In most states, care for those with behavioral health problems is so poor that the nation’s prisons have become the default treatment centers for many of the most vulnerable mental health patients. As Congress wrestles with plans to cut funding for Medicaid, many observers are calling for more coverage.
For an example of a mental health system that relies on state prisons, see the work of Taylor Knopf, a reporter for North Carolina Health News. In the spring of 2015, Knopf was working for the Raleigh News & Observer when an editor asked her to write a news brief about an effort to improve the state’s use of solitary confinement. Seeing an opportunity, Knopf made a few calls and did more than write a brief: Over the next year, she turned that assignment into a two-part series on how the prison system used solitary confinement to discipline inmates for even minor infractions.
In a new “How I Did It” article, Knopf writes about the series and how her reporting focused on one inmate’s struggle to adjust to life outside of prison after being held in solitary confinement for almost three years. Continue reading
One of the sessions featured at Health Journalism 2017 in Orlando explored the intersection of the criminal justice system and mental illness in the United States from various angles. This Storify includes tweets from multiple attendees at the session – along with quite a number of leads for story ideas.
A fair amount of the session was unfortunately unsurprising in revealing how the justice system has become one of the nation’s biggest mental health care providers (if not the largest), but hearing about the sheer scale of the problem was nonetheless enlightening and disturbing. This topic area is rich with potential story ideas that are woefully undercovered and underappreciated. Continue reading
Jaclyn Cosgrove, a health writer at The Oklahoman in Oklahoma City, was sorting through jail inspection reports from the state when something struck her about a significant number of them.
They were not just run-of-the-mill prisoners. Their health problems, particularly mental illness, were pervasive and hard to ignore. Instead of receiving health care from medical providers and institutions in their communities, scores of Oklahomans – particularly those with mental illnesses – had been incarcerated and were now relying on the criminal justice system to receive care. Continue reading
Our nation’s aging prison population is bringing to the forefront issues of geriatric mental health among inmates. There are no federal guidelines for treating older, frail inmates who may suffer from chronic mental health problems such as depression or anxiety. Continue reading
With an increasingly aging prison population, how to care for inmates with chronic illnesses or other infirmities and those at the end of life has become an urgent challenge for federal and state governments, and for inmate and elder rights advocates.
An increasing number of prisoners need wheelchairs, walkers, canes, portable oxygen, and hearing aids. Many are incontinent or forgetful and need assistance to get dressed, go to the bathroom, or bathe, according to the Connecticut Office of Legislative Research. Authorities must balance appropriate care with ballooning health costs, determine who will provide care and pay for it. The situation is squeezing state correctional budgets, health services, safety-net programs and local communities. Continue reading