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Insane: America's Criminal Treatment of Mental Illness
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An urgent expose of the mental health crisis in our courts, jails, and prisons.
America has made mental illness a crime. Jails in New York, Los Angeles, and Chicago each house more people with mental illnesses than any hospital. As many as half of all people in America's jails and prisons have a psychiatric disorder. One in four fatal police shootings involves a person with such disorders.
In this revelatory book, journalist Alisa Roth goes deep inside the criminal justice system to tell how and why it has become a warehouse where inmates are denied proper treatment, abused, and punished in ways that make them sicker. Through intimate stories of people in the system and those trying to fix it, Roth reveals the hidden forces behind this crisis and suggests how a fairer and more humane approach might look. Insane is a galvanizing wake-up call for criminal justice reformers and anyone concerned about the plight of our most vulnerable.
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Audible Audiobook
Listening Length: 10 hours and 9 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Tantor Audio
Audible.com Release Date: September 25, 2018
Whispersync for Voice: Ready
Language: English, English
ASIN: B07H993L2Y
Amazon Best Sellers Rank:
I've read quite a bit on this topic over the years, but still this book shook me.The most powerful aspect, for me, is that it's so much more than a thoughtful narrative citing facts and data. Alisa Roth takes us with her into the reality of what it's like for someone with a mental illness who gets caught in the criminal justice system. We meet patients and family, as well as cops and corrections officers and psychologists. We see the good, the bad, and perhaps worst of all, the indifference in how the sick are treated.As the author points out, mental illnesses are diseases of the mind, just as cancer is a disease of the body. We would not ridicule a cancer patient. We would not lock a cancer patient in an isolation cell because he/she is too sick to live within the general population. It's about time we extended the same human courtesy to people with mental illness.Insane is an exceptionally well researched, well written, profound, and disturbing look at the way we're treating an already marginalized segment of society. I would love for everyone to read this book. Until we start flinging open those closed doors and shining light into the darkness, the abuse will continue. And one day it might be your child or your spouse or your brother - or you - behind those closed doors.
Anyone who follows criminal justice policy issues has heard the adage: Our jails and prisons have become America's de facto mental health care system. But how did that happen, what does that look like inside the system, and what can be done now? Alisa Roth's meticulously reported book answers those questions with first-hand reporting that will outrage you, turn your stomach, and make you see these problems as the emergency that they are. After every mass shooting, the second-most common refrain (after "thoughts and prayers") is the pronouncement that we should address our mental health needs. Well, America, here's what you need to know to get started on that (if you're actually serious about it).
Love it. Even though I’m aware of the issue with justice system and MH.
Alisa Roth adds to the required reading list for prison litigators, social justice advocates, politicians, mental health reformers, family members and anyone else that is concerned about the crisis in our prison mental healthcare system. Her writing style is academic in her abundant use of references to source material, but also literary in style as she uses real-life characters to paint the story of this tragedy. In fact, for such a dense preparation of this topic, I found it difficult to put it down because of Roth's writing style.This isn't a one-sided diatribe against the prison system. The book balances the horrific stories of several prisoners with the noble efforts of many staff members and administrators. While largely depressing, the author does point to some success stories upon which to build an improved system.Great book - much needed!
Very thorough investigation
A must-read for sheriffs, police, correctional personnel, State Attorneys. anyone who is employed in law enforcement. To hopefully educate and have a clearer picture of what is happening with the mentally ill all across this country.
Very difficult topic that has so many faucets and complexities i admire her taking on the subject. She covers the history and distinguished the limitations of common practices of the criminal justice system as seen through the lens of mental illness. She distinguishes between outlier enforcement behaviour and common practices that may or may not make society and the ill worse. She has deep insight into the topic and provides me insight into a topic i never had and now can understand.
Insane: America’s Criminal Treatment of Mental Illness is one of the most disturbing and depressing books I have ever read. From beginning to end author and reporter Alisa Roth tells the story of the dreadful treatment many mentally ill people receive in the jails and prisons throughout the United States.The first question many readers may ask is: Why mentally ill people are in jails and prisons instead of mental institutions where they can receive treatment by qualified doctors and nurses committed to their care and well-being? Roth gives the answer in the chapter of her book called The Asylum Fallacy. She notes that in 1950 around 450,000 people were receiving care in mental health facilities. By the year 2000 many of those hospitals were shut down and only 170,000 mentally ill people were being served by institutions dedicated to caring for them. Sadly, large numbers of the mentally ill now on the street and in the community found themselves in trouble with the police and were confined in jails and prisons, places ill equipped to care for them. In chapter after chapter Roth describes the horrendous treatment the mentally ill receive once they are incarcerated in jails and prisons that have no means of adequately caring for them. Dante’s Inferno is no worse place than the solitary confinement of seriously ill people who now often spend weeks and months completely isolated from other human beings in cells that are often no larger than closets. Often their cells are so filthy with urine and fecal matter the sick prisoners have smeared on walls and floors that it is almost impossible to breath the air without getting nauseous.When a mentally ill prisoner is removed from his cell he puts his arms through the slot in the door and then is handcuffed first and his feet shackled next before he can leave his cell. Rarely do mentally ill prisoners have a chance to see the light of day or interact with other people. Their life is one of extended misery and many of these sick people commit suicide to free themselves of the burden of their miserable lives. Roth notes that ‘One of the most tragic effects of solitary is the extent to which it renders ostensibly sane people mentally ill – sometimes profoundly so.†To isolate a mentally ill person who needs care seems like a criminal act in itself, yet this is precisely what is happening in jails and prisons in the United States today.In the conclusion of her polemic on the mistreatment of the mentally ill in America’s jails and prisons, Alisa Roth says that “We have known for more than two hundred years that keeping people with mental illness locked up in jails and prisons does little but make them worse. We know how to lock up masses of people. Now we need to figure out how to treat them.†Readers of this review know that the answers to the problem of caring for the mentally ill won’t come cheap. Instead of building more jails, we need hospitals where the mentally ill can receive the right diagnosis and treatment for their illness and then follow-up in the community when they are able to resume their life in society.Alisa Roth’s book is clearly written and well-argued. Perhaps it is longer than it needs to be. I got the idea early that America’s treatment of mental illness is often criminal and irresponsible and as I read story after story of the horrendous treatment of sick people in the jails and prisons all over the country I said to myself, “Enough! I get the picture. Now, what’s to be done about it?†Sadly, few answers are forthcoming in Roth’s book and I don’t blame her for not having any magic bullet to solve so complex, expensive, and difficult a problem. I would like Roth’s book to be a best seller because I think it is important for as many people as possible to understand that we need to help, not punish mentally ill people. What I have said sounds so obvious and so much like common sense until you read Roth’s book. She says, “If, as it is sometimes said, the definition of insanity is doing the same thing over and over again and expecting a different outcome, then there is little doubt that it is we, who continue to expect the nearly impossible from those least-equipped to handle it, are the crazy ones.†I agree.
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