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Where are the mentally ill?
Largest public mental health facility?
Miami-Dade: what makes it unique?
Home to larger % of mentally ill than any other major metropolitan area in America
Heaven and Earth
Ran from Starbucks, entered back yard, broke glass door, music, kitchen, bathrooms, took bubble bath.
Must have threat. Needed this to commit Mike.
Conversation with the family who’s house was broken into
· Dad= sympathetic, but would have shot him.
· Mom= Questioning, not forgiving, scared, damage to house
Recommendation to not pick up Mike when released?
· County must pay for med and find him a home and job, he must complete treatment
· 2 felony charges, broke into house, woman filed complaints, released to parents custody
Jail charges, overcrowding, psych unit name, # of inmates on med in Miami jail system.
· $2 per day subsistence fee, $5 doctor fee, $3 nurse fee
· Sleep on floor.
THE FORGOTTEN FLOOR. 700 inmates on med.
Suicide cells: conditions
· Glass, steel bars, smells, no air sometimes, navy gowns
· No records, must diagnose from what told by inmates.
Length of stay for psych patients
6x longer in jail
Judge Leifman: the lesson of judicial clout
More important if judicial people listen
Misdemeanor diversion program: how does it work? Results success?
Mentally ill go to local treatment center after arrested instead of jail. For 48 hrs.
3-7 days then court. Minor charges dismissed. 70%-7% rearrested=Good
Why are you doing this answer.
Better way to help. First case of a boy, couldn’t help, he went missing.
Rev Louis Dwight
1800s, found mentally ill man locked in closet for 9 yrs. Treated horrible.
Formed Boston Prison Discipline Society. Little was done.
Boston Prison Discipline Society
1825, did little, called reforms
Went to jails for bible studies. Found mental ill abused in jail.
Credited for 30 states building asylums.
1900 Every state had a mental hospital
1946 Life magazine
Mental hospital=shame. Treated patients wrong.
Truman creation of NIMH
1946, Find cure for insanity
Made patients calm, saved money.
Kennedy 1963 community mental health movement
Clinics replace state hospitals.
Coming together of events that prompted de-institutionalization
Unplanned social disaster
No help with mental ill. Never financed community centers.
Fidel Castro’s influence
Let prisoners and mentally ill flee to Florida.
Competency to stand trial: teaching to the test
Taught in hospital to answer questions correctly.
Cycle Turolla discovered
Shuttled from jail to hospital. No treatment. Nothing happens.
James Edward Tucker example
Never received treatment.
Killed outside house.
Mentally Ill Criminals in Dade CO FL: Impact?
Nothing was done.
C wing remodeled. Hired 2 psychiatrists. 1psych-200 inmates.
NAMI (National Alliance of Mentally Ill)
Nations voice on mental illness.
Diaz’s & Robinson’s perspectives of mental illness
Diaz- They don’t know they are sick. Can’t remember to treat the disorder.
Robinson- Tough love. Focuses on medication.
Memphis Police: CIT: training and successes
Trained by doctors. Lots of successes. Saved lives
Veteran. Ill for 33yrs. Had pocketknife, would not drop it, killed by police.
CIT in Miami in 2002
First 6 months, no one killed. GOOD.
Then Alvarez said they didn’t need Memphis training.
Went downhill. Many killed.
Renee Sherman’s story
Son (Robbie) was emotionally disturbed.
Dropped out of H.S. ran away. Mother sent cash, spent @ strip clubs.
Went crazy, went to ex gf house, threw skate through window, grabbed glass.
Was shot and killed.
Mikes deal; plea bargaining
Plead guilty=2 felonies to misdemeanors.
1 yr probation.
And must complete treatment program.
Life sustaining activities
Public park after hours,
nude in public,
fire in park,
obstructing passage on sidewalk,
living in vehicle,
camping in park,
using things for other uses (sleep on park bench), constructing in park, trespassing.
Group of 507 individuals who were permanent street dwellers, every one of them was mentally ill, several had “co-occurring disorders” like alcohol and/or drug addictions. 71% of the 507 refused to live in shelters and every one of them had been arrested and jailed at some point.
