Monday, January 17, 2005

Mental health care is being reinstitutionalised

Deinstitutionalisation of mental health care in the 1970s in western Europe now tends to be compensated or even overcompensated for by reinstitutionalisation.

Priebe and colleagues (p 123) compared the data on changes in service provision in six western European countries.

The number of psychiatric hospital beds has been reduced in five countries, but in only two countries this reduction outweighs the number of additional places in forensic institutions and supported housing.

The authors discuss possible explanations, but reasons for the phenomenon remain unclear.

Source: Mental health care is being reinstitutionalised

By BMJ posted 17 January 05

Related:

Reinstitutionalisation in mental health care: comparison of data on service provision from six European countries Objective To establish whether reinstitutionalisation is occurring in mental health care and, if so, with what variations between western European countries.

UK:

Mentally ill face 'Asbo' measures
UK: People with mental health problems living in the community could be banned from leaving their homes under proposals to reform mental health law, a legal expert has warned.

Report slams 'unjust' jailing of women on remand
In 2002, more than 1,200 women were received in prisons in England and Wales and two-thirds were on remand. The majority are vulnerable women, many have mental health or drug problems and 71% have never received a prison sentence before.

Concern as UK prison suicides hit record level
UK: More prisoners took their own lives in English jails in August than in any other month since records began, prison reformers said today.

End of years of despair as Holloway closes its doors
But now Holloway prison in north London - where Ruth Ellis, the last woman to be executed in Britain, was hanged in 1955 - has been earmarked for closure, along with several other women's prisons, which have been hit by a spate of suicides.

How detox and self-help brought suicide jail back from the brink
UK: Six suicides in 12 months made Styal jail notorious and the Prisons Ombudsman criticised the prison and its staff for serious failures. But things are changing.

Belmarsh detainees consider suicide, says freed man
UK: The first of the Muslim detainees released from Belmarsh high security prison after being held on suspicion of terrorism has told the Guardian his fellow prisoners are suffering such severe mental problems that they constantly consider suicide.

Suicides and unrest have soared, admits Home Office
UK:The already overcrowded prison population is set to go on rising and will top 80,000 within the next three years, a senior Home Office civil servant warned yesterday.

Terror suspect tells of 'torture' that led to death wish
His doctors say that his mental health problems do not warrant being held at Broadmoor, but the home secretary refuses to move him to a lower grade psychiatric hospital. The only alternative on offer is a return to Belmarsh high security prison, where he was held with 11 other terror detainees before the harsh regime took its toll on his mental health. When he pulls up his shirt sleeves in the visitor room at Broadmoor, he reveals dozens of scars up and down his arms, inflicted using pens, plastic and anything else he can find. Since his detention, he has been repeatedly harming himself, from drinking toilet cleaner to setting himself on fire.

USA:

Schizophrenia: talking may help when drugs don't
New research has strengthened the case for using 'talk therapy' in the treatment of schizophrenia, especially for those who don't respond well to drugs.

From Terrell Unit in Texas to Abu Ghraib Doesn't It Ring a (Prison) Bell
Those inmates locked away in administrative segregation, especially those with mental illnesses, are subjected to extreme deprivations and daily psychological harm.

Maoist Internationalist Movement
This long term isolation causes serious mental and physical health problems for many prisoners. And these torture cells are used to target politically active prisoners using a system of classification that makes it impossible for prisoners to appeal their assignment.

The psychiatric protection order for the "battered mental patient"
Psychiatric patients are routinely treated against their will. Legally enforceable psychiatric protection orders would protect patients from coercive psychiatric interventions.

Mental Illness In Jails
US-REPORT ON THE CURRENT STATUS OF SERVICES FOR PERSONS WITH MENTAL ILLNESS IN MAINES JAILS AND PRISONS PREPARED BY NAMI MAINE FALL, 2000

Australia:

Review of the Mental Health Act 1990
Indigenous Social Justice Association & Justice Action Mental Health Act Review Submission.

