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

Out of Darkness: The Kelly Willard Interview

kelly-willard-blame-the-one by Maryann B. Hunsberger | CT, originally posted 8/27/2007 

After a long absence from making music, not to mention a series of tragedies—including a divorce and her daughter’s suicide—CCM veteran Kelly Willard is back on the scene.

Since the early days of the Jesus movement, Kelly Willard has been a part of Christian music, recording with many of names associated with the pioneers of CCM before releasing her 1978 debut at the age of 21. With nine albums to her credit, Willard has also been featured on more than two dozen worship projects from Integrity Hosanna!, Vineyard, and Maranatha! Music. Now with the release of her new CD Paga, Willard is finally back on the scene, though she’s never been totally absent. She spoke to us from her Florida home about the things occupying her time for the last 15 years: her family, her recording career, her ministry, and a series of tragedies in 2004.

Your last album was in 1990. What have you been up to all these years?

Kelly Willard It was a priority to be home with my husband and children, since I home-schooled both children. And although I stopped recording my own albums and touring to raise my children, I didn’t stop working in Christian music. I lived in Nashville, so I continued to do session work. I’ve done background vocals for artists, and I’ve done solos on praise-and-worship albums. I’ve always followed what was going on in Christian music, and I’ve continued to do as much music as I could.

It sounds like life has been busy.

Willard Very busy. My mother had Alzheimer’s, so we took her in and cared for her for ten years. I was responsible for her health while my children were growing up. I was home-schooling and doing studio session singing while caring for my mother. I haven’t done much since 2004 because of what life has been like since then.

What happened that year?

Willard It was the worst year of my life. On Valentine’s Day, my father died of pulmonary fibrosis. Later, in March, my 29-year marriage fell apart. I worked so hard on the marriage, even going to counseling. But the marriage fell out from under me because the spiritual foundation of the home fell short. My parents were divorced when I was 13, and I said I’d never divorce. It was so traumatic, because my marriage and family were my life. It’s been hard for me to accept.

Then my 18-year-old daughter Haylie fell through the cracks—on August 29, she committed suicide. She had severe depression and she stopped taking her medication. The divorce was a huge factor in her death. It’s the saddest thing ever. Whenever I sang locally in Nashville, Haylie would sing with me, and mher. And in October, my mother died from Alzheimer’s. So, it really was the worst year ever y son Bryan would play bass. She wrote songs and loved the Lord. Too much sadness just overcame for me.

Did you struggle with feelings of failure during this time?

Willard Totally and completely. For your child to check out of life is just horrific. It’s unthinkable, unspeakable pain.

Does depression run in your family, since it is usually a hereditary illness?

Willard Yes. In 1987, when we had just released Message from a King, my fourth album, I was diagnosed with manic-depressive illness. The medication back then affected me badly, so I stopped taking it. In 2002, the diagnosis was reconfirmed, but with a new name: bipolar disorder. I got on a newer medication and it has worked well. It helped me get through the trauma of the last few years. I believe my mother also had bipolar disorder, but it went undiagnosed.

 How did your son handle everything?

Willard Bryan was out of the house already. He had gotten an apartment when he was 18 with his friend Phil LaRue and a couple other guys—he played bass with the group LaRue. Then he began to court his wife Liz and they married. So they now live in Nashville and have a daughter Ariel. He’s 24 now and such a strong Christian—a singer, writer, and worship leader, traveling and playing bass for Jason Upton’s band.

What have the last three years been like for you?

Willard It’s been a time of healing. It’s a slow process and it has taken time, but it is happening.  I moved to Jacksonville Beach, Florida for support from Beaches Chapel, a church that took me in and helped me move on after my life fell apart. Haylie and I had sung there in 2002 and they had a real burden for me. When things got bad, Pastor Steve McCoy could see how fragile I was. He would call me in Nashville. He asked me to come down for six months, so I did. I went into weekly grief therapy with a Christian grief counselor for 18 months. I also began taking classes at church. The accountability to my pastor and my grief therapist and Jamie kept me alive, as there were times that I honestly didn’t want to live. But, God hung onto me, even when I felt like I couldn’t hang on.

I read a lot of books about heaven, and I get really excited, because reading them helps me live the reality of what our faith is all about. Also, I met Jamie Wellington at church and he became a friend who stood by me. Eventually, he and I got married and I still live in Florida today. God gave me a brand new start in every way.

Which at last brings you back to recording a new album.

Willard I began working on it seven years ago. I thought I’d never record another solo album, but the Holy Spirit impressed on me to involve my kids in making an album with me. That’s my son Bryan rocking on the bass when he was barely 18. His buddies Miles McPherson and Rob Hawkins also played on it. Haylie, who was 15 at the time, sang a duet with me on “Beautiful Jesus.”

Your daughter had a beautiful voice. Is it hard listening to that song?

Willard I made myself listen to it once, just the other day. I saw her on the other side when I heard that.

