Guest Opinion: Elizabeth
Givens
Jail not right for people with
mental illness
Originally posted on January 31, 2007
Recently an article was printed in The News-Press that was
taken from
The Associated Press entitled "Mentally ill inmates spur 'SWAT' Team."
After the shock wore off and I was able to breathe again, I felt
compelled to contact The News-Press, and encourage them to print a
different perspective.
As
the executive director for the National Alliance on Mental Illness' Lee
County affiliate, I had to counter the overwhelming amount of
misinformation-information and damaging statements that ran rampant
through what I can only loosely call an "informational" news piece.
Honestly, I expected better from the Associated Press. For those of us
who live with a mental illness, or who have a loved one diagnosed with
a mental illness, it is never easy to read statements like "the
mentally ill" because it strips away dignity, respect and personhood,
and defines an individual by only one aspect of their lives. It makes a
person feel like a walking disability. Instead of Liz Givens, executive
director, wife, friend and co-worker, I become the schizophrenic, or
the manic-depressive.
If we can ever hope to change the way
society views mental illnesses, we need to change the way we talk about
those living with one. And yet this article quotes mental health
professionals referring to the individuals they assist as "the mentally
ill." What hope can an advocacy agency like NAMI have in implementing
change when the people who are on your side use language that
disempowers? Sadly, that was the issue that concerned me the least
about this article. What was true about the information presented? It
does draw attention to a very serious issue: jails have become
psychiatric holding facilities.
Inadequate resources
Resources are ever shrinking, and people spend lengths of time
without treatment, without medication that assists in symptom
management, living with impaired judgment that can result in run-ins
with the law. It is also true that those working in corrections would
find basic mental health training an asset when interacting with
someone who is not stabilized on medication, because it helps keep
everyone involved safe, and reinforces the need for empathy and
compassion for those with psychiatric disabilities.
Here are some facts from a variety of reliable sources, such
as
NAMI National, the National Institute of Mental Health and the
Treatment advocacy Center: An estimated 3.5 million Americans today
suffer from the severest forms of serious brain disorders,
schizophrenia and bipolar disorder (2.2 million people suffer from
schizophrenia and 1.3 million suffer from bipolar disorder). The
National Advisory Mental Health Council estimates that 40 percent of
these individuals, or 1.4 million people, are not receiving treatment
on any given day.
Recent
studies have shown that about half of those individuals with
schizophrenia or bipolar disorder have acutely impaired self-awareness
of their illness; there is no self-recognition of the illness because
their brain disease has affected the frontal-lobe circuits necessary
for complete self-awareness. These individuals do not realize that the
hallucinations, delusions and paranoia they are experiencing are in
fact symptoms of their illness.
Lack of treatment
Violent episodes by individuals with untreated schizophrenia
and
bipolar disorder have risen, now accounting for at least 1,000
homicides annually (out of a total of 20,000 murders) in the United
States. People who live with mental illnesses are no more violent than
the rest of society. However, the pattern that is evident in the above
statements can be summed up in one word: UNTREATED.
Jail
is not treatment, jail is the result for some due to a lack of
treatment. Although, if I were faced with the taunting and physical
assault that was given the obviously unstable individual in the West
Palm prison from the "SWAT" team, I might resort to a violent act
myself. And just out of curiosity, exactly what diseases do people
living with a mental illness carry, as was stated in this article? I am
grateful, as are many individuals in this community, for the
willingness of our law enforcement community to not only acknowledge
this issue, but tackle it head-on. Many of our finest have voluntarily
taken Crisis Intervention Training, which involves a weeklong
educational seminar on interacting with those in crisis, including
verbal de-escalation techniques and empathy building. I am confident
that those who have taken this training would never egg an unstable
person on, taunting them to "speak to me like a man," as was done in
the West Palm facility.
Mental illnesses are diseases of the brain, there is more than
one of them, and they are treatable. I encourage all of you in our
community to educate yourself on mental health issues by contacting our
affiliate, NAMI Lee County, at 278-0981.
— Elizabeth Givens is executive director of the Lee County
affiliate of the National Alliance on Mental Illnesses.
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