When the State cares enough to kill and maim the very best

Members of Mr. Ward’s family

In Ireland, today, the court heard about a 15-year-old boy who was “institutionalized” in the Ballydowd Special Care Unit. Special Care. A Special Care Unit is a place in which the State can imprison children who are “troubled.” For their own welfare and safety. Ireland has three such units: Ballydowd, Coovagh House, and Gleann Alainn.

The court today heard that the boy has been diagnosed as living with Attention Deficit Hyperactivity Disorder. He has trouble with `regular’ classrooms. He spent much of his time at Ballydowd “detained for long periods of time by himself.” How the State care for `troubled’ children? Isolation. And now, according to the boy’s parents, attorneys and psychologists, he is “unfit for mainstream education”.

Two years ago, on August 31, 2009, the Health Information and Quality Authority, HIQA, issued a report stating unequivocally that Ballydowd must be closed. That report was a follow-up to a November 2008 report in which Ballydowd was deemed “no longer fit for purposes.” From practices to material conditions, the place was a disaster, and a danger to children.

The government pledged to close Ballydowd, and move the children to a nearby facility. In 2010, Ballydowd had twelve beds. In the most recent HIQA inspection, on October 27, 2010, Ballydowd housed seven children, four boys, three girls, all between 13 and 16 years old. And now, the Republic of Ireland claims it cannot find decent and adequate places for seven children who may or may not require “special care”.

In Australia, the State’s special care often proves fatal, especially for Black residents.

Consider the story of Mr. Ward, an Aboriginal elder. In January 2008, Mr. Ward, 46 years old, was taken on a 220 mile ride across the blistering Central Desert to face a drunk driving charge. Mr. Ward was a respected Aboriginal. He  had represented the Ngaanyatjarra lands across Australia as well as at international fora. The two people who drove Mr. Ward worked for a subsidiary of G4S. They did not see an Aboriginal elder nor a statesman. They saw “a man in his 40’s, 50’s, Aboriginal with a dark skin. He was dirty.”

They threw Mr. Ward into the back of a Mazda van, into the security “pod” with metal seating and no air conditioning. All male remand prisoners are considered dangerous, or “high risk”. The fact that Mr. Ward was known to be cooperative and congenial was irrelevant. For his own safety and welfare, he had to go in the back. The trip took almost four hours. The temperatures that day were 40 degrees Celsius, 104 degrees Fahrenheit. Mr. Ward died of heatstroke. He died with third degrees, presumably from where he touched the metal floor of the van. Mr. Ward cooked to death, slowly and in excruciating pain.

There was no possibility for Mr. Ward to survive that trip. There was no working panic button. There was no means of communication between the security section and the drivers in the cabin. He had one small bottle of water. He was destined to the death he suffered. It is Australia’s form of special care. It must be, because Australia pays a hefty price, literally, for the G4S services.

Again, every aspect of this story had been publicly described in earlier studies. In a 2001 government study, identical Mazda `pods’ were described as  “not fit for humans to be transported in.” They were seen as “a death waiting to happen.”

In the intervening decade, there have been other major reports, two in 2005, in 2006. To no avail. In 2008, Mr. Ward was dumped into the oven of the back of that Mazda. In 2009, G4S was awarded the contract for prisoner transport.

When asked about the implications of Mr. Ward’s story, Keith Hamburger, the principal author of the 2005 report, responded, “That’s a matter of great concern because this is not rocket science, we’re dealing here with duty of care.”

Duty of care.

Duty of care is a legal concept that ensures that people should not cause one another unreasonable harm or loss. But what is “unreasonable”?  Ballydowd is still open and consuming  children. G4S continues to ferry prisoners across the desert. Why? Because they have been deemed not “unreasonable”. Where is justice in that measure of reasonable and unreasonable suffering?

 

(Photo Credit: PerthNow.com.au)

Mental health haunts the prison state

For prisoners living with mental illness, the situation today, in the face of severe budget cuts following decades of imposed austerity in the name of efficiency and the pursuit of profit, is a hellhole.

In Jamaica, prisoners living with mental illness are trapped in a human rights nightmare. Prisoners living with mental illness require more supervision and more assistance, and that means an investment of resources. Instead, those prisoners living with mental illness are left to fend for themselves and for one another. That means those prisoners living with mental illnesses stay for long periods in soiled clothes and environments, suffer rapid deterioration and decline, and spend longer periods in prison than healthy prisoners. Not surprisingly, the situation is particularly lethal for elder prisoners.

In Canada, 35 per cent of the 13,300 prisoners in federal penitentiaries have a mental impairment requiring treatment. That’s triple the 2004 estimations and way higher than the general population. It’s a flood. And what happens when someone with mental illness goes into prison: “The mind-bending isolation of a segregation cell brings no peace to a depressed or unhinged mind. Nor does an environment of slamming cell doors, fear and intimidation.”

And what is isolation … really? If it’s long-term, it’s torture. According to Dr. Atul Gawande, “The people who become psychotic in solitary confinement are people who often have attention deficit disorder or low IQ or issues of prior mental illness. … There’s a very high rate of psychosis and people flat-out going crazy under the confinement conditions. And so, then what I puzzle over is, does it actually reduce our violence in our prisons? The evidence from multiple studies now is that not only that it has not reduced violence, it’s increased the costs of being in prison.”

Long-term solitary confinement is torture because it targets those living with mental illnesses. The same could be said for prisons and jails.

In the United States, somewhere between 16 and 20 percent of prisoners are living with mental illnesses. In California, there are nearly four times as many people with serious mental illnesses in jails and prisons than there are in hospital. Ohio reports that the mental health system “has shifted the problems to prisons and homeless shelters.” Arizona and Nevada have the highest ratio of prisoners living with mental illness. Some call this a tragedy. Some say prisons and jails have become the new asylums. Prisons and jails have become the New Bedlam, and we are all the wardens.

A thirteen-year-old girl in Ottawa kicked in the back window of a police cruiser. The State determined that she was mentally ill and had her institutionalized. Where? Ottawa “shifts the problem” to Utah: “the … province’s Ministry of Health and Long Term Care … has funding arrangements with U.S. facilities to provide residential treatment to Ontario residents”. After nine days, the girl was deemed too violent, and `shifted’ to a children’s hospital. Now the parents face the possibility of having to pay astronomical hospital fees while their daughter faces the near certainty of incurring further criminal charges. Only prison awaits her. This is the practice of `shifting the problems.’

The withering of the welfare state has produced national programs, public policies, and popular ethics of `shifting the problem.’ In the United States, in the past fifty years, the number of psychiatric beds has been reduced by 90 percent. In the 1950s, there was one psychiatric bed for every 300 persons. Now, it’s one bed for every 3000. Where have those beds gone, where have those resources gone, and most importantly where have those people living with mental illness gone? Prisons. Jails. The New Bedlam. They went into the hellhole, they are in the hellhole, and we are the wardens.

 

(Image Credit: http://www.mentalhealthy.co.uk)