Archive for Humane Exposures

Strong writing, subject and cast make England’s “Bad Girls” compelling television


By Alan Waldman | Reprinted from The Rag Blog | September 1, 2014

[In his weekly Ragblog column (http://www.theragblog.com/), Alan Waldman reviews some of his favorite films and TV series that readers may have missed, including TV dramas, mysteries, and comedies from Canada, England, Ireland, Australia, New Zealand and Scotland. Most are available on DVD and/or Netflix, and some episodes are on YouTube.]

I am very interested in the topic of female incarceration, and I write a blog article about it every third week at Human Exposures. I loved both seasons of Netflix’s powerful women-in-prison drama Orange is the New Black, and a dozen or so years ago I watched and enjoyed the first riveting season of the dramatic British TV series, Bad Girls. Here’s the first part of an episode (and from it you can access the remaining parts).

In Britain, Bad Girls was very popular, running for eight seasons and 107 episodes, from 1999 to 2006. It is set in the fictional Larkhall women’s prison and features a mix of gritty and light storylines. Simone Lahbib, Debra Stephenson, Claire King, and Lara Cazalet star in this shockingly honest British series where the new inmates must quickly learn how to survive in a brutal and often deadly environment.

Waldman’s film and TV treasures you may have missed

Bad Girls deals with much controversial subject matter. In the first season a pregnant prisoner miscarries in her cell, another is viciously strip-searched by fellow inmates for concealed drugs and a third commits suicide due to being bullied.

One story arc revolves around the developing romantic relationship between a prisoner serving a life sentence for the murder of a policeman who attempted to rape her girlfriend and the previously engaged female Wing Governor. Other storylines include the pregnancy of a young drug addict, the appeal of wrongly-imprisoned woman (frequently referred to as “posh bitch” by other characters) and the illicit relationship between the male senior officer and the resident bully and drug dealer, serving life for murder.

The first season’s 10 episodes are on Netflix. Bad Girls won 10 major awards and garnered seven other nominations. These include seven National Television Award Most Popular Drama nominations and two wins, four TV Quick Best Loved Drama Awards, two Most Popular Actress noms for Debra Stephenson, and acting award wins for Stephenson, Claire King (twice), and Jack Ellis.

At imdb.com, 92.6% viewers polled gave the series thumbs-up, 44.8%rated it a perfect 10, and it was very strong with all demos, particularly females and most particularly with females 45 and older. The first episodes of seasons two and three drew more than 9.4 million viewers in a relatively small country.

Simone Lahbib

Simone Lahbib

It was created by Maureen Chadwick (who wrote 24 episodes and won a TV Quick Best New Drama Award for Waterloo Road), Ann McManus (penned 23 episodes and co-created Waterloo Road) and Eileen Gallagher (won an OBE honor for services to broadcasting). The series had 23 writers over its eight seasons.

The cast was headed by Victoria Alcock (Call the Midwife, Eastenders, The House of Eliott) and Kika Mirylees (Jonathan Creek, Eastenders, and Lovejoy). Wonderfully evil is sexy Debra Stephenson (Playing the Field, MI-5, and Coronation Street).

Jack Ellis, who won a best actor award for playing a mean, randy guard, has 55 other credits, including Prime Suspect, Inspector Morse, and Coronation Street. Simone Lahbib took over the female lead in the wonderful crime series Wire in the Blood and also appeared in the equally wonderful Philomena and Downton Abbey. And I greatly enjoyed Lara Cazalet as the adulterous barrister in New Street Law.

A musical comedy adaptation of Bad Girls, based on the characters and storylines of the first season, ran in London’s West End in 2007. In 2006 it was announced that FX would bring an American version of Bad Girls to U.S. screens, but its original pilot script was scrapped over the show’s “really gritty and unpleasant” feel. An NBC version was also mentioned in the trade press. But now HBO’s version of Bad Girls is being developed with creative input from Six Feet Under writer Alan Ball, and it is supposedly due to bow this year. The DVD has been released in at least 19 countries, including Montenegro, Georgia, Finland, and New Zealand.

Although I loved and heartily recommend Orange is the New Black, I found my one season of Bad Girls even grittier and more dramatic.

[Oregon writer and Houston native Alan Waldman holds a B.A. in theater arts from Brandeis University and has worked as an editor at The Hollywood Reporter and Honolulu magazine. Read more of Alan Waldman's articles on The Rag Blog.]