Review of the Mental Health Act 1990
This discussion paper is designed to look at the general terms of the Mental Health Act 1990, focussing on operational and treatment issues. The Paper has separate sections on each Chapter of the Act, and seeks general comments on all aspects of the legislation as well as identifying specific areas where suggestions for reform have arisen in the past, or as part of preliminary consultation on this Paper.

Winning goals: Rethinking Crime and Punishment
Extracts in this feature are adapted from I Would Rethink Crime and Punishment By...published today by the thinktank Rethinking Crime and Punishment.

Prison boom will prove a social bust
Hardened criminals are not filling NSW's prisons - the mentally ill and socially disadvantaged are, writes Eileen Baldry.

Isolation, psychiatric treatment and prisoner' control
The 2003 NSW Corrections Health Service (now Justice Health) Report on Mental Illness Among NSW Prisoners states that the 12 month prevalence of any psychiatric disorder in prison is 74%, compared to 22% in the general community, and while this includes substance disorder the high rate cannot be attributed to that alone.

Where the Norm is Not the Norm: HARM-U
In the absence of public policy, this paper is an attempt to shine a light through the rhetoric and test for coherency in the policy and function of NSW’s only supermax prison, the High Risk Management Unit. Its present use will be compared with the ‘vision’ flogged by the Premier and the Department of Corrective Services (the Department) at its inception in 2001.

Crime and Punishment
Mark Findlay argues that the present psychological approach to prison programs is increasing the likelihood of re-offending and the threat to community safety.

Fed Govt threatens force over mental health spending!
The Federal Government has threatened to coerce the states and territories to spend more on mental health services.

Deaths in Custody, Police Powers and Mental Illness
The NSW Police Force should not have a role in the psychiatric diagnosis and medication of the public. Police are not medically trained in this speciality.

Police to uphold law not decide mental health
A diagnosis of mental illness could be made over the phone instead of in person, and involuntary psychiatric patients could lose the right to have their case reviewed by a magistrate, under proposed changes to NSW mental health laws.

Carr Govt dramatic increases in the NSW prisoner pop...
Following the opening of the 500 bed Kempsey prison, and a new 200-bed prison for women at Windsor the Council of Social Service of NSW (NCOSS) and community organisations specialising in the rehabilitation of prisoners, have expressed concern....

Australia's "GITMO" System
Australia's "GITMO" System In June 2002 on the PM program on ABC radio, PHILIP RUDDOCK is quoted as saying: "Well, let me just say, detention centres are not prisons. They are administrative detention.

At The Ministers Pleasure?
20 people have been recommended for release from Long Bay Prison Hospital yet they are still there.

Attack prompts call for increased mental health funding
The Western Australian Opposition is calling for a review of mental health funding following the weekend attacks on two nurses at Perth's Swan Districts Hospital.

Government justice not personal justice
Mr Brett Collins of Justice Action said, "Victims should be looked after properly by implementing restorative justice measures and victims should be compensated for their pain and suffering. " However prisoners are entitled to serve their sentences in peace and privacy as well."

Sentencing: Violent crime and practical outcomes
In addition introducing restorative justice programs giving the offender a chance to interact with the offended person if they wish and visa-versa. People are not "dogmatic" therefore should be given a second chance opposed to Life means Life!

Jails-The new asylums?
QUENTIN DEMPSTER: Asylum seekers -- no, not what you think -- but those who are so disillusioned with the current approach of our mental health system that they believe we should go back to the old ways and rebuild the asylums.

MENTAL HEALTH SERVICES IN N S W
Ms CLOVER MOORE (Bligh) [4.43 p.m.]: Today I speak about the shocking situation for people with mental illness, and call for urgent government action. There have been calls for reform of mental health services as far back as the 1983 Richmond report, followed by the 1988 Barclay report and the 1993 Burdekin report.

