8 Burst results for "Christine Mantra"

"christine mantra" Discussed on KQED Radio

KQED Radio

01:47 min | 1 year ago

"christine mantra" Discussed on KQED Radio

"Use that incident is justification to continue the practice of solitary confinement because of that risk that the of the situation that happened many many years ago. And that's you know, justifiable fear, of course, when we're asking people Teo to take on these dangerous jobs, but but one of the things that this group in California has realizes that if you take the correctional officers who are the ones shouldering this fear, and you show them the environment, it's not just academics. It's not just psychiatrists who we're talking about. How to make the situation better. But you actually have prison officer speaking to prison officer talking about how things have improved that that's really a locus for change. And I think that those kinds of situations Ring a lot of promise because the system has to be fixed. The system is broken, but we don't have to reinvent the wheel in order to fix it. There are places that can show us a road map for how to achieve the outcomes we desire without us, starting from scratch. Christine Montrose. Thank you so much for speaking with us. Thank you, Dave. I really enjoyed it. Christine Mantra, is an associate professor of psychiatry and human behavior at the Brown University Medical School and the author of Waiting for an echo the Madness of American Incarceration. Coming up. TV critic David Bianculli reviews the new video streaming service peacock from NBC Universal. This's fresh air. That's 7 48 support comes from the California Department of Public Health, raising awareness that smoking doubles your risk of getting respiratory infections, including Corona virus for how to quit Now when lung health is crucial, go to tobacco.

officer Christine Montrose California Department of Publi Christine Mantra Teo David Bianculli California associate professor of psychia TV critic NBC Brown University Medical Schoo Dave
"christine mantra" Discussed on KQED Radio