Campaign to End Veteran Homelessness is Making Good Progress

Photo by Susan Madden Lankford

Photo by Susan Madden Lankford

The number of homeless veterans dropped below 50,000 last year, in the fourth consecutive year of decreases since White House officials refocused efforts on getting that population into stable housing. Data from HUD’s annual point-in-time count of homeless Americans — conducted each January — showed 49,933 veterans living on the street in 2014. That’s down 13.8% (almost 8,000 individuals) since the 2013 count and 33.3% lower (almost 25,000 vets) since 2010.

Michelle Obama, HUD and the VA recently challenged mayors to commit to ending Veteran homelessness in their cities by 2015. So far, more than 95 mayors and governors in 46 states have accepted.

HUD Secretary Julián Castro said:

In just a few years, we have made incredible progress reducing homelessness among veterans, but we have more work to do.

However, the latest numbers also show the difficulty of completely ending the
problem. Despite focused efforts and increased funding for veterans assistance
projects, officials need to double their progress from the past five years
in order to reach that 2015 goal.

Housing advocates have praised HUD, VA and the Interagency Council on Homelessness for their efforts working with outside groups in recent years, noting that federal voucher programs and the “housing first” approach have helped quickly move veterans off the streets and into stable shelter. The VA Supportive Housing voucher program alone has served more than 74,000 veterans since 2008, providing direct funding to community groups which can assist individuals with immediate needs.

The White House just announced a new partnership with TriWest Healthcare Alliance to connect women veterans facing homelessness to employment and benefits services. Pilot programs will launch later this year in Seattle, Phoenix, San Francisco, Los Angeles and Honolulu. About 8 percent of the homeless veteran population (roughly 4,000) are women veterans who often face extra challenges in affording housing due to child care issues, dealing with the psychological effects of sexual trauma and gaps in health care offerings.

The VA is currently taking steps to aid homeless female Veterans. These include the:

SSVF awards grants to private nonprofit organizations and consumer cooperatives who will provide supportive services to very low income Veterans and their families residing in or transitioning to permanent housing. The grantees will provide a range of supportive services designed to promote housing stability. SSVF grants are released throughout the year.

The U.S. Department of Housing and Urban Development and VA Supportive Housing Program (HUD-VASH) partner to provide permanent, supportive housing and treatment services for homeless Veterans.  To date, HUD has allocated more than 74,000 Housing Choice vouchers across the country, which allows Veterans and their families to live in market rate rental housing while VA provides case management services. A housing subsidy is paid to the landlord directly by the local public housing authority on behalf of the participating Veteran. The Veteran then pays the difference between the actual rent charged by the landlord and the amount subsidized by the program. The case management services facilitate the attainment of the Veteran’s recovery goals. The HUD-VASH Program is for the most vulnerable Veterans, and provides special services for women Veterans, those recently returning from combat zones, and Veterans with disabilities.

The Grant and Per Diem Program funds community-based agencies providing transitional housing or service centers for homeless Veterans. Through the program, each year (as funding is available) VA offers grants that may fund up to 65 percent of the project for the construction, acquisition, or renovation of facilities or to purchase van(s) to provide outreach and services to homeless Veterans.

Women Veterans Health Care Program – Since 1988, the Women Veterans Health Care program has provided focused care for women Veterans in a safe environment that aims to raise the standard of women’s health care. It focuses on primary care, reproductive health, and other health issues unique to women. Women Veterans need not worry about their specific health issues not being accommodated by VA.

VA Mental Health for Women Veterans – VA recognizes that women Veterans experience their military service in different ways than men and also deal with unique mental health conditions. Because of this, VA provides specialized services to help women work through conditions such as PTSD or Military Sexual Trauma.

Latin American Women Prisoners Pay a Heavy Price for Transporting Drugs

 

Maggots in my Sweet Potatoes

Photo by Susan Madden Lankford

As growing numbers of women (up from 40,000 in 2006 to 74,000 in 2011) suffer in Latin American jails on drug-trafficking charges, their role in organized crime is under examination, as are the prison system that crowds and mistreats them and the patriarchal society that systematically fails them.