Conditions in the HRMU
Justice Action is trying to obtain documents on behalf of prisoners held in the Goulburn High Risk Management Unit (HRMU) from the Federal Attorney General's Department, Corrective Services Minister's Conference regarding the process described below, in which the Standard Guidelines for Corrections in Australia were adopted. This documentation will help explain the justification for the conditions in the HRMU.

Forensic Hospital at Long Bay
NSW should reject the government decision to set up a secure forensic hospital at Long Bay - or in any place where it can be influenced by the Department of Corrective Services (DCS) (or probably Corrections Health Service (CHS) for that matter).

Escape from hell?
A third person has escaped from the Adelaide's Glenside psychiatric hospital as health authorities prepare to begin a second review of security.

Escape proof but not so the prisoners mind
Fewer prisoners escape from prison these days because they're "cemented in" by materials that do not break and by legislation that can keep prisoners in jail until they die.

Parents on the inside leave children on the edge
Life in jail is an ordeal but it's a much harsher sentence for the child of a prisoner, writes Paola Totaro. 30 July 03

History of trauma dogs sole parents and the government
Australia's sole parents including those who were squarely divided by the Family Court of Australia which include tens of thousands of lone mothers on welfare benefits have experienced rape, physical assault, torture and mental health disorders at some time during their life, a new study shows.

Child detainees 'living in a nightmare', report finds
A report being released today documents disturbing evidence about mental health for children in detention centres.The report is a joint work by the Royal Australian and New Zealand College of Psychiatrists, NSW University and NSW psychiatrists.

The children's crusader
It is all about prevention. As Fiona Stanley sees it, with one in five Australian teenagers experiencing significant mental health problems, there are just not enough treatment services to cope with the demand.

National Mental Health Conference
I attended a National Mental Health Conference Last Monday 21 of June at Canberra ACT. The conference started off with a welcome message from Patrick Dodson.

Schizophrenia: talking may help when drugs don't
About one in every 100 Australians experience schizophrenia at some point in their life, suffering delusions and hallucinations such as hearing voices and believing other people want to harm them. In extreme cases it can lead to suicide.

RIOT ACT READ AGAINST INSPECTION TEAM
The secrecy of the unit holding several people charged with terrorist offences here in Australia was confirmed during an attempted community inspection by a delegation from Justice Action. The delegation comprised four women and two men.

Report recommends freeing child detainees
The Human Rights Commission has found that some children held in Australia's immigration detention centres have been exposed to cruel, inhumane and degrading treatment.

A review of psychiatry, law and politics in Victoria
Neither Bad Nor Mad tells the story of Garry David, a convicted Australian murderer who became famous by sending out threats to the public and descriptions of his extreme self-mutilations to news papers while incarcerated.

Presentation at the Ngo Mental Health Conference
I am James Condren from Justice Action I am a Community Mentor and caseworker. My role is to do prisoner support for those who are in Jail or at risk of going to Jail.

Turning the Tide or Cuckoo's Nest?
In NSW we are currently at a watershed as to how forensic patients in particular and the mentally ill in general will be treated. If we don't strongly register our protest against their objectification now we will later be just railing against a fait accompli.

Jails-The new asylums?
QUENTIN DEMPSTER: Asylum seekers -- no, not what you think -- but those who are so disillusioned with the current approach of our mental health system that they believe we should go back to the old ways and rebuild the asylums.

Cry for help that led to the morgue
According to ABC Radio News the hospital procedures prior to the man below's death (R.I.P.) are to be investigated by someone from CORRECTIONS Health Service (?!). I wonder how the Daily Terror et al got their photographers in the scene so soon...

Escape from hell?
A third person has escaped from the Adelaide's Glenside psychiatric hospital as health authorities prepare to begin a second review of security.

Victim plea for counselling?
The mother of murdered Wagga Wagga woman Janine Balding said she remains a supporter of the death penalty despite one of her daughter's killers pleading his innocence and despite that penalty not being an option in Australia.

