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Improving Healthcare of
       Mentally-ill
            at
Attica Correctional Facility




                               1
   Mentally-ill inmates entitled to:
    › adequate healthcare: routine screening for infection,
      treatment (Estelle v. Gamble)
    › protection from „cruel and unusual punishment‟ (8th
      Amendment)

   Attica violates these rights:
    › understaffed, shortage of in-patient psychiatric beds
      resulting in rise of mentally ill imprisoned and
      complaints of abuse

                                                         2
3
   No Facility Health Services Director, permanent nurses,
    and Spanish-speaking healthcare professional

   Limited in-patient care at CNYPC causes DOC to use the
    SHU excessively
    › 23 hrs a day, for 2.2 yrs (average)
    › 64% locked up = mentally-ill
    › lack of treatment
    › high suicide rates



                                                        4
   Population of mentally-ill imprisoned rises
    › 1960s: 85,000 psych, 15,000 prison beds – stats reversed in
      1990s
    › Rockefeller Drug Laws
    › Lack of support after incarceration = mentally-ill returning


   Lawsuits exposing inadequate healthcare + mistreatment:
    › Eng v. Goord („99), Anderson v. Goord („00), and Disability
      Advocates, Inc v. NYC Office of Mental Health and
      Department of Correctional Facilities („01-‟07)

                                                               5
   1st – Governor Cuomo and NYS Legislature
    › Goal: save money

   2nd – Department of Health
    › Goal: adequate healthcare for all

   3rd – Department of Corrections
    › Goal: protect by institutionalizing criminals

   4th – Central New York Psychiatric Center
    › Goal: hospitalize seriously ill needing rehab

   5th – Advocacy Combo: PRP, Disability Advocates, Inc. and
    Prisoner‟s Legal Services
    › Goal: protect by advocating legal rights
                                                       6
7
   Stephey, M.J. (2007).“De-Criminalizing Mental Illness”. Retrieved
    on October 27, 2011 from:
    http://www.time.com/time/health/article/0,8599,1651002,00.htm
    l
   Prison Policy Initiative (2000). “Incarceration is not a Solution to
    Mental Illness”. Retrieved on October 27, 2011 from:
    http://www.prisonpolicy.org/articles/massdissent040100.html
   Assembly of New York State (2011). “Notice of Public Hearing –
    Mental Health Treatment in Prison”. Retrieved on October
    27, 2011 from:
    http://www. assembly.state.ny.us/comm/Correct/20111031.html




                                                                 8

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Improving Healthcare for Mentally-ill Inmates at Attica Correctional

  • 1. Improving Healthcare of Mentally-ill at Attica Correctional Facility 1
  • 2. Mentally-ill inmates entitled to: › adequate healthcare: routine screening for infection, treatment (Estelle v. Gamble) › protection from „cruel and unusual punishment‟ (8th Amendment)  Attica violates these rights: › understaffed, shortage of in-patient psychiatric beds resulting in rise of mentally ill imprisoned and complaints of abuse 2
  • 3. 3
  • 4. No Facility Health Services Director, permanent nurses, and Spanish-speaking healthcare professional  Limited in-patient care at CNYPC causes DOC to use the SHU excessively › 23 hrs a day, for 2.2 yrs (average) › 64% locked up = mentally-ill › lack of treatment › high suicide rates 4
  • 5. Population of mentally-ill imprisoned rises › 1960s: 85,000 psych, 15,000 prison beds – stats reversed in 1990s › Rockefeller Drug Laws › Lack of support after incarceration = mentally-ill returning  Lawsuits exposing inadequate healthcare + mistreatment: › Eng v. Goord („99), Anderson v. Goord („00), and Disability Advocates, Inc v. NYC Office of Mental Health and Department of Correctional Facilities („01-‟07) 5
  • 6. 1st – Governor Cuomo and NYS Legislature › Goal: save money  2nd – Department of Health › Goal: adequate healthcare for all  3rd – Department of Corrections › Goal: protect by institutionalizing criminals  4th – Central New York Psychiatric Center › Goal: hospitalize seriously ill needing rehab  5th – Advocacy Combo: PRP, Disability Advocates, Inc. and Prisoner‟s Legal Services › Goal: protect by advocating legal rights 6
  • 7. 7
  • 8. Stephey, M.J. (2007).“De-Criminalizing Mental Illness”. Retrieved on October 27, 2011 from: http://www.time.com/time/health/article/0,8599,1651002,00.htm l  Prison Policy Initiative (2000). “Incarceration is not a Solution to Mental Illness”. Retrieved on October 27, 2011 from: http://www.prisonpolicy.org/articles/massdissent040100.html  Assembly of New York State (2011). “Notice of Public Hearing – Mental Health Treatment in Prison”. Retrieved on October 27, 2011 from: http://www. assembly.state.ny.us/comm/Correct/20111031.html 8