According to an October 2013 paper by the International Drug Policy Consortium (IDPC), most female prisoners are incarcerated because of drug-related crimes – usually trafficking. In Brazil, 60 percent of women prisoners are in jail for trafficking. In Ecuador, only 18.5 percent of female prisoners were in prison for drug offences in 1982, but that figure now stands at 80 percent. The same upward trend is evident in most Latin American countries, where an average of 70 percent of incarcerated women are doing time for drug-related offences.

Why so many women are being held and tried on drug-trafficking charges, as well as what are the devastating impacts of their incarceration on them, their families and broader society, were discussed at a panel discussion at the UN in New York earlier this month, where drug policy experts spoke about the need for both drug policy and prison reform.

So many of the women serving time or waiting to be sentenced were incarcerated for carrying or “muling” drugs. These women, who tend to be uneducated and poor, are usually “on the lowest rungs of the crime ladder”, according to the briefing report.

The poorly paid “mules” carry drugs in their luggage, strapped to their bodies or swallowed in capsules. Usually several of them are put onto international flights so that even if some are caught, others will get through.

According to the researchers:

Many of these women seemed unaware of the risks involved when drawn into the trade by their partners or families, who would tell them: ‘Just carry this. Nothing will happen; everything will be all right.’

Corina Giacomello, panelist and author of the IDPC briefing paper, Women, Drug Offenses and Penitentiary Systems in Latin America, said analyzing the plight of these women was an opportunity to confront three intersecting problems: gender issues, drug policy and prison policy:

We don’t usually see the connections between these issues, but these women are like a mirror; they’re an intersection of all these things.

Once these women are inside, the exploitation and abuse continue. Most of the women lack the knowledge or money to access lawyers and so may spend years awaiting trial.  According to a January 2014 report by the Organization of American States, most women jailed on drug offences are awaiting trial as prisoners.

They are usually separated from their children – or housed together with them in abysmal conditions. Latin America’s prisons are already infamous for overcrowding, inhumane conditions, violence and lack of any rehabilitation programs. Added to this is the sexual exploitation of women who are repeatedly raped by prison guards and other inmates. “Prison is a masculine space built by men for men,” said Giacomello, adding that the penal system is ill-equipped to cope with the rapidly growing numbers of female prisoners who may be pregnant, nursing or mothers of small children.

When women are sentenced, they tend to get stigmatized, and when they start their sentences they are often abandoned; they don’t get visited. These unfortunate women can spend months without seeing their children. This leads to all kinds of health and mental health problems. The OAS reported, “In addition to the potential breakdown of their families, abandonment by their parents and loss of property, incarcerated women face disproportionate levels of social stigmatization.”

Leonel Briozzo, Uruguay’s vice minister of public health,  told the panel that prisons were places where people could learn more about illegal activity rather than rehabilitate themselves:

We have to understand that jails are not the correct places for people to stop using drugs. Real transformation needs to take place.

Among the recommendations are initiating more campaigns to make women more aware of the risks of trafficking drugs, as well as applying the UN’s Bangkok Rules to cater more effectively for the needs of women in the prison system.

Giacomello said:

For too long drug policy has stayed in a kind of ivory tower, divorced from human rights or gender policy. We need to make drug policy penetrable from a human rights perspective.

 

War on Children: Thanks to Media, One in Every Three US School Kids Will be Arrested by 23

According to Nell Bernstein’s new book, Burning Down2014.8.12.BookCover.Main[1] the House,  66,332 young people currently are confined in juvenile facilities, two-thirds of them in long-term placement. Her book focuses on the criminalization of American young people, from the mid-80s when the trend first exploded, to the present day when the United States incarcerates more of its kids than any other industrialized nation.

Bernstein argues that juvenile facilities wouldn’t be able to stay open if it weren’t for a massive, media-induced misconception of youth violence. Beginning in the mid-1980s, stories of youth criminalization ran rampant through US newswires. A 1996 study conducted by the Berkeley Media Studies Group  found that more than half of local news stories about young people at the time focused on violence.

The number of incarcerated children has decreased greatly since that study came out – 41% since the rate of juvenile incarceration hit its peak in 1995 – and the common misconception now is that the issue of youth confinement has been dealt with, but the stench of garbage reporting from decades past still lingers. Certain kids (read “black,” “brown,” “homeless,” “drug addicted,” “LGBT”) are still violent outliers who most people and many media believe belong behind bars. If this narrative isn’t corrected, there’s no reason why things won’t get worse instead of better.