Parents on the inside leave children on the edge
The study's author, Simon Quilty, said children and their remaining parent were often unsupported, increasing their vulnerability to mental health problems. "This enormous group of children are born into situations they simply have no control over. This also puts them into family environments which, often by loss of a parent to prison, makes them even more marginalised. "This effectively puts them at far greater risk themselves of becoming involved in some form of criminal activity."

PRISONERS OFFER OF RECONCILIATION
Premier Bob Carr, Deputy Premier Andrew Refshauge, Senator Aden Ridgeway,and other community representatives have been invited to receive the message from the men of "The Hole.

History of trauma dogs sole parents and the government
Australia's sole parents including those who were squarely divided by the Family Court of Australia which include tens of thousands of lone mothers on welfare benefits have experienced rape, physical assault, torture and mental health disorders at some time during their life, a new study shows.

Child detainees 'living in a nightmare', report finds
A report being released today documents disturbing evidence about mental health for children in detention centres.

Letter from the mother of a prisoner on remand at the High Risk Management Unit Goulburn Correctional Centre
I am writing to give you permission to make any inquiries on my behalf as I am invalid pensioner who doesn't drive and been only well enough to travel by train once in 15 months to see S. I have enclosed a copy of S's letter and also a copy of gaol papers form I have to fill out and wait to see if I'm allowed in to see him. He doesn't get any visits. He is in the Supermax and deprived of any privileges not even legal Aid will fund a solicitor to see him in Goulburn.

Judicial, mental health and police corruption
Ian Kay, who blew the whistle on judicial and police corruption here in Victoria has recently been improperly incarcerated in MAP Prison, Melbourne for doing nothing more than writing a letter of complaint to his local MP. It seems he is one of the first victims of the Australian Government's so-called tough line on terrorists, which in reality is a poorly made smokescreen for stifling dissent and disclosure of malpractice in the government bureaucracy.

Howard, where's your head at?
How many Australians will convert this fear into Mental Illness?

RESTORING TRUE JUSTICE:
Australian prisons are fast becoming the new asylums of the third millennium. The prison industry is booming, while Australia spends far less on mental health services than similar countries.

Alcohol pickles your brain
Pickle point; a leading professor Dr. Bud said after releasing his report on the problems associated with alcohol.

Cuba Middle East

Habib's call renews welfare concerns
Waiting: Maha Habib has spoken to her husband for the first time in two-and-a-half years.

Hicks defence team likely to gain more time
The head of the military trials planned for two Australians held at Guantanamo Bay says he believes their defence teams will be given whatever additional time they need to prepare for trial.

Hicks, Habib denied natural justice: Liberal MP
A federal Liberal MP has accused the Government of not doing enough to secure a fair trial for Guantanamo Bay detainees, David Hicks and Mamdouh Habib.

Guantanamo abuse claims prompt new inquiry calls
New claims of abuse at Guantanamo Bay Cuba have prompted fresh calls for an Australian inquiry into the treatment of detainees David Hicks and Mamdouh Habib.

Mamdouh Habib: Taunted and Tortured!
Habib came to ASIO's notice when he fell out with the ADF obviously someone had it in for Mamdouh and the ADF tipped off ASIO and the AFP to taunt him. By the sounds of it he was declared a wog. That's Aussie slang for get the bastard he's not one of ours and we can discriminate against him he is an easy target. Aussie race hate!

Howard rejects spy agency overhaul
Prime Minister John Howard has played down the need for a major overhaul of Australia's spy agencies as a result of an inquiry by former intelligence officer Phillip Flood.

He was an undercover agent for the blues
He was my journalist, he was working undercover. The fellow knew all of the moves.... He really had me romping, bare footing stomping. He just kept igniting my fuse....