ALF’s who they house, criticisms
Mental patients who had been dumped from state hospitals.
Just trying to make money.
Call police for free ride.
CIT appearance at calls, use of tasers, and training
Saves lives, instead of killing the mentally ill.
Gilbert & revolving door
Never get help.
Committed misdemeanor and mentally ill.
Right back where he started.
Florida Baker Act (1972): process
1. Persuade judge that defendant is ill.
2. Police take to hospital and patient has 72 hours to be examined by doctor.3. If impaired formal Baker Act trial within 5 days.
Public defenders perspective
Do what he thinks is right or do what the client wants.
Dr Morton Birnbaum, Father of the civil rights movement for mentally ill: constitutional and legal rights of the mentally ill (due process)
If mentally ill, Constitutional right to treatment.
5th amendment under bill of rights due process.
Donaldson example & decision
Had Birnbaum represent him in court.
First success for right to treatment.
1st law say mentally ill person had to be a danger to self or others to get committed.
Lessard v Schmidt
Mentally ill entitled to same legal protections during commitment hearings as criminal cases.
Right to refuse medical treatment, confined in least restrictive manner
parents can’t make adult child undergo treatment.
Least restrictive setting
Be on inside or outside.
What does it take to keep behavior in check.
Parents forced treatment of adult children
Can’t unless dangerous
Laws based on outdated mentality?
Decades old, Bernstein argues we need them.
Patients vs. prisoners
Nurses, social workers, doctors see them as patients.
Police see them as prisoners.
Had to fail first on Risperdal to get other drugs.
Cost 1/3 of other drugs.
Drug budget= $2.5 million
Sanbourne v Chiles
Sanbourn spent 20 yrs in mental hospital
Chiles is governor 1988.
Demanded patients in state hosp. either given treatment or released.
Advocacy Center for Persons with Disabilities
Inspectation of state hospitals
Instead of what is needed it got temporary improvements.
Didn’t exactly fix just made a little better.
$86,000 to care.
Trained to ride bus and cook for self.
$608 monthly fed payment
No family visits (didn't know)
The conclusion of Mike's criminal charges
2 misdemeanors, 2 yrs probation
Even if no felony, nobody wanted to hire him because bipolar
Homelessness & severe mental illness
Strong connection between the two.
Argument behind Witchdoctors and Psychiatrists
Same success rate today.
Brain disorders not thought disorders (bipolar, schizo. depression)
Schizophrenia on TV & NAMI
First to say it on TV, not family’s fault, brain disorder.
Donated to NAMI, it grew
Kendra Webdales murder and Kendra law
Goldstein pushed her in front of a subway car.
Protected mentally ill from being abused. Meet 6 criteria before state could order to take meds.
Began when 12, had to pick between mom and dad event.
Charged for kidnapping, dropped. Therapists helped him. Individualized care.
Felt watched. No short memory
Tying an inmates wrists and feet to bed. OC spray.
Gilbert on forced meds
Drugs are bad. Convinced drugs started it.
Jackson & dancing
Dances at 3 nightclubs a week. Asked to marry a peru girl so she can stay in country for $5,000.
Parent to have an adult child locked up for 60 days as drug addict
Electronic alerts, not meeting basic requirements.
Don’t send patients unless it is approved of.
No patients = No money
Don’t need chemicals. Stay on meds.
Chavez & Armstrong
Worked for state’s attorney general’s office.
Chavez- Mentally ill felons would be released to treatment programs through plea bargaining
Pick defendants with health insurance,
get charges dropped by getting them into treatment
$$ Drs made from insurance per patient
$7,000 - $80,000
Mood disorders versus thought disorders
A day at Passageway
Chores, therapy, lunch, open time, meeting, dinner, bed.
Zyprexa dosage for Jeff
Special facility for mentally ill off the ninth floor
South Florida Evaluation and Treatment Center
Work full time.