Bernstein writes:

As things stand, the recent drop in juvenile incarceration looks more like a stock market correction than a revolution: the current number of youth in confinement is almost identical to that in the mid-1980s, right before that era’s pendulum swing swept thousands more youth behind bars.

“Racism drives the juvenile justice system at every level, from legislation to policing to sentencing to conditions of confinement and enforcement to parole.

Police arrest nearly 2 million juveniles every year, and Black teenagers are arrested at five times the rate of white teenagers, Latino teenagers two to three times more often than white teenagers.

The myth that young people are imprisoned almost exclusively for violent crimes bolsters the argument that children of color deserve to be ripped from their communities and placed in detention centers. Actually, while juvenile violent crime has decreased over the past 15 years, locking up kids for minor offenses has become much more prevalent, thanks to longer sentencing, three-strikes laws, electronic monitoring, drug testing and other harsh tactics of the criminal justice system.

In 2010, only one-in-four incarcerated youngsters were charged for violent crimes, while 40% were doing time for low-level offenses like drug possession, violation of probation and public-order offenses. This category of child offenders also includes those charged with crimes that only kids can be charged for, like alcohol possession and truancy.

The statistic Bernstein believes should outrage every person in this country: African-American youth with no prior convictions are 48 times more likely than white youth with similar histories to be incarcerated for drug offenses! Given that incarcerating a child is the best predictor of whether he or she will be imprisoned as an adult, such facilities are not only complicit in institutional racism, but they use the bodies of children to perpetuate it. You’ve got to break more than a few good eggs to keep the prison-industrial complex fed.

Bernstein’s book is also hard-hitting and heartbreaking in its exploration of child abuse within juvenile facilities. In 2010, The Department of Justice’s Review Panel on Prison Rape found that 12% of juvenile inmates had been sexually abused at least once while in prison – and that rate of sexual abuse is higher in juvenile facilities than in adult prisons. The vast majority of girls in juvenile detention – 73% – have a history of physical and sexual violence before they disappear behind the prison walls.

Solitary confinement is widely used in juvenile facilities nationwide, although it sometimes goes by other names like “protective custody” and “reflection cottages.” Incredibly, stripping children naked and hog-tying them before throwing them in administrative segregation is still practiced in some places. Also is not uncommon for a child to be administered psychotropic drugs, often to deal with mental maladies that tend to arise when a young mind spends days, weeks or months in complete isolation.

Bernstein truly believes in the abolition of juvenile facilities, exhorting us:

Raze the buildings, free the children and begin anew!

Bernstein also has harsh words for so-called “treatment-based models” such as Red Wing in Minnesota and OH Close Youth Correctional Facility in California. Althiugh undeniably nicer than the average juvenile facility, these treatment centers still use solitary confinement frequently and are still in fact prisons, despite throwing the word “boutique” around with some abandon. Bernstein instead advocates for a combination of therapeutic methods in which kids either work with their families and therapists at their own home or in their therapist’s office or are placed with trained foster families for a period of up to nine months.

This Year H.U.D. and V.A. Will Give 10,000 More Housing Vouchers to Homeless Vets

Photo by Susan Madden Lankford

Photo by Susan Madden Lankford

The U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Veterans Affairs (VA) just awarded $7 million to 24 local public housing agencies across the country to help nearly 1,000 homeless Veterans find permanent housing. This supportive housing assistance is provided through the HUD-Veterans Affairs Supportive Housing (HUD-VASH) Program which combines rental assistance from HUD with case management and clinical services provided by VA.

Later in 2014, HUD anticipates awarding approximately 10,000 new HUD-VASH vouchers to build upon significant progress toward ending veteran homelessness.  Since 2008, more than 59,000 HUD-VASH vouchers have been awarded, and 43,371 formerly homeless veterans are currently in homes of their own.  These vouchers offer rental assistance and support services.

Veterans participating in the HUD-VASH program rent privately owned housing and usually contribute no more than 30 percent of their income toward rent.  The VA offers eligible homeless veterans clinical and supportive services through its medical centers across the U.S., Guam and Puerto Rico.

Carolyn M. Clancy, MD, Interim Under Secretary for Health, said:

VA, HUD and our federal, state and local partners should take pride in the progress made to reduce Veterans’ homelessness by 24 percent since 2010, but so long as there remains a Veteran that lives on our streets, we have more work to do. These HUD-VASH vouchers are a vital tool in our effort to provide our Veterans with the earned care and benefits that help them live productive, meaningful lives.