Where does the title for Paga come from?

Willard I listened to a teaching tape by Jim Goll called “From Prayer to His Presence.” He explained how the Old Testament priests would take incense behind the curtain and burn it as an atonement. This is called “paga” in Hebrew and it means “to make intercession.” When Jesus became our sacrifice, he made the way for our prayers, praises, and worship to become like that incense to the Lord. I wanted this album to draw people to the Lord and take part in that intercession.

I like your cover of “Charity.”

Willard As far as I know, nobody has recorded that song since Jamie Owens Collins recorded it for her first solo album in the ’70s. Which is bizarre, as it’s a great song.

What changes have you seen in the Christian music world since the Jesus movement music in the ’70s?

Willard The ’70s brought a surge of Christian music with Love Song and all the groups from California. It was a great movement of music. But about 20 years ago, I remember Christian radio changing and sounding just like secular radio with DJs trying to act and talk cool, trying to be hip. A lot of the music seemed to lose something. Then, a little more than ten years ago, I saw a revival begin. Very fresh worship and praise music was coming out. Artists like Delirious, Jars of Clay, and Matt Redman were singing about relationships with the Lord again. It was encouraging to see a turn back to simple relationships with Jesus. That’s what everyone loved about early Christian music when people just sang about what Jesus was doing in their lives and they invited others to come along. It’s gotten back to that in much of Christian music.

For more information about Kelly, her music, or concerts:  http://www.kellywillard.com/index.html

 

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Schizophrenia Understood

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Understanding the World of the Schizophrenic

Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout history. About 1 percent of Americans have this illness. People with the disorder may hear voices other people don’t hear. They may believe other people are reading their minds, controlling their thoughts, or plotting to harm them. This can terrify people with the illness and make them withdrawn or extremely agitated.

People with schizophrenia may not make sense when they talk. They may sit for hours without moving or talking. Sometimes people with schizophrenia seem perfectly fine until they talk about what they are really thinking. Families and society are affected by schizophrenia too. Many people with schizophrenia have difficulty holding a job or caring for themselves, so they rely on others for help.

Treatment helps relieve many symptoms of schizophrenia, but most people who have the disorder cope with symptoms throughout their lives. However, many people with schizophrenia can lead rewarding and meaningful lives in their communities. Researchers are developing more effective medications and using new research tools to understand the causes of schizophrenia. In the years to come, this work may help prevent and better treat the illness.

The symptoms of schizophrenia fall into three broad categories:

  1. positive symptoms,
  2. negative symptoms, and
  3. cognitive symptoms.

Positive symptoms

Positive symptoms are psychotic behaviors not seen in healthy people. People with positive symptoms often “lose touch” with reality. These symptoms can come and go. Sometimes they are severe and at other times hardly noticeable, depending on whether the individual is receiving treatment. They include the following:

Hallucinations are things a person sees, hears, smells, or feels that no one else can see, hear, smell, or feel. “Voices” are the most common type of hallucination in schizophrenia. Many people with the disorder hear voices. The voices may talk to the person about his or her behavior, order the person to do things, or warn the person of danger. Sometimes the voices talk to each other. People with schizophrenia may hear voices for a long time before family and friends notice the problem.

Other types of hallucinations include seeing people or objects that are not there, smelling odors that no one else detects, and feeling things like invisible fingers touching their bodies when no one is near.

Delusions are false beliefs that are not part of the person’s culture and do not change. The person believes delusions even after other people prove that the beliefs are not true or logical.

People with schizophrenia can have delusions that seem bizarre, such as believing that neighbors can control their behavior with magnetic waves. They may also believe that people on television are directing special messages to them, or that radio stations are broadcasting their thoughts aloud to others. Sometimes they believe they are someone else, such as a famous historical figure. They may have paranoid delusions and believe that others are trying to harm them, such as by cheating, harassing, poisoning, spying on, or plotting against them or the people they care about. These beliefs are called “delusions of persecution.”

Thought disorders are unusual or dysfunctional ways of thinking. One form of thought disorder is called “disorganized thinking.” This is when a person has trouble organizing his or her thoughts or connecting them logically. They may talk in a garbled way that is hard to understand. Another form is called “thought blocking.” This is when a person stops speaking abruptly in the middle of a thought. When asked why he or she stopped talking, the person may say that it felt as if the thought had been taken out of his or her head. Finally, a person with a thought disorder might make up meaningless words, or “neologisms.”

Movement disorders may appear as agitated body movements. A person with a movement disorder may repeat certain motions over and over. In the other extreme, a person may become catatonic. Catatonia is a state in which a person does not move and does not respond to others. Catatonia is rare today, but it was more common when treatment for schizophrenia was not available. “Voices” are the most common type of hallucination in schizophrenia.

