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

Why Are You Still Outside?

http://www.glogster.com

There are so many that are outside our walls.  Those who are blinded and confused by the Church and the gospel.

People are for the most part not this blatant or obvious in their pain.  But it is what they are asking that tunes us in. “Where?”

Humans have been created with a special spot inside them.  This place is designed by our Creator for his use only.  Life just doesn’t make sense unless he is the center.  Christians are just people who are trying to be fueled by God’s Spirit.

Answers abound to questions unasked.  Confusion is rampant and it seems no one can get a unified direction for his companions.  This is precisely why the Bible brings a piercing and clear call to the children of man.  Its promises are not dated, they are not obsolete.

They are many who have gone before us, thousands of generations who have found light and solace for darkened and wounded hearts.  They testify to us of the spiritual reality that can be found in God and in his Word.  We are not called to perfection, but a real obedience of faith and love.

At this throbbing moment in history, Jesus is calling so many to “follow”. 

He is populating eternity with beggars, the sick, the poor the addicted.  He loves “sinners”.  He loves the mentally ill.  The Bible tells us, “that he ever lives to make intercession for them”.

You have a purpose, and life does have clear meaning.  Don’t lose hope and don’t try to fill yourself with foolish and empty pursuits.  Come to Jesus, ask for forgiveness.  Find the people that will help solidify and confirm your decision.  Feel free to contact me about your decision to follow Jesus.

“Jesus told him, “I am the way, the truth, and the life. No one can come to the Father except through me.”

John 14:6

 

For more info on becoming a believer please contact 1-888-NEED-HIM.

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The Curious Case of Being Job

XIR84999 Job (oil on canvas) by Bonnat, Leon Joseph Florentin (1833-1922) oil on canvas Musee Bonnat, Bayonne, France Lauros / Giraudon French, out of copyright
Image by Bonnat, Leon Joseph Florentin (1833-1922) Musee Bonnat, Bayonne, France French, out of copyright

One of the most intriguing characters in the Bible is Job. Tempted and accused, ignored and maligned– he maintained a faith in God’s goodness when hell wanted to destroy him.

His goodness should not be questioned oe diminished.

“In the land of Uz there lived a man whose name was Job. This man was blameless and upright; he feared God and shunned evil.”

Job 1:1

Job becomes an oblivious participant in a cosmic exchange. God and Satan lock horns over Job’s faithfulness. God is sure of his love, while the Adversary thinks Job will fold when repeatedly tempted. But keep in mind, Job hasn’t a clue of who or why. He has to deal with life that is an enigma wrapped in a mystery. Job will soon become intimate with pain and suffering.

“Then the Lord said to Satan, “Have you considered my servant Job? There is no one on earth like him; he is blameless and upright, a man who God, and shuns evil.”

Job 1:8

Satan is like a pit bull. And God has pointed out the character of Job, and what an enticing “meal” he would make. It’s a bit like slathering bacon grease on him and turning him over to the nearest pack of wolves. Satan now pursues his prey.

Again, Job is completely unaware of this contest. No one has bothered to consult him directly about this. Job knows nothing about this ”wager.” And it’s hard to be kept in the dark. I contend that had Job  known what was going on, this all would’ve been far easier. However, everything would be “unscripted” and  Job would suffer in complete ignorance. And that is doubly hard.

“At this, Job got up and tore his robe and shaved his head. Then he fell to the ground in worship and said: “Naked I came from my mother’s womb, and naked I will depart. The Lord gave, and the Lord has taken away; may the name of the Lord be praised.” In all this, Job did not sin by charging God with wrongdoing.”

Job 1:20-22

But there was no sin! Job will not travel down that road. Yet he loses everything– all of it. And things are going to get even worse for him. He will be visited by three “friends.” However, they won’t help him. They will only make things worse.

The life of Job, and the “total war” on his soul must be our consideration and our precedent to order our lives.