HUD-VASH is a key part of the Obama Administration’s commitment to end veteran homelessness by 2015.  Opening Doors: Federal Strategic Plan to Prevent and End Homelessness serves as a roadmap for how the federal government will work with state and local communities to confront the root causes of homelessness, especially among former servicemen and women.

Recently Michelle Obama, VA and HUD created a Mayors Challenge to End Veteran Homelessness by 2015, using federal, local and non-profit resources, and so far 180 mayors and several governors have accepted the challenge. The use of tools like HUD-VASH vouchers are central to reaching that goal.

In the HUD-VASH program, VA Medical Centers work closely with homeless veterans before referring them to local housing agencies for these vouchers. Decisions are based on a variety of factors, most importantly the duration of the homelessness and the need for longer term, more intensive support in obtaining and maintaining permanent housing.

Once a HUD-VASH voucher is issued, a veteran has up-to 120 days to use the voucher to lease a unit, after which, unless the the veteran is granted an extension, he or she loses the voucher, and it is offered to the next eligible applicant. Local housing agencies should not require veterans to demonstrate sobriety or “housing readiness” as a condition for receiving a voucher. Nor should vets have to meet a minimum income requirement.

All agencies involved in the housing placement process should work collaboratively to streamline the HUD-VASH enrollment and lease-up process. Housing-placement boot camps, organized by 100K Homes, are full-day events during which members from each agency work together to construct a game board that represent each step of the housing-placement process.   Agencies then use the game board to streamline their placement process while still meeting their documentation and other requirements.

To facilitate rapid lease-up, veterans often need assistance paying the security deposit and other move-in costs.  The HUD-VASH subsidy, by statute, cannot help with these expenses, but some communities have successfully established other sources of funding to help veterans pay for moving and related expenses.  To cover moving costs, HUD-VASH programs can access local HUD funding through the Community Development Block Grant and Emergency Solutions Grant programs or VA funding from Supportive Services for Veterans Families grants. Some communities have also partnered with local banks and businesses to develop programs where veterans can receive loans to pay for moving-related expenses.

Feminist Therapy Improves Well-being of Incarcerated Women

Photo by Susan Madden Lankford

A study of feminist therapy and incarcerated women advised that feminist psychotherapy is essential to the well-being of women of marginalized women, especially incarcerated women. Although some feminist principles have been applied to programming for women in prison, major feminist inroads have yet to be made into correctional systems.

Study author Susan Marcus-Mendoza writes:

We need to work towards a fully feminist paradigm of corrections that empowers incarcerated women and transforms women’s correctional facilities into rehabilitative environments.

Women in prison are among the most marginalized members of our society. Their lives behind bars are not within their control. Every hour of their day is scheduled for them, and access to everything inside and outside of the prison is strictly regulated. Such important aspects of life as food, medical care, reading materials, psychological treatment, exercise, educational opportunities and family contact are dictated by the prison policies and staff. Most of them are trauma survivors and victims of violent crimes who come from economically deprived, oppressive backgrounds.

Studies have shown abuse rates among female inmates as high as 85%, and therefore these women are likely to experience Complex Trauma and Post-Traumatic Stress Disorder. Additionally, most women in prison have been victims of one or more types of violence both as children and adults. One study found higher reported rates of homelessness, abuse, living in foster care or other agencies, having parents with substance abuse problems, having family members in prison and receiving public aid, as well as lower rates of living with both parents and being employed prior to incarceration.

 

A study by Kinsler and Saxon summed up the problem thusly:

We are incarcerating people who cope with their own prior abuse through three common pathways: depression, anger and violence, and substance abuse. In many ways, we are incarcerating last generation’s abuse survivors, rather than treating them.

Our corrections system is more focused on punishment and containment than treatment and rehabilitation, even though women’s prisons are full of those in serious need of treatment.

What is currently required is a gender-responsive model, which involves creating an environment and offering programs that reflect an understanding of incarcerated women’s lives and recognizes women’s unique pathways to crime. Such social and cultural factors as race, socio-economic status, gender disparities and ethnicity are taken into account in developing interventions for abuse, domestic violence, substance abuse, and other issues pertinent to incarcerated women. The emphasis in these interventions is on self-efficacy and skill-building.