Go back to grad school
Moving to different state
25 yrs old
3 things learned
Bipolar. B wing. 42, good shape, white. Likes to dance. Beat up by cops for graffiti. Was in the Army. From ohio. Paranoid. Hit men after him. Got beat up. Went to Ohio. Took too many meds
Sat at café and yelled at customers, arrested to get help.
Beat an officer now has a felony charge.
30s. “Hagrid” Arrested nearly 20 times in 6yrs. Urinating in public. Bribe w/ food.
No sign of improvement. Couldn’t speak.
6 month treatment program.
BACK ON FLOOR 9.
What is social change?
Any relatively enduring alteration in social relationships, behavior patterns, values, norms, and attitudes occurring over time.
Law as a cause: reactive versus proactive; reciprocal relationships
Reactive- It reacts to social forces. Law is mostly reactive.
Proactive- Sets forces in motion
Social Movements: definition; Charles Tilly; contagion effect
A sustained series of interactions between power holders and persons successfully claiming to speak on behalf of a constituency lacking formal representation, in the course of which those persons make publicly visible demands for changes in the distribution or exercise of power and back those demands with public demonstrations of support.
Charles Tilly- The foremost modern theorist of social movements
Contagion effect- When small quiet groups are aroused
US Supreme Court: What is the Constitution?
Dynamic & Constrained Views
Dynamic- The court can be more effective than other government institutions in bringing about social change because it is free of election concerns & can act in the face of public opposition.Constrained- The court can rarely produce significant social change because powers are limited. Three important constraints; bounded nature of constitutional rights, court lacks the necessary independence from the other branches of gvmt, and lacks the tools to develop policies and implement decisions for significant change.
Weber: traditional, charismatic, and rational legal
Traditional- Old and Supreme Court, always been there.
Charismatic- Generated by exceptional, unusual, and even supernatural qualities attributed to individuals or institutions.
Rational- Court’s authority derived from rules rationally and legally enacted.
Judges must not place their own interpretations on the Constitution even if by adhering to this philosophy the consequences would be personally abhorrent to them.
Brining the Country together: Supremacy clause
The authority of the US shall be the supreme law of the land; and all judges in every state shall be bound thereby anything in the Constitution or laws of any State to the contrary notwithstanding.
Activism of the Warren and Burger Courts: examples
Brown v. Board of Education of Topeka (1954)- No separate education (Warren)
Engel v. Vitale (1973)- banned prayer in public schools
Roe v. Wade- legalized abortion (Burger)
Lanterman-Petris-Short (LPS) Act in 1969
Where did the three-quarters of a million mentally ill go?,
Severe mental illness should be treated in the least restrictive setting.
ISSUES= affordable housing, safety, edu, transportation, medical/dental, jobs.
Police protecting mentally ill arrest them to protect them
Re-arrested 6x in 3yrs
Problems with sending mentally ill to jail,
Unprepared for the physical, psychological, & pharmaceutical needs of mentally ill.
Originated with Memphis Model (arrest of mentally ill dropped, emergency referrals increased). It is training the police about mental illness through role-playing and crisis response. They learn de-escalation techniques rather than responding with the same amount of force, trying to bring that level of escalation down instead of up.
· National Alliance on Mental Illness (NAMI)
· Substance Abuse and Mental Health Services Administration (SAMHSA)
Gandhi’s life; impact;
Born 1869. Married @ 13. England to study Law. Failed as lawyer.
South Africa to be a translator, thrown from a white 1st class car. Left Africa.
Campaigned against British law oppressing Indians. Salt March against Salt Tax.
Refused to lead civil rights movement in U.S. Assassinated.
Young College Students
Intentional & public refusal to obey a law with which one disagrees
Educating the Public;
Must have problem the public relates to, effective medium, and solution.
Success of Civil Disobedience;
Civil rights movement,
Guerilla Tactics (Sal Alinsky);
Unconventional & radical.
Sal Alinsky= Philharmonic example
Michael Moore= Modern day example… films educate people good or bad about topics
ACLU; IRA; Amnesty International
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