Ch 7

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The following are problems affecting the mentally ill in the Los Angeles Twin Towers. Thereare inadequate mental health services/poor treatment of this population of male inmates which lead to increase in suicide rates. Please read the red marks and provide research on the comments. Please read it through first to understand this project and focus on the ADVOCATES/SUPPORTERS/LOBBYIST/ORGANIZATIONS part first. Then the specific interventions and elaborations. ATMOSPHERE AND ENVIRONMENT Problem #1: -Overcrowded -Vermin-Infested -Dimly-Lit, Noisy -Unsanitary -Depressive -Physical Safety hazards * Briefly say a little bit more about each and indicate how each of these can impact suicidal tendencies Interventions: *What are short term, long term solutions to tackle EACH of the issues above? (Be specific for each one)…below are some examples of solutions to remedy the concerns above. Remember, each intervention needs to be specific. -Perhaps enforcing daily clean-up routine for inmates? (tackling the unsanitary) -Change some of the lighting in the cells. Make them appropriate (not too bright, not too dim) tackling the dimly lit issue -getting rid of ventilation grates or light fixtures where an inmate could attach a noose – and institute a series of other suicide prevention measures. tackling the Physical Safety Hazards (What are other S prevention measures?) -Cells will be treated with anti-bacterial liquids to keep inmates -The state must also address the aging infrastructure and inadequate treatment space in several prisons that hinder the department’s ability to deliver care. This plan sets forth a health care facility improvement program that will provide upgrades in existing prisons to ensure adequate environment *Please provide more interventions than the ones I have already listed. I am just giving these as examples. Cost-Budget Analysis/ Resources and means needed to implement: The Governor’s Budget proposes an additional $500 million on top of the $1.2 billion already budgeted for jail construction. This funding needs to be expanded a bit further to include construction of mental health treatment facilities and substance abuse treatment facilities to accommodate the increasing number. (This is not that clear because it is talking about jail construction not specifically budget for environmental/hazard issues.) *I need to know how much some of the interventions listed above might costs. Where would this budget come from? What is the current budget or resources for these types of things (lighting, cleaning, etc.) SOLITARY CONFINEMENT AND ISOLATION Problem #2: -Solitary confinement is the practice of isolating a prisoner in a cell for 22-24 hours per day, with extremely limited human contact; reduced (sometimes nonexistent) natural lighting; severe restrictions on reading material, televisions, radios, or other physical property that approximates contact with the outside world; restrictions or prohibitions on visitation; and denia ...

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In this webinar Rebecca Fitzpatrick looked at the recently published interim report of the ongoing independent review of the Mental Health Act chaired by Sir Simon Wessely, former president of the Royal College of Psychiatrists (link to report here: https://www.gov.uk/government/publications/independent-review-of-the-mental-health-act-interim-report) In May 2017, Theresa May stated that, if elected, her government would replace the "flawed" Mental Health Act “in its entirety” with a new Mental Health Treatment Bill including: • revised thresholds for detentions • new Code of Practice • more safeguards for those with mental health problems who have capacity so that "they can never be treated against their will". The review is due to report in Autumn 2018 and on 1 May 2018 published its interim report identifying priorities for the review’s work giving a flavour of its initial thoughts.

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