Feminist therapy is informed by feminist political philosophies and analysis and grounded in multicultural scholarship on the psychology of women and gender, which leads therapist and client toward strategies and solutions advancing feminist resistance, transformation and social change in daily personal life, and in relationships with the social, emotional and political environments.

Feminist therapy is a subversive project that promotes growth and healing for women in distress. Working together, therapist and client strive to undermine oppressive patriarchal structures that serve as sources of distress and hinder women’s growth. This is accomplished by analyzing gender, power, and social locations/multiple identities as strategies for comprehending how and why a person feels distress or behaves in dysfunctional ways.

Feminist therapists in prisons must focus on issues of power and oppression, empowering women to take responsibility for their choices, as well as helping incarcerated women to deal with the oppressive setting of the prison, and to see the patriarchal structure of society. Feminist therapists in prisons must also make sure that they assist women in dealing with such issues as racism and homophobia, as experienced both inside and outside the prison. On an institutional and societal level, feminist therapists should actively question and work to change policies and practices that support oppression. They can do this by educating the prison staff about the issues faced by women in prison and advocating for feminist therapeutic interventions that are both effective and non-punitive. Therapists can advocate for development and implementation of gender-specific programming, and the hiring of women of color and  bilingual therapists and correctional staff.

Marcus-Mendoza concludes:

I believe that feminist therapy in women’s prisons is a crucial undertaking, and that feminist therapists should and can play a central role in transforming women’s prisons. I believe feminist therapists also need to do advocacy inside and outside of the prison to change policy and laws. The feminist therapist, should therefore not only work in the therapy room but should examine every aspect of the prison experience and work with staff and administration to bring about positive transformation. This feminist therapist is an advocate and an activist, giving voice to the oppressed women who may be punished for speaking for themselves.

Among Juvenile Detainees, Suicide and Suicidal Thoughts are Disproportionally High

women or juvie145527

Photo by Susan Madden Lankford

A study released in July 2014 from the Office of Juvenile Justice and Detention Prevention revealed that incarcerated youth die by suicide at a rate two to three times higher than that of youth in the general population, that 10.3% of juvenile detainees thought about suicide in the past six months and that 11% had attempted suicide.

The study, conducted with 1,829 Illinois Juvenile detainees, also found that: a) more than one-third of male juvenile detainees and nearly half of female juvenile detainees felt hopeless or thought a lot about death or dying in the six months prior to detention, b) recent suicide attempts were most prevalent in female detainees and youth with anxiety disorders and c) fewer than half of detainees with recent thoughts of suicide had told anyone about those thoughts.

In 2013 the Centers for Disease Control and Prevention reported that at a rate of 10.5 per 100,000 adolescents, measured in 2010, suicide was the third-leading cause of death in youth between 15 and 24. Youth suicide has nearly doubled since 1950, increasing at a faster rate than among adults age 25 and older.

Incarcerated youth frequently have characteristics commonly associated with increased risk for suicide, such as high rates of psychiatric disorders and trauma, as well as separation from loved ones, crowding, sleeping in locked rooms  and solitary confinement.

Youth detention centers should and could easily screen new inmates for suicide risk, which is critical for prevention.  A 2004 national study of 79 suicides among incarcerated and detained youth found that more than two-thirds of the victims had made prior attempts, reported suicidal thoughts, made suicidal threats or physically harmed themselves. So corrections staff may be able to significantly reduce the rates of suicide in detention if they can identify youth at risk for suicide.

The 2010  study refealed that 44.2% of juvenile female inmates sometimes felt life was hopeless, 31.5% thought a lot about death or dying in the past half-year, 10.5% had a specific suicide plan in the past six months and 27.1% had attempted suicide at some time (and this was 42.8% among non-Hispanic whites).

Within their lifetimes, 283 of the 1,829 participants in the study had attempted suicide: 26.9% by cutting (50.7% of white females), 23.8% via drug overdose (43.1%  of Hispanic females), 20.7% by jumping (39.9 of Hispanic and 22.7% of African-American males), 9.5% by hanging (11.6% of black males) and 3.7% by firearms (5.2% of white females).

Psychiatric disorders significantly associated with a recent suicide attempts included generalized anxiety disorder, overanxious disorder, major depression, oppositional defiant disorder, panic disorder, obsessive-compulsive disorder, psychotic disorder, separation-anxiety disorder, alcohol use disorder, conduct disorder, dysthymia and other substance use disorder. In an analysis that included gender, age, and race/ethnicity along with all of the disorders that were individually associated with the suicide attempt, generalized anxiety disorder and overanxious disorder significantly increased the odds of having made a recent suicide attempt.

