Christine Mantra, Dr Montross, Starbucks discussed on Fresh Air
Guest psychiatrists Christine Mantra has spent years tweeting people with serious mental illnesses, and she's noticed that many of her former patients end up in jails or prisons were there conditions inevitably deteriorate in her new book Montross notes that in America today there are ten times as many people with serious mental illness behind bars as there are in our state psychiatric hospitals. Incarceration she says usually makes mentally ill. People worse and renders stable, psychiatric, unwell making the prison system literally maddening. Dr Montross his book explores the reasons, people with mental illnesses get arrested and incarcerated. Should readers many prisons for a first hand? Look at the harm. The experience does, and she explores an alternative model for confinement and rehabilitation in effect in Norway. Christine mantras Twenty fifteen guggenheim fellow, general nonfiction, an associate professor of psychiatry and human behavior at the Brown. University Medical School and the author of two previous books. We spoke about her latest. It's called waiting for an echo the madness of American incarceration. Christine mantras welcome to fresh, air. Thanks, so much Dave I'm delighted to be here. You're a practicing psychiatrists. you create a lot of patients with serious mental? What's taking you to so many jails and prisons? So I work in an inpatient psychiatric hospital and I work on floors that are called the intensive care unit, which is like the psychiatric version of ICU. I've been struck over the years that my patients routinely come into contact with police, and sometimes those outcomes are helpful ones. Police bring them to the hospital, and sometimes those outcomes are really punitive ones. Police take them to jails and prisons. As I talk to my patients. They would often explained that the circumstances that led them to the police encounter were essentially the same reasons that brought them into the hospital so under-treated symptoms. You know The starbucks causing a disturbance in the community that really were more about their symptoms of mental illness, than about any kind of criminal behavior or intent, so I started to think about how my patients must do. In these moments of the police encounter, and how it must be for them to be in jails and prisons, so I decided I wanted to look for myself and see what those environments were like for the mentally ill people who are held in them, so you visited a lot of correctional facilities doing research you. You also do work in court cases right evaluating psychiatric patients right so so I visited a lot of prisons. I also began working in jails, doing competency to stand trial evaluation, so when the court asks whether someone is able to understand their court case the proceedings the charges that they're facing whether they're mentally well enough to work with their attorney..