during election time to put healers, not punishers into power or we wouldn't have these problems.
08:15 PM on 06/02/2010
Thank you! People with mental illness need homes, treatment and a life out side of the neglect that is our current system of care.
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TXfemmom
Grandma with eye on the future
07:31 PM on 06/02/2010
I took my psychiatric training years ago in a double lockup. We did not have the multitude ot medications which which to treat serious psychiatric disorders. That said, even though my specialty within nursing was Anesthesia later in my career, psychiatric conditions and the patients suffering from them were often seen within my practice.

Those with Bipolar Disorders, serious personality disorders and schizophrenia often simply refuse to stay on their medications because of the side effects. They then commit crimes of varying degrees and get mixed up with the law and legal situations. Most do not belong in jail, but in a treatment situation, and group homes or hospitals would be a God send. Some are dangerous to the such a degree where they will always be dangerous.

Treatment is expensive, but jailing is inexpensive. They deserve to be treated humanely and treatment, which they certainly do not receive in TX jails and prisons. However, we must realize that some are not candidates for treatment in the community because inadequate or non-existant monitoring of their compliance with medication and treatment leaves them an ongoing threat to society

There was a man in the Houston area who is a severely ill schizophrenic. He killed an innocent person, was judged unfit to stand trial and then released on medication, went off the medication and walked into a grocery store and shot a woman purchasing groceries. His proponents wanted him released again. He should never, ever see the light of day again.
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dbrett480
06:08 PM on 06/02/2010
Good points. A lot of the homeless population see jail not as a punishment but as "three hots and a cot." If jail is the only place where they can get that (and free health care and medications) they will go that one place.