The study also found that suicidal thoughts and behavior appear to be most prevalent in U.S.-born Hispanic females from traditional Hispanic families, who may find it difficult to cope with contrasting social role expectations at home and among peers.

A striking finding of this study was that:

Hispanic males who attempted suicide were more likely to use a firearm than African American or non-Hispanic white males. This finding is of particular concern because half of all completed suicides of young men in the general population involve firearms.

Juvenile detention centers often provide the first opportunity to screen youth for suicide risk and to provide interventions, yet most facilities do not currently perform adequate screening for emergent risk. A 2005 study found that facilities that screen all juveniles within 24 hours of arrival had lower prevalence rates of serious suicide attempts than those that screen only juveniles considered at risk for suicide.

The study urges that psychiatric services in detention facilities must be increased. The Office of Juvenile Justice and Delinquency Prevention’s biennial Juvenile Residential Facility Census reported that 43% of juvenile residential facilities do not assess all youth for mental health needs.

The study declares:

But youth with psychiatric disorders, especially anxiety, may be at particular risk for suicide attempts. Detention center staff should be trained to recognize anxiety disorders in detainees and should refer affected youth for psychiatric services. By competently assessing and treating psychiatric disorders in detained youth, facilities will prevent untimely deaths.

Sensational TV Episode on Broken Prisons–link below

The brilliant new TV series, LAST WEEK ON SUNDAY WITH JOHN OLIVER, had a terrific July 20 episode explaining why American prisons are so awful–and how they can be fixed:

A Key to Fighting Homelessness is Correcting Public Misconceptions About it

Photo by Susan Madden Lankford

Photo by Susan Madden Lankford

A Central Florida Campaign, “Rethink Homelessness,” seeks to change public misconceptions that the homeless are just lazy people who don’t want to work.

The campaign’s centerpiece was a series of YouTube videos, including one that asked local homeless people what the rest of the population might be surprised to learn about them. They held their answers up to the camera on cardboard signs. The video got 100,000 Facebook views the first day alone.

Joshua Johnson, a main advocate for Rethink Homelessness recalls:

If I was approached, I’d hand a homeless person a business card for a local labor pool. Essentially the message was, ‘Here — I work for mine. You can work for yours.’

Once I met people on the streets and really talked to them, it changed my thinking about who they are. I came to understand that stereotypes suck.

In the most popular video, “Cardboard Stories,” set to the tune of “Royals” by Lorde, homeless people hold up signs revealing the details of their lives few would guess: They are battling lung cancer, for instance, or speak four languages. They are currently employed, are escaping domestic violence or once built robots. One, a 24-year-old whom many assume is on drugs or crazy, says: “I have Huntington’s.” Another woman’s sign reads: “I was a figure skater.”

Andrae Bailey, CEO of the homeless commission, which created the campaign, says:

We found out through our research that the homeless are people with disabilities and mental illness and mothers escaping domestic violence and veterans who panhandle because they have post-traumatic stress and they’re living on our streets after serving our country. Without understanding that, the community will never do anything to solve the problem.

 

A ”tease and reveal” billboard campaign that began with various people holding cardboard signs reading: “I never thought this would happen to my family” or “I never thought it would be my kid.” After two weeks came the “reveal” stage: the tag line “Rethink Homelessness.”

The need for changing attitudes about homelessness in the area is genuine, since Central Florida now ranks No. 1 in the nation on the issue of long-term, chronic homelessness for regions of its size.

The campaign also has attracted attention from other communities, including Jacksonville and Atlanta.

Shannon Nazworth, executive director of the nonprofit Ability Housing of Northeast Florida, which helps the homeless and people with disabilities, says:

It’s a phenomenal campaign. Frankly, it blows you away. We’re actually in the beginning stages of discussing how we can do something like this ourselves.

Eating Disorders in Women’s Prisons are Grossly Under-reported

Photo by Susan Madden Lankford

Photo by Susan Madden Lankford

Reports on eating disorders in prison are surprisingly scarce. But these reports do suggest an unreported high rate of eating disorders in a women’s prison in the US, with a disturbing number developing for the first time during incarceration.