Negative symptoms

Negative symptoms are associated with disruptions to normal emotions and behaviors. These symptoms are harder to recognize as part of the disorder and can be mistaken for depression or other conditions. These symptoms include the following:

  • “Flat affect” (a person’s face does not move or he or she talks in a dull or monotonous voice)
  • Lack of pleasure in everyday life
  • Lack of ability to begin and sustain planned activities
  • Speaking little, even when forced to interact.

People with negative symptoms need help with everyday tasks. They often neglect basic personal hygiene. This may make them seem lazy or unwilling to help themselves, but the problems are symptoms caused by the schizophrenia.

Cognitive symptoms

Cognitive symptoms are subtle. Like negative symptoms, cognitive symptoms may be difficult to recognize as part of the disorder. Often, they are detected only when other tests are performed. Cognitive symptoms include the following:

  • Poor “executive functioning” (the ability to understand information and use it to make decisions)
  • Trouble focusing or paying attention
  • Problems with “working memory” (the ability to use information immediately after learning it).

Cognitive symptoms often make it hard to lead a normal life and earn a living. They can cause great emotional distress.

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Much of this article came from an outside source. I’m just the errand boy on this post.

A Woman’s Depression [Honesty]

Depression Fits the Hearts of Women

Women experience twice the rate of depression as men.

Women have twice the chances as men

Everyone experiences disappointment or sadness in life. When the “down” times last a long time or interfere with your ability to function, you may be suffering from a common medical illness called depression.

Major depression affects your mood, mind, body and behavior. Nearly 15 million Americans — one in 10 adults — experience depression each year, and about two-thirds don’t get the help they need.

Women experience twice the rate of depression as men, regardless of race or ethnic background. An estimated one in eight women will contend with a major depression in their lifetimes.

Researchers suspect that, rather than a single cause, many factors unique to women’s lives play a role in developing depression. These factors include: genetic and biological, reproductive, hormonal, abuse and oppression, interpersonal and certain psychological and personality characteristics.

Symptoms of depression include:

  • Little interest or pleasure in doing things
  • Feeling down, depressed or hopeless
  • Trouble falling or staying asleep or sleeping too much
  • Feeling tired or having little energy
  • Poor appetite or overeating
  • Feeling bad about yourself, that you are a failure or have let yourself or your family down
  • Trouble concentrating on things, such as reading the newspaper or watching television
  • Moving or speaking so slowly that other people could have noticed or the opposite in that you are so fidgety or restless that you have been moving around a lot more than usual
  • Thoughts that you would be better off dead or of hurting yourself in some way

Women may be more likely to report certain symptoms, such as…

  • anxiety
  • somatization (the physical expression of mental distress)
  • increases in weight and appetite
  • oversleeping
  • outwardly expressed anger and hostility
 
Stay close to your friend

Helping a Woman with Depression

People with depression aren’t the only ones who suffer. Their friends and loved ones may experience worry, fear, uncertainty, guilt, confusion or even be more likely to go through depression themselves.

The situation may be especially trying if your loved one doesn’t realize that she is depressed. You can help by recognizing the symptoms of depression and pointing out that she has changed.

Recognize even atypical signs of depression. Women may be more likely to report certain symptoms, such as anxiety, physical pain, increases in weight and appetite, oversleeping and outwardly expressed anger and hostility. Women are also more likely to have another mental illness-such as eating disorders or anxiety disorders-present with depression, so be alert for depression if you know a woman with a history of mental illness.

To point out these changes without seeming accusatory or judgmental, it helps to use “I” statements, or sentences that start with “I.” Saying “I’ve noticed you seem to be feeling down and sleeping more” sounds less accusatory than “you’ve changed.”

Talking to a Woman with Depression

If a friend or loved one has depression, you may be trying to figure out how you can talk to her in a comforting and helpful way. This may be difficult for many reasons. She is probably feeling isolated, emotionally withdrawn, angry or hostile and sees the world in a negative light.

Although you may feel your efforts are rebuffed or unwelcome, she needs your support. You can simply be someone she can talk to and let her share her feelings.

It’s important to remember that depression is a medical illness. Her symptoms are not a sign of laziness or of feeling sorry for herself. She can’t just “snap out of it” by taking a more positive outlook on life.

Helpful responses include, “I am sorry you’re in so much pain” or “I can’t imagine what it’s like for you. It must be very difficult and lonely.” Instead of simply disagreeing with feelings she conveys, it is more helpful to point out realities and hope.

A woman with depression often expects to be rejected. You can reassure her that you will be there for her and ask if there’s anything you can do to make her life easier.

If your loved one is not diagnosed or not in treatment, the most important thing you can do is encourage her to see a health care professional.

*Never ignore statements about suicide.* Even if you don’t believe your loved one is serious, these thoughts should be reported to your friend’s doctor. If this is an emergency, call 9-1-1.


http://www.nami.org/Content/NavigationMenu/Mental_Illnesses/

Depression/Women_and_Depression/Women_and_Depression_Facts.htm