The pain of Job should become the blackboard where we practice our figures. In the New Testament book of James, (5:11) we are told to think about Job. And in our deliberations, to consider the compassion and mercy of God. Ironic, in some wild cosmic way, our trials of faith are significant.

We should realize that if you or I are going to come out clean in this, we will need to emulate the faith of Job. I think that this what James meant in 5:10-11. We understand that Jesus absorbed all our sin and pain, completely. When we see that, we can come through just about any nastiness. It won’t make the trials any easier, but it will frame the full goodness of God.

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Relapsing [Without Being a Moron About It]

 A Bumpy Road: Dealing with Relapse

There may not ever be a last episode, but there are ways to fend off and mitigate the next one.

By Jodi Helmer

Doctors never talked to Elly L. about RELAPSE.

Although she was hospitalized during a manic episode and diagnosed with bipolar disorder, doctors never mentioned that it could happen again. Instead, Elly was stabilized, handed a prescription for mood stabilizers and discharged. She had no idea that she’d be battling mania and depression for the rest of her life.

“I was told that as long as I took my medications, I’d be okay,” recalls Elly, a mental health coach in Toronto, Ontario.

Elly experienced at least eight relapses between her diagnosis in 1978 and 1991. Each time, she was hospitalized, often placed in restraints and taken to the psychiatric ward in a police car or ambulance. Upon discharge, Elly always promised herself it would be her last hospital admission-but she had no idea how to stave off future relapses.

In bipolar disorder, relapse is defined as the return of depression or a manic or hypomanic episode after a period of wellness. According to a 1999 study published in the American Journal of Psychiatry, 73 percent of those diagnosed with bipolar disorder experienced at least one relapse over a five-year period; of those who relapsed, two-thirds had multiple relapses.

“You can never say that someone with bipolar disorder has had their last episode; relapse is part of the illness,” explains Alan C. Swann, MD, professor and vice chair for research in the Department of Psychiatry and Behavioral Sciences at The University of Texas Medical School at Houston and director of research for the University of Texas Harris County Psychiatric Center. “Relapse is self-perpetuating; once it happens, the more likely it is to happen again.”

Searching for Answers

It’s possible to do all of the right things- follow a proper medication regimen, eat well, exercise, minimize stress and get enough sleep-and still experience relapse. Unfortunately, there is no clear understanding of why this happens.
“There may be changes in the cellular level that cause cycling but their cause is unknown,” says Joseph R. Calabrese, MD, director of the Mood Disorders Program at the Case Western Reserve University School of Medicine in Cleveland, Ohio.

While the neurological causes of relapse are unknown, a few things are certain: Those who are diagnosed with bipolar II are more likely to relapse than those with bipolar I. Their episodes of depression, mania or hypomania are often shorter than the episodes experienced by those with bipolar I but tend to return more often, according to Calabrese. It’s also far more common to relapse into depression than into mania or hypomania. Calabrese estimates that in bipolar II, there is a 40-to-1 ratio of depression to mania; the ratio of depression to mania drops to 3-to-1 in bipolar I.

“The key to recovery is a low tolerance for relapse,” says Calabrese.

In fact, Dr. Roger S. McIntyre, MD, associate professor of psychiatry and pharmacology at the University of Toronto and head of the Mood Disorders Psychopharmacology Unit at the University Health Network, believes that even the mildest symptoms of depression and mania should be treated as potentially hazardous.

“The takeaway message is that we need to seek complete elimination of symptoms as our treatment objective,” he says…

Click here to read the full article, “A Bumpy Road: Dealing with Relapse”

“bp Magazine” is a wonderful “shot in the arm.”  I would suggest that you get a subscription, and for a friend as well.

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Join NAMI today!

When you become a member of NAMI, you become part of America’s largest grassroots organization dedicated to improving the lives of persons living with serious mental illness. And now you can join online.

http://www.nami.org/template.cfm?section=About_NAMI