One reason that prisoners may under-report their symptoms is that inducing vomiting and possession of diet pills, laxatives and diuretics would subject them to disciplinary action. A critical factor seems to be that the American penal system appears to be more brutal, controlling and punitive than other penal systems in the developed world. The Texas heat , for example, can be brutal; 12 inmates died of heat-related causes in Texas prisons since 2007, and of 111 prisons in the system, only 21 are fully air-conditioned.

A major reason US prisons are so terrible has been the the privatization of the penal system.  Douglas Stephenson, Licensed Clinical Social Worker and former mental health consultant to a local county jail, said that the jail he worked with had been previously run by the county sheriff’s department, which employed graduates of the police academy with additional training and experience in corrections. The sheriff’s department protested greatly when the county commissioners decided to turn it over to the Corrections Corporation of America, which hired poorly trained, young, inexperienced personnel who were poorly paid and received few job benefits.

Stephensen wrote:

As I directly observed the way the guards dealt with the inmates, screaming, yelling at them, sometimes pushing them around, it seemed that they didn’t know the difference between a ‘jail’ and a ‘concentration camp’. In contrast, graduates of the police academy learned the difference early on over at the sheriff’s dept.
“The one thing the companies that make up the prison-industrial complex  –  companies such as Community Education or the private-prison giant Corrections Corporation of America  –  are definitely not doing is competing in a free market. They are, instead, living off government contracts. To the extent that private prison operators do manage to save money, they do so by employing fewer guards and other workers and by paying them badly. And then we get horror stories about how these prisons are run.
Rates of mental illness in US prisoners have been reported to be two to four times higher than in members of the general public. Borderline personality disorder was found to be quite common, and twice as high for women prisoners compared to men. In male and female offenders newly committed to prison it is a pervasive pattern of instability in interpersonal relationships, self-image, and affects, with marked impulsivity in binge eating.
The few international studies that explored eating problems in female prisoners revealed high levels of restrictive and bulimic eating pathology and unhealthier attitudes toward weight and shape than among women in the general population. In a study of 124 female inmates receiving mental health services at a women’s prison in Oregon, the prevalence of current bulimic symptoms was 40%, and the lifetime prevalence rates for key criteria of bulimia and anorexia were 25.8% and 5.6%, respectively. In a study of UK female prisoners, 25% were found to be at risk for an eating disorder, a prevalence rate twice that observed in a non-eating disordered community sample.
Numerous studies and anecdotal evidence suggest that there is a social contagion or mass hysteria factor. ”Fat talk” – conversation about hating their bodies and wanting to be thin – has become an easy way for women to promote a relationship with other women.  In many colleges, binge-and-purge parties provide an alternative to sororities for becoming part of a social network and an equivalent initiation rite – the female version of a beer party, with popularity measured by the extent of bulimic behavior.What may begin as a social ritual may precipitate the onset of an eating disorder in a vulnerable person who, on trying it, finds that purging offers a release of tension. In a Canadian study, when a female college freshman was assigned at random to a bulimic roommate, she was five times more likely to have tried purging by the year’s end than a freshman not assigned to a bulimic roommate.
A locked setting may have a complex meaning for an inmate with an eating disorder, largely around control issues. Because a sense of control is paramount in those with eating disorders, issues around control will loom much larger in prisons, where inmates have little sense of control over their lives and basic bodily functions may be scrutinized and regulated. Under these circumstances, the development of a potentially life-threatening illness becomes a highly charged means of asserting control over correctional staff. Patients with eating disorders tend to be quite resistant to treatment under the best of circumstances, and so attempts to treat women with eating disorders in a prison environment present a formidable challenge.
A basic goal in treatment of an eating disorder is for the patient to attain sufficient internal control over thoughts, feelings and behavior, something that the usual prison environment impedes by asserting such control over inmates’ lives. Even a prisoner were to be transferred to a less-controlling environment, such as a therapeutic community or open hospital, the prison environment will already have had its destructive impact. To treat inmates with eating disorders, the structure of prison life would have to be radically altered from the day of admission.
The only environment in which effective treatment might occur is one which immediately upon admission places an inmate in an open ward psychiatric hospital for criminal offenders that operates as a female therapeutic community. Although therapeutic communities have been recommended for those with addictions, mentally disordered offenders, and criminal offenders (but not for psychopaths), there have been few scientific studies of their value in eating disorders.