Task force to aid NYC's mentally ill inmates
Mayor Bill de Blasio announced a new task force Monday to overhaul how NYC's corrections system treats the mentally ill
By Meghan Barr
NEW YORK — Mayor Bill de Blasio announced a new task force Monday to overhaul how New York City's corrections system treats the mentally ill — both in jail and out — following the grisly deaths of two inmates with psychological problems.
Corrections experts applauded the task force as an important first step in addressing the problem underscored in Associated Press reports on the deaths of two mentally ill inmates — one who an official said "basically baked to death" in an overheated cell and another who sexually mutilated himself while locked up alone for seven days.
"For far too long, our city's jails have acted as de facto mental health facilities," the mayor said in an emailed statement. Everyone deserves access to quality medical and mental health care — and addressing these needs within the criminal justice system will improve public safety for all New Yorkers."
De Blasio's announcement came the same day the death of one mentally ill inmate, a diabetic, was ruled a homicide. The medical examiner's office said Bradley Ballard, 39, died last September of diabetic ketoacidosis with a contributing factor of genital ischemia. Documents obtained by the AP show Ballard was not given his medication for much of the time he spent locked in his cell in a mental observation unit.
The new task force, a group of government and private sector experts, will recommend and implement strategies to treat people with mental illness or substance abuse issues before and after they end up in the jail system. It will also develop better standards for transitioning inmates back into the community and establishing treatment upon their release.
The panel will hold its first meeting on June 18 and present its action plan to the mayor in September.
Experts cautioned that treating the mentally ill in the criminal justice system is complicated by the many agencies involved, from police to the district attorney's office. About 40 percent of the city's jail population has some form of mental illness.
The two recent inmate deaths have prompted a city lawmaker to schedule oversight hearings this month. De Blasio has vowed to reform the 12,000-inmate Rikers Island jail, amid criticism for months about violence and erratic behavior among inmates, mostly the mentally ill.
Joseph Ponte, who was appointed New York City's jail commissioner two months ago, told lawmakers at a budget hearing Monday department officials have already instituted some changes when dealing with the mentally ill — such as having health staff and uniformed officers meet before every tour to talk about inmate behavior and adding an eight-hour basic mental health course at the correction officer training academy.
"Our top priority is to bring down violence, and we will do it by providing staff with the training and support they need to provide appropriate care, custody and control of our inmate populations, especially the mentally ill and adolescents," Pointe said.
One of the first things the task force should implement is a system of early identification that would quickly identify people who suffer from mental illness before they even get to jail, said Martin Horn, former commissioner of the city's department of corrections who teaches at John Jay College of Criminal Justice in New York.
"The physical environment was designed to be a jail for healthy people. It wasn't designed to be a therapeutic environment," Horn said. "So it doesn't lend itself to the needs of the mentally ill."
Patient confidentiality for mentally ill inmates makes it difficult for providers to share important information. Even within the correctional system, officers may not have access to the prisoner's health status or history, Horn said.
Jennifer Parish, director of criminal justice advocacy at the Urban Justice Center in New York, called the task force a good start.
"However, what counts is real policy change which leads to fewer people with mental illness entering the court system and jails and to those who do leaving with connections to treatment and support," Parish said.
Actually implementing recommendations will probably be the biggest challenge, said Jim Parsons, research director at the Vera Institute of Justice, a nonprofit group.
"It requires a cross-system solution that includes treatment in the various parts of the system," Parsons said. "This is an issue that's clearly facing New York, but it's a national issue."
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