Mental Health: Inside The Walls of a Broken System: Part 1 of 5

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The United States of America has the highest incarcerated population in the world, with over 2.3 million people residing in jails and prisons. Unfortunately, this vast number of convicted individuals often overlooks the core issue of mental health within prisons. According to the National Alliance on Mental Illness, approximately one in five individuals incarcerated in the US has a mental illness. This mental health crisis is causing significant problems in the correctional system, and the lack of appropriate resources and funding for mental health care is only perpetuating the problem.

 

The United States' prison system is known for its harshness, with extremely long sentences and minimal rehabilitation programs. These issues can be problematic when it comes to the mental health of incarcerated individuals. When individuals are locked up for extended periods, they can suffer from a range of mental health concerns, including anxiety, depression, and even psychosis.

 

A significant portion of the prison population suffers from extensive mental health issues. However, according to the Treatment Advocacy Center, the number of mentally ill individuals who are incarcerated continues to grow faster than the general population. In addition, treatment options are often insufficient within the prison system. As a result, the mentally ill populace is more prone to solitary confinement, suicide, and self-mutilation, leading to deteriorated physical and mental health.

 

Many countries across the globe have implemented innovative policies to reduce the prevalence of mental illness in prisons; the United States must also adopt a similar approach to manage the mental health crisis in its prisons. There are numerous practical methods that other countries utilize successfully that could be replicated in the United States.

 

Norway is recognized as the ideal model for a correctional system with a focus on rehabilitation and mental health provisions. Their effective treatment models include mandatory pre- and post-release education, counseling, and psychotherapy to reduce the likelihood of re-offending. Additionally, the country boasts only a 20% recidivism rate compared to the US's 67.8%. This rate includes only those who reoffend within five years, while the rate for the US considers recidivism within three years.

 

One of Norway’s well-known facilities is the Bastoy Prison, designed to serve as a humane environment for the prison inmates. The prison is located on a lush island with approximately 100 inmates who live in comfortable housing, take part in outdoor activities, and work in various gardens and shops. This program has resulted in the inmates developing a sense of accountability for their actions that led to their incarceration and an incentive to develop new skills. The Bastoy Prison offers a stark contrast to the typical US jails and prisons, in which the prisoners are subject to intolerable living conditions, punishment, and violence.

 

The United Kingdom, like Norway, places emphasis on reform and rehabilitation of the criminal justice system. However, unlike Norway, the UK prison system has its problems regarding mental health provisions. Nevertheless, in comparison to the US, the UK prison system has superior mental health care provisions. The UK prison system has several national initiatives to support prisoners, like the Offender Mental Health Care Pathway and the Offender Personality Disorder Strategy.

 

One of the United Kingdom's newer efforts is the rollout of new models for cognitive behavioral therapy trials for prisoners, aimed at improving their mental health and reducing their risk of reoffending. As a result of this approach, some prisons have witnessed significantly fewer instances of self-harm by mentally ill inmates.

 

Germany is another country that ranks well in the treatment of mental health in its prison population. The country has significantly reduced the number of mentally ill inmates since the 1970s, and currently, only 6% of the prison population suffers from mental illness. German prison facilities prioritize psychological treatment and education programs, reduce downtime and solitary confinement, and treat inmates humanely.

 

Canada is another country that emphasizes the importance of rehabilitation for incarcerated individuals. The country is increasingly emphasizing mental health care and recognizing the need for mental health services to be available in prisons. The country places a significant emphasis on community-based care and support, which is facilitated through progressive policies such as restorative justice and community-based mental health services.

 

In contrast, the American prison system is rigid and fails to provide adequate resources to address mental health illnesses among the incarcerated population. In a bid to save on costs, governmental entities have decreased funding for resources, and preventive measures are not adequately enforced. As a result, many mentally ill inmates will be denied treatment, which leads them to worsen, prolonging their stay in prisons.

 

The US lacks the essential mental health reforms required to tackle the ever-growing crisis effectively. According to the Treatment Advocacy Center, there are over 356,000 mentally ill people in the prison system, but only about 35,000 receive treatment. This failure to provide treatment and rehabilitation services to mentally ill inmates exacerbates mental illness, leading to recidivism and decreasing society's trust.

 

One of the most significant issues facing the US prison system is the extensive use of solitary confinement. Mental Health America states that solitary confinement is physically and mentally damaging, widely referred to as "psychological torture." Sixty-seven percent of individuals who commit suicide in prisons have a history of being in solitary confinement. US prisons also rely heavily on medication, which leaves mentally ill inmates without proper treatment. Additionally, females are particularly vulnerable in US prisons, with female inmates suffering much more significantly than men from untreated mental health issues.

 

There is a distinct need for an overhaul in how mentally ill people are perceived and treated in the US prison system. A recasting of the narrative is necessary to eliminate the ‘tough on crime’ mental stigma, placing emphasis on rehabilitation and reformation. The stigma has created a form of criminalization of citizens attempting to act upon their civic duty of helping those with mental illness, who often end up jailed instead.

 

In conclusion, the United States of America’s struggles with mental health care in its prison system are a tragedy. The current prison system model is woefully inadequate, and to address the crisis, the United States of America must adopt more innovative and humane approaches to reduce and manage the prevalence of mental illness in prisons. Countries like Norway, the United Kingdom, Germany, and even Canada offer models the US could adopt to ensure mentally ill inmates receive care and treatment and reduce the likelihood of them reoffending. There has to be increased funding for resources and preventive measures designed to tackle mental health in the US prison system, which will improve the long-term prospects of prisoners and significantly benefit society. By doing this, the US will also be taking a bold step towards a safer America.

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