KQED Radio

06:30 min | 1 year ago

"christine mantra" Discussed on KQED Radio

"From the Corporation for Public Broadcasting, a private corporation funded by the American people. This is fresh air. We're speaking with Christine mantra. She's a clinical psychiatrist, and she has a new book about the damage prison life does to mental health and how things might change. It's called waiting for an echo the madness of American incarceration. You know, one of the things I could imagine people saying as well, Maybe this works in Norway. But America US society is so different. Norway is thought of as being more ethnically homogeneous and probably Having fewer inequities in the distribution of wealth and income so that you don't have these huge, terribly poor, struggling communities, which make it the harder sometimes for people to rebuild their lives when they get out of prison. 100. What about that our Scandinavian countries just in a better position to undertake this kind of change? Well, there's no question that Scandinavian countries they're smaller than America. Right. There's no there's no question about that. But to me it was very interesting to think about Scandinavian countries compared to American states. And the reality is that prison business is conducted really on a state by state level, so policy decisions about state jails and prisons are really made within the states, so you can see quite a bit of difference from one state to the next In terms of Prison conditions, prison policies, sentencing trends, all those kinds of things. So it was useful to me to begin to think about how the experiment of prison approach like that in Norway could be transferred. To our states. And so that was one of the frames that I used to think about those very differences that you raise and again, I found those differences to be somewhat overblown. So as an example The population of Norway is around 5.3 million people, so that puts it just smaller than Colorado and Minnesota just larger than South Carolina and Alabama. So you know, in the realm of state of our states, the population of Oslo is similar to the population of Nashville. Numbers lies. Um, So then I said, when I saw that, I thought, all right, so let's compare American city to Norwegian City and I looked really closely at the demographics between Oslo and Nashville. Nashville is 60%. White. Oslo is 70% native Norwegian. That's not a gigantic difference. The other 30% of Norwegians are Either immigrants are were born. Two immigrants in the major ethnic groups that make up that 30% are Pakistani and Somali, not light skins. Norwegian people is I think we so often imagine, and they're also immigrants from many other countries in the region. Iraq, Iran, Turkey, Vietnam, Morocco, the Philippines. And maybe one of the things that was most interesting to me, is that 40% of the kids in Oslo primary schools speak a language other than Norwegian as their first language. So I think when we have an idea of Scandinavian communities as these very homogeneous communities that really differ a great deal from our own. I think that that is perhaps an antiquated view. You know, they're Racial and ethnic divisions within American prisons are off often. Pronouncement. People may join gangs or form cliques among people that share their ethnicity or race. Does that happen in the prisons in Norway? That's such a prominent discussion. In American prisons. It's a real problem that has brought up over and over again. There certainly talking about how the country is adapting to these shifting representation of different ethnic minorities within the Norwegian community, and that you absolutely are seeing people who are starting to question some of the closely held tenets of Socialism that you know, provide benefits to people in the country. Some of those there are issues of racism that are beginning to emerge in the country for sure, But I heard about those conversations much more as a part of the cultural conversation and I didn't hear about them within prison populations. We're at a time when there's more of an appetite for criminal justice reform than we've seen in a long time. You know, states and local governments run a lot of prisons and jails. Do you see places where Different approaches. Different models maybe tried or are being tried. Definitely There are their projects going on around the country where people are beginning to look at these very issues, and in fact, there's been a fantastic program out of California that is taking groups of Legislators and also prison correctional officers and wardens to visit European prisons that are having better outcomes and part of this has been aimed at an effort to reduce the use of solitary confinement in American prisons. Solitary confinement is a practice that we think of as reducing violence and promoting security. In fact, when we look at the numbers, that's not the case, we don't have the outcomes from solitary confinement that that It would justify its use. Given how damaging a practice it is. And so this group in California is taking the stakeholders over to visit prisons in Germany prisons like Holden in Norway to try to show them How alternative methods are working, and so that they can see firsthand the environment. How the practices are implemented and how the outcomes are better not just for the prisoners, but also for the people who work in these conditions. You know, one of the one of the things I learned. I'm working here in Rhode Island, which is a very insular, tiny little state with a very, very long institutional memory. And so you have people who are working as correctional officers in the prisons, who, if a correction officer was killed by an inmate 10 or 20 years ago? They're still correctional officers working in the prisons who remember that incident and use that incident is justification to continue the practice of solitary confinement because of that risk that the of the situation that happened many many years ago. And that's you know, justifiable fear, of course, when we're asking people Teo to take on these dangerous jobs, but but one of the things that this group.

Norway Oslo Nashville America Corporation for Public Broadca Christine Norwegian City US California officer Teo Rhode Island Iraq Colorado Holden Alabama Germany South Carolina Minnesota Morocco
"christine mantra" Discussed on KQED Radio

KQED Radio

06:00 min | 1 year ago

"christine mantra" Discussed on KQED Radio

"Ren echo the madness of American incarceration. You're right about Norway, which has adopted a strikingly different model of incarceration. But this is really just in the last 25 years or so you want to just say a little bit about what their penal system used to be like What prompted a search for something different. So in the 19 eighties and nineties, Norway had a prison system that looked very much like our prison system. They had quite a bit of violence within their jails and prisons. They had a high recidivism rate. The recidivism rate at that time was between 60 and 70% which was on a par with The three year recidivism rate in the US right now is 68% so so really similar outcomes and similarly fraud environments within the jails and prisons themselves. They looked at the situation. The government looked at the situation and acknowledge that it wasn't working that they weren't having the outcomes that they desired on DH. They also had a system where there were there were escapes. Correctional officers have been killed. On DH, So they took a very hard look at the prison system to revamp it to see how their outcomes could improve and have the safety of the system could improve. And as I learned more about the system, they assigned a working group within the Justice system. Tau look at changes that could be made and one of the central tenets that came out of that working group was To stop meeting hard with hard and start meeting hard with soft and what I learned they meant by this was that if you take a harsh stance of punishment Toward people When they enter the legal system. You don't get the outcomes that you desire that this idea of a hardened criminal becoming more hardened in a prison setting was something that they really thought. Was true. They also when they say start meeting hard with soft meant that what they were really noticing