Advances in Treatment for Incarcerated Individuals with Mental Illness
After years of advocacy by the Correctional Association and the Mental Health Alternatives to Solitary Confinement (MHASC)—a coalition of mental health advocates, formerly incarcerated individuals, and family members of incarcerated persons—New York is on the verge of enacting landmark legislation that will significantly improve treatment of the mentally ill in prison.
More than half of the 2.2 million incarcerated individuals in the U.S. suffer from mental health problems, and yet many receive little treatment while in prison. Ending the practice of placing incarcerated individuals with mental illness in solitary confinement has long been a cornerstone CA issue. In Lockdown New York (2003) and Mental Health in the House of Corrections (2004), we reported that many incarcerated persons with mental illness in New York’s prisons have a difficult time following orders and/or controlling their behavior. As a result, they wind up in “Special Housing Units” or “SHUs” in disproportionate numbers. There, they are isolated for 23 to 24 hours a day for weeks, months, sometimes years at a time, with minimal human contact. These isolated and harrowing conditions frequently make their illness worse, endangering both incarcerated people and the prison staff.
In March, New York settled a lawsuit brought by Disability Advocates, Inc. (DAI), resulting in a requirement that incarcerated persons with mentally illness receive two hours of therapy a day while in SHU and that the state create a Residential Mental Health Unit (RMHU)—a 100-bed unit for mentally ill incarcerated individuals. The state also agreed to several other advances that secure better conditions and limit punitive measures for incarcerated individuals with mental illness.
While positive in many ways, the DAI settlement did not prohibit housing mentally ill people in SHUs. The CA and its allies sought to end this practice with a new piece of legislation that gained the support of Senator Michael Nozzolio, Chair of the Senate Crime Victims, Crime and Correction Committee; Assemblymember Jeffrion Aubry, Chair of the Assembly Committee on Correction; and of the union representing New York State correctional officers. This bill passed both the Assembly and Senate in June, but was stalled due to concerns raised by corrections and mental health agencies and by the Executive Branch.
During the intense negotiations that followed, the CA and MHASC were consulted about changes to the bill and had significant input into the final version, which was agreed to by all parties. The modified bill passed in the Senate in July. We anticipate it will pass the Assembly when it returns in December, and then be signed into law by Governor Spitzer. To be sure, the modified version involves compromises. However, it contains several components aimed at improving conditions for segregated incarcerated persons with mental illness, including requirements that:
- Nearly all incarcerated individuals with serious mental illness facing 30 days in SHU be diverted or removed to an RMHU;
- patientsbe placed in therapeutic environments with four hours of daily therapy;
- DOCS only place mentally ill incarcerated individuals on a restricted diet or return them to the SHU in extremely limited circumstances;
- All incarcerated individuals in SHUs be regularly assessed by mental health clinicians to determine any adverse effects to their mental health.
While passage of this legislation would constitute a significant victory, our work will not be finished. Through prison visiting, the CA will continue to monitor implementation of the legislation and report on conditions in SHUs and in the RMHUs, once they are constructed. With continued support from allies, we will see to it that the better conditions promised for incarcerated individuals with mental illness become a working reality in the state’s prisons.
CA Applauds Commitment to Raise the Age in Governor Cuomo’s State of the State Address, Laments No Mention of Racism, Violence, and Abuse in NYS Prisons
(January 9, 2016) New York, NY: The Correctional Association of New York roundly applauds the continued commitment of Governor Andrew Cuomo to raising the age of criminal responsibility in New York, ending the prosecution and incarceration of 16- and 17-year-olds as adults. It is now up to the members of both parties in the NYS Legislature to do their duty to make this a reality. In spite of the Governor’s assertion that the "nation looks to NY to find a way up," we actually fall behind 48 other states, along with North Carolina, by continuing to treat children as adults in the criminal legal system. New York must Raise the Age of criminal responsibility this legislative session. Read More
Whenever he can, Adam Hall calls his mother and sister from the phones at Great Meadow Correctional Facility in upstate New York. When he has stamps he dictates letters. Sometimes he talks about how badly he wants to come home. But what he talks and writes about most is how he is trying to die. [...]Read More
Under unique statutory authority granted to the CA in 1846, WIPP monitors conditions in women’s prisons in New York, a role played by no other group in the country. WIPP coordinates the Coalition for Women Prisoners, a statewide alliance of more than 1,800 people, and carries out advocacy campaigns to reform harmful criminal justice policies. [...]Read More