Man faces terrorism charge in WA
Australian Federal Police Chief Mick Keelty says a Perth man has been charged with conspiracy to commit a terrorist act in Iraq.

Habib to face US military trial
The United States Government has given the go-ahead for the Australian Guantanamo Bay inmate, Mamdouh Habib, to go to trial for being innocent. Mr Habib could now be granted access to a military and civilian legal team.

US tortured Habib in Egypt: report
Australian terror suspect Mamdoub Habib was allegedly tortured in Egypt before being sent to Guantanamo Bay in Cuba, according to the Pakistani Government.

Hicks movie to premiere in Adelaide
A movie about Guantanamo Bay detainee David Hicks, President versus David Hicks, by award winning filmmaker Curtis Levy will be screened in Adelaide tomorrow.

There is no justification for torture
In the weeks since the abuses at Abu Ghraib prison were revealed, evidence continues to seep out of similar mistreatment of prisoners in other US military detention centers in Iraq, Afghanistan, and Guantanamo Bay.

US lawyers demand access to Habib
Lawyers for Guantanamo Bay detainees, including Mamdouh Habib, have written to United States Defence Secretary Donald Rumsfeld demanding access to the men.

Guantanamo prisoners may be moved to US soil
The US authorities may move hundreds of prisoners from their controversial Guantanamo Bay detention camp in Cuba to the United States following new Supreme Court rulings, the Los Angeles Times has reported.

Children at Abu Ghraib prison
....broadcast an eight-minute segment reporting that the International Red Cross found at least 107 children in coaliton-administered detention centers in Iraq. The report also quotes from a yet-unpublished June 2004 UNICEF report, which (as near as I can tell through my crappy German) confirms that children were routinely arrested and "interned" in a camp in Um-Qasr. UNICEF seems particularly vexed with the "internment" status, since that means indefinite detention.

Govt urged to seek civil lawyer for Habib
The Law Council of Australia has called for the Federal Government to ensure Guantanamo Bay inmate Mamdouh Habib has access to a civil lawyer.

Pentagon names tribunal for Hicks trial
The Pentagon has named the officers who will decide the fate of David Hicks and two other Guantanamo prisoners charged by the United States in the first US military tribunals since World War II.

US terror suspects can challenge detention
The US Supreme Court has ruled that US courts have jurisdiction to hear appeals from foreign detainees held as enemy combatants in the US military base at Guantanamo Bay, Cuba.

Hicks lawyer praises Guantanamo decision
The lawyer for an Australian man detained at the Guantanamo Bay Naval Base has welcomed a US Supreme Court ruling permitting judicial appeals from foreign detainees held as enemy combatants.

Hicks and Habib in the Melting Pot
Australia: The United States has brought three criminal charges against Australian David Hicks, accusing him of conspiracy to commit war crimes, attempted murder and aiding the enemy, the Pentagon has said.

Rumsfeld had approved abuse
US Defence Secretary Donald Rumsfeld authorised hoods, the stripping of prisoners and the use of dogs to terrify inmates at Guantanamo Bay almost two years ago, documents released yesterday revealed.

How much is that doggy in the prison? Woof woof!
Did the Iraqi prisoner's get their rations while they were treated like chums?

Failure to condemn prison abuse risks lives: Kenny
The Prime Minister is morally bankrupt stay "alert and alarmed"

Prisoner's identity concealed to prevent Red Cross access
US Defence Secretary Donald Rumsfeld, acting at the request of the CIA, ordered that a suspected Iraqi insurgent leader be detained off the books to conceal his identity from the International Committee of the Red Cross (ICRC), the Pentagon has confirmed.

US has secret prisons: rights group
The United States is holding terrorism suspects in more than two dozen detention centres worldwide, about half of which operate in total secrecy, according to a new human rights report.

This won't hurt much
For some time now, I've been trying to find out where my son goes after choir practice. He simply refuses to tell me. He says it's no business of mine where he goes after choir practice and it's a free country.