Bedlam: Prisons and the Mentally Ill

Taking a Stand for Our Brothers and Sisters

 By Mark Earley, Christian Post Guest Columnist, Wed, Aug. 08, 2007
The least of these is my brother
The least of these is my brother

In the 16th century, London’s mentally ill were often kept at Bethlem Royal Hospital. The conditions inside the hospital were notoriously poor. Patients were often chained to the floor and the noise was so great that Bethlem was more likely to drive a man crazy than to cure him. The conditions were so infamous that the nickname locals gave the hospital—Bedlam—has come to mean any scene of great confusion.

Unfortunately five hundred years later, we’re still treating the mentally ill more like prisoners than patients. Fifty years ago, more than 550 thousand people were institutionalized in public mental hospitals. Today, only between 60 and 70 thousand are, despite a two-thirds increase in the country’s population.

Since there’s no evidence that the incidence of mental illness has dropped precipitously, the mentally ill who previously had been institutionalized had to have gone somewhere. While some are being treated successfully in their communities, at homes and groups homes, but for many that “somewhere” is behind bars. This last part shouldn’t come as a surprise.

Five years ago, the Washington Post told the story of “Leon,” a one-time honor student, who had 17 years in and out of jail on various drug-related charges. It was only after several suicide attempts, including drinking a “bleach-and-Ajax cocktail,” that Leon was diagnosed with bipolar disorder. Leon’s story was a microcosm of a larger problem: “Prisons and jails are increasingly substituting as mental hospitals.”

As one advocate for the mentally ill told the Post, “a lot of people with mental illness are charged with minor crimes as a way to get them off the streets.” In effect, they are behind bars for “being sick.” Fast forward five years and little, if anything, has changed. A few weeks ago, another piece in the Post discussed the same problem.

Psychiatrist Marcia Kraft Goin told readers something that should shock and outrage them: “The Los Angeles County Jail houses the largest psychiatric population in the country.” As with the earlier Post piece, the conclusion was inescapable: “People with [untreated] mental illnesses often end up with symptoms and behaviors that result in jail time.” You don’t have to be a “bleeding heart” to understand that this is an injustice—any kind of heart will do.

Not only are the mentally ill not getting the help they need, they are as lambs to the slaughter in our crowded and violent prisons. They are being victimized twice over. They’re not the only ones being victimized.

At a time when most state prisons are unlawfully overcrowded, there are better uses for prison beds than as makeshift mental hospitals. As Goin wrote, “treating” mental illness as a criminal justice problem costs “more than treating patients appropriately in their community.”

As part of its ministry to prisoners and their families, Prison Fellowship supports community-based alternatives to incarceration. Not only because it makes “financial sense” but because it’s what Christ would have done. In Matthew 25 he called the ill and the prisoner his “brothers” and he expects us to offer them something more than bedlam.

“There but for the Grace of God go I…” –Bryan

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From BreakPoint®, August 6, 2007, Copyright 2007, Prison Fellowship Ministries. Reprinted with the permission of Prison Fellowship Ministries. All rights reserved.  “BreakPoint®” and “Prison Fellowship Ministries®” are registered trademarks of Prison Fellowship.

Good Links:

http://en.wikipedia.org/wiki/Bethlem_Royal_Hospital

http://www.bethlemheritage.org.uk/

http://www.pbs.org/wgbh/pages/frontline/shows/asylums/etc/faqs.html

http://www.afscme.org/publications/6042.cfm

A Broken System

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“Sixty million Americans – that’s one in five adults – will experience a mental illness in the coming year. That means every one of us knows someone who is living with a mental illness – depression, anxiety, schizophrenia, an eating disorder, bipolar disorder, borderline personality disorder and some additionally have a substance abuse.”

The stats are staggering. They are also easily forgotten. (It seems that we approach life not as it is, but as we want it to be.) But consider this:

• Half of all adults will suffer from mental illness in their lifetime.
• Half of all chronic mental illness begins by the age of 14.
• One in five children will have a mental illness by age 18.
• Ninety percent of people who die by suicide also had mental illness.

Brokenbelievers is not just a “niche” site– we’re dealing with hardcore issues that are significant for far too many. Mental illness is a pervasive and terrible issue in our society. Christians must witness to what Jesus can do in the midst of this. We are his witnesses.

Accentuating this, our mental health care system is broken. Jails and prisons have become “dumping grounds” for afflicted people. I guess that this is considered “routine” for us. Imagine the outcry if, instead of doing this to the mentally ill, we did incarcerated those with diabetes? Yet we do so because that’s the way the system works.

There are many beautifully competent people who toil in the mental health field. Some of the kindest and caring can be found working in these places. They deserved to be commended, not vilified.

The landscape is strewn with casualties. Mental illness will affect half of adults in their lifetimes, and the collateral damage can’t even begin to be quantified. Our therapists, nurses and doctors have a grisly job security. Money can never fix our system of dealing with those with a mental illness.

Many of us will disagree about what to do.

Perhaps we should advocate a multi-prong approach. Brokenbelievers exists for Christian believers that are having to work out their faith in the presence of a tenacious illness. It’s good to have someone that understands depression or other issues in the life of a disciple of Jesus Christ.

We must think differently– and do differently. With God’s help we can.

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Sources:

https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers

http://www.huffingtonpost.com/kay-warren/hope-for-mental-illness_b_8045810.html

Traveling Mercies, [The Journey]

Things can get pretty grim just living life.  But add a disability, and suddenly blam! It gets worse.  A mental illness intensifies life, and the weird concoction of symptoms and hospitals, therapists and medications and family/friends is a bit daunting for anyone. Imagine, that it’s a bit like running through the wilderness slathered in ‘bacon grease,’ trying to stay ahead from the bears (I’m writing this from Alaska, hence the bear imagery, lol.)

My walk with Jesus has extreme variations (at least, on my part.)  I’m up, and then I’m down.  I’m on fire and then I’m cold.  I struggle to attempt at least a modicum of consistency, wishing I could just put two ‘good days’ together.  I am ashamed by this volatility.  The apostle Peter, or David are probably the only guys in scripture I can really understand.

The impulsivity of my mental illness has driven me to turn my credit cards over to Lynn.  I try to avoid liquor stores, porn sites, and urges to strip off my clothes and run down Pioneer Avenue.  I definitely try to go to Church, read the Bible and pray.  But I have been known to hallucinate, I hear things, and get awfully paranoid.  I’m always, it seems just one step ahead of my psychiatrist in avoiding the hospital.  (And I want to keep it that way.) And suicidality is an almost real monster– always lurking for me under my bed.

But I have also learned many other things from being a mentally ill believer:

  • When its really dark, His love always comes through. He understands me. He intentionally ‘looks’ for me. He’ll never quit on me.
  • My discipleship is not about the externals of my theology, but it’s about romance from my heart.
  • In my pathetic brokenness, He is my strength and my shield. Always.
  • Worship and prayer are more like invasive “medical procedures” that keep me alive.
  • Love. I’m learning to be kinder and more aware of others then ever before.
  • I want to live in the Light and respond to others in Christlike way. Never out of my fallen sinfulness.

I suppose I could add more, if I thought about it.  Ultimately, it all comes down to the presence of Jesus Christ coming to meet me, to forgive me and to change me.  This simple blog is saturated with posts that other Brokenbelievers can wade through, and some just might help, lol.

The title of this post alludes to a quote I found. I’ve gently modified it. Not sure where I found it. But it gives the explanation for all that I’ve said:

“Life should NOT be a journey to heaven with the
intention of arriving safely in an attractive and well
preserved body, but rather to skid in sideways,
with bruises and band-aids, and some tears as well, body thoroughly used up, totally worn out and screaming… “WOO HOO what a ride!”

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So You Wanna Go Back to Egypt?

 

1867_edward_poynter_-_israel_in_egypt

God has always wanted to lead His people. I think that He is almost catatonic with joy when we allow Him to do this. Throughout the ages, and all through Israel’s history, we see Him reaching out to people,  who are stubborn and selfish in their choices. But He reaches out to them anyway.

Israel had been sovereignly led out of Egypt. Miracle after miracle had made this happen. A dramatic exodus from slavery would make the front page that day. People from every generation would know that God was setting His people free.

God didn’t tell them the way, but rather showed them the path Himself. He led them with “a cloud by day and a pillar of fire by night” (Exodus 13:20-22). The people, however, repeatedly refused to trust their Deliverer-Shepherd. They hardened their hearts and rebelled against Him.

“Our fathers were unwilling to be obedient to him, but repudiated him and in their hearts turned back to Egypt, 40 saying to Aaron, ‘Make for us gods who will go before us; for this Moses who led us out of the land of Egypt—we do not know what happened to him.’”

Acts 7:39-40, NASB

They made the choice themselves, they would turn around. They would go back in slavery to Egypt. (Actually in their hearts, they had already done so!) They were rejecting and renouncing God, and turning their backs on Him.

But we are given what we want. Even if it takes us into bondage again.

When we begin to follow, God starts to lead. He takes an active role to guide and direct us, and to bring us into victory. When we try to go back to Egypt, we will experience His discipline.

“So Christ has truly set us free. Now make sure that you stay free, and don’t get tied up again in slavery…” 

Galatians 5:1, NLT

“Because of their unbelief they were not able to enter His rest” (Hebrews 3:19). Then the author draws a clear distinction: “They didn’t share the faith of those who listened to God. For only we who believe can enter His rest” (Hebrews 4:2-3).

There is a wonderful and real rest. But I am tempted to turn back. Will I decide to let God lead me?

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