Mr. President, it is a privilege to join my colleague from New Mexico in introducing the Mentally Ill Offender Treatment and Crime Reduction Reauthorization and Improvement Act of 2007. This…
Mr. President, it is a privilege to join my colleague from New Mexico in introducing the Mentally Ill Offender Treatment and Crime Reduction Reauthorization and Improvement Act of 2007. This bipartisan, bicameral legislation will authorize continued Federal support for cooperation between the criminal justice and mental health systems on jail diversion, correctional treatment, and community reentry of offenders with a mental illness, and cross-training of criminal justice and mental health personnel. With full funding, this proposal has the potential to achieve significant reforms in the treatment of offenders diagnosed with a mental illness.
I commend Senator Domenici for his leadership on this bill and on many other initiatives to improve our Nation's mental health systems. I also welcome the support and leadership of Representatives Scott and Forbes in the House of Representatives. We all agree that this legislation can promote cooperative initiatives that will significantly reduce recidivism and improve treatment outcomes.
Based on the most recent studies by the Bureau of Justice, more than half of all prison and jail inmates had a mental health problem in 2005, including 56 percent of inmates in State prisons, 45 percent of Federal prisoners and 64 percent of jail inmates. The high rate of symptoms of mental illness among jail inmates may reflect the role of local jails in the criminal justice system, which operate as locally- run correctional facilities that receive offenders pending arraignment, trial, conviction or sentencing. Among other functions, local jails also hold mentally ill persons pending their relocation in appropriate mental health facilities.
Far too often, individuals encounter the criminal justice system when what is really needed is treatment and support for mental illness. Families often resort to the police in desperation in order to obtain treatment for a loved one suffering from an extreme episode of a mental illness. During such extreme distress, families may face no other alternative, because persons with symptoms such as paranoia, exaggerated actions or impaired judgment may be unable to recognize the need for treatment.
It is unconscionable, and may well be unconstitutional, for these vulnerable individuals to be further marginalized once they are incarcerated. Too often, they are denied even minimal treatment because of inadequate resources.
Most mentally ill offenders who come into contact with the criminal justice system are charged with low-level, nonviolent crimes. Once behind bars, they may well face an environment that further exacerbates symptoms of mental illness, which might otherwise be manageable with proper treatment. Caught in a revolving door, they may soon be back in prison as a result of insufficient and inadequate transitional services when they are released.
This bill reauthorizes critical programs to move away from troubled systems that often result in the escalating incarceration of individuals with mental illness. Through this legislation, State and local correctional facilities will be able to create appropriate, cost- effective solutions. Low-level, nonviolent mentally ill offenders will have greater access to continuity of care.
Congress must also address an unfunded mandate that has been imposed on the States for decades. In Estelle v. Gamble in 1967, the Supreme Court held that deliberate indifference to serious medical needs of inmates is unconstitutional, ``whether the indifference is manifested by prison doctors in their response to the prisoner's needs or by prison guards in intentionally denying or delaying access to medical care or intentionally interfering with the treatment once prescribed.'' In Ruiz v. Estelle in 1980, the Supreme Court established minimum standards for mental health services in correctional settings. Yet more than twenty years later, Federal, State, and local facilities still do not have nearly enough resources to come even close to meeting these constitutional requirements.
Congress must do its part to assist State and local governments in meeting this burden. We cannot tolerate a system that fails to meet constitutional safeguards, or that fails to dedicate resources effectively so that people will get help instead of jail time. As a result of State budget cuts, more and more communities are looking to the Federal Government for support.
This call for change can not be ignored. We have seen too many news stories reflecting the need for action on this issue. A New York Times editorial by Bernard Harcourt on January 15, 2007, highlighted problems facing the mentally ill behind bars, noting two extreme examples in different parts of the country. In August 2006, a prison inmate, described by authorities as ``floridly psychotic,'' died in Michigan shackled to a concrete slab, waiting for a mental health transfer that never happened. Six months later, the head of Florida's social services department resigned in the face of charges for failing to transfer severely mentally ill jail inmates to State hospitals.
To date, we have seen only a fraction of the possible potential under this legislation, because only 50 planning and implementation grants have been awarded. Because of limited Federal funding, only 11 percent of applicants were able to receive one of these grants for which there is high demand. In Massachusetts, the Norfolk District Attorney's office received one of the planning grants. Right now, the office is working hard to implement a program to ensure that a trained mental health professional will serve in police departments, so that a qualified person on the scene can assist in a situation involving a mentally ill person.
The program will also reduce the likelihood that a mentally ill person charged with a low-level crime will be inappropriately jailed, and will give such persons the treatment they need and provide life skills training, housing placement, vocational training and job placement. Several local mental health centers have already expressed their support for the program and their willingness to cooperate in providing valuable services to this long-neglected population.
The expanded funding in this bill could help support ongoing efforts like
the Massachusetts Mental Health Diversion & Integration Program, MMHDIP, which is part of the Center for Mental Health Services Research at the University of Massachusetts Medical School. The center for Mental Health Services Research has supported a series of research and training programs to assist persons with mental illness who come in contact with the criminal justice system and have worked with police departments in Boston, Worcester, and Attleboro. The center is also working on programs to develop evidence on which future practices may be based. They also disseminate best practices for crisis intervention and risk management to police, courts, probation, prosecutors, defense attorneys, schools, and social service providers. The goal of the program is to reduce reliance on the criminal justice system as an access point for social service provision, thereby freeing police and other portions of the criminal justice system to more effectively fulfill their public safety function.
The current programs in Massachusetts reflect the continuing legacy of the nationwide movement that began when Dorothea Dix entered an East Cambridge Jail in 1841. Discovering that the mentally ill inmates were being housed together in terrible conditions without any heat, Dorothea began documenting prison conditions for the mentally ill throughout our Commonwealth. Her advocacy, and her determination to pursue ideas that seemed radical at the time, achieved significant reforms in Massachusetts. She went on to lead the first national legislation to provide for the mentally ill. Today, we are still a long way to achieve the goals set forth by Dorothea so many years ago.
In every State, interactions between law enforcement and individuals suffering from mental illness continue to rise and the need for effective solutions is critical. This legislation will continue to ``foster local collaborations'' between law enforcement and mental health providers. What works in one community will not necessarily work or be desired in another--solutions must take into account the existing problem as well as the social and political dynamics within each community. With so many complex issues involved at the intersection of mental illness and the criminal justice system, no magic solution will solve the problems faced in communities across America. This bill encourages funding for specialized programs that will most effectively address the needs of these local communities. With this legislation, Congress will join local communities in their response to this problem.
In addition, members of State and local law enforcement need access to training and other alternatives to improve safety and responsiveness. The bill reauthorizes the Mentally Ill Offender Treatment Program and increases the funding to $75 million a year. The legislation also authorizes $10 million for grants to States and local governments to train law enforcement personnel on procedures to identify and respond more appropriately to persons with mental illnesses, and to develop specialized receiving centers to assess individuals in custody.
In his last public bill signing in 1963, President Kennedy signed a $3 billion authorization bill to create a national network of community mental health facilities across the country. With the escalation of the Vietnam War, not one penny of the $3 billion was ever appropriated. Now, decades later, we face a crisis in which far too many mentally ill individuals are facing jail time rather than treatment.
Last year, more than 1 million persons with serious mental illnesses were arrested. Noting the breadth of this national problem, Judge Leifman of the Criminal Division of the Miami-Dade County Court has stated that, ``Jails and prisons have become the asylums of the new millennium.''
The broad support for this legislation--ranging from the Council of State Governments, the National Alliance on Mental Illness, the National Sheriffs Association, the Bazelon Center for Mental Health Law, the National Council for Community Behavioral Healthcare, the National Alliance for the Mentally Ill, the Council of State Governments, the Campaign for Mental Health Reform and Mental Health America--demonstrates that it will provide much-needed support to help solve this complex problem. The courts, law enforcement, corrections and mental health communities have all come together in support of this legislation, and Congress must respond.
Individuals and their loved ones struggle with countless challenges and barriers during a mental health crisis. With this bill, Congress can provide significant support to needed cooperation efforts between law enforcement and mental health experts. I urge my colleagues to support this legislation, so that we can achieve its enactment before the end of this current session of Congress.