Pubdate: Thu, 13 Nov 2003
Source: Ledger, The (FL)
Copyright: 2003 The Ledger
Contact:  http://www.theledger.com/
Details: http://www.mapinc.org/media/795
Author: John Rutherford
Bookmark: http://www.mapinc.org/prison.htm (Incarceration)

MENTAL HEALTH CASES FALL TO POLICE

Florida's law-enforcement and corrections systems are rapidly evolving into 
the state's de facto mental health treatment providers. More often than 
not, our law-enforcement officers, prosecutors, defense attorneys, judges 
and parole officers are being forced to serve as the first responders and 
overseers of a system ill-equipped to deal with the consequences of an 
underfunded treatment system that's stretched beyond capacity.

While headline-grabbing tragedies often serve to define the problem in the 
eyes of both the public and our policy-makers, the day-to-day realities for 
our officers and judges are much different. A more familiar scenario is one 
in which an officer responds to repeated incidents involving an individual 
known to have a history of mental illness. With nowhere to take him or her 
for treatment or crisis intervention, the officer is forced to place the 
person under arrest, often for such minor infractions as disturbing the 
peace or making lewd gestures at passing vehicles.

Then the process begins.

The individual makes a court appearance in which the prosecutor is forced 
to follow through on what often becomes a neverending cycle of nuisance 
charges. The person pleads guilty to time served and is released back on 
the street, without treatment or support. Predictably, they soon cycle back 
into the system. And the process begins all over again.

According to a report recently released by Human Rights Watch, between 
200,000 and 300,000 men and women in U.S. prisons have mental disorders, 
including schizophrenia, bipolar disorder and major depression. An 
estimated 70,000 are psychotic on any given day. Florida houses about 
10,000 of those prisoners who suffer from severe mental illnesses. Yet, 
many prison mental health services are woefully deficient, crippled by 
understaffing, insufficient facilities and limited programs. All too often, 
seriously ill prisoners receive little or no meaningful treatment.

Prisons were never intended as facilities for the mentally ill, yet that is 
one of their primary roles today. Far too many men and women who cannot get 
mental health treatment in the community are swept into the 
criminal-justice system after they commit a relatively minor crime. In the 
United States, there are three times more mentally ill people in prisons 
than in mental health hospitals and prisoners have rates of mental illness 
that are two to four times greater than the rates of members of the general 
public.

Outside the corrections system, there is a lack of community-based 
treatment for people with mental illnesses who were already living in local 
communities. Funding for community-based care and treatment hasn't kept 
pace with the need almost anywhere in the country. That means the burden 
has shifted to the criminal-justice system, in effect criminalizing mental 
illness and substance abuse.

Warehousing people with mental illnesses and substance-abuse problems in 
our jails and prison systems is a terrible waste of resources, and a major 
disservice to the families who are urgently seeking treatment for their 
loved ones -- and to our law-enforcement professionals. Instead of 
providing care and treatment, it seems policy-makers have fallen into a 
form of denial about the magnitude of the problem. As a result, millions of 
taxpayer dollars are being wasted and hundreds of thousands of people who 
could be helped are left in inappropriate settings. From a point of view of 
justice, public safety, cost-effectiveness and medical solutions for 
medical problems, this just should not be.

Advocacy organizations, such as Florida Partners in Crisis, unite law- 
enforcement, medical, state-agency and judicial-system officials in a 
collaborative effort to work for change in the state's mental health- care 
system. Florida Partners in Crisis' objective is to foster collaboration 
and cooperation among the many human service agencies to improve mental 
health services and processes, and to redirect people with mental illness 
from the corrections system to the health-care system. This is one step 
toward change, however more needs to be done.

Building more prisons and jail space to accommodate people who need 
treatment doesn't make sense for our communities, our families or our 
criminal-justice system. In a time when state and local government funding 
is stretched thin, we need to be looking for the most cost effective means 
to address these problems. Ensuring that people have appropriate access to 
treatment and medications offers the best return on investment for Florida 
families and Florida taxpayers.

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John Rutherford, who is the sheriff of the city of Jacksonville/Duval 
County, is state director of Florida Partners in Crisis.
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MAP posted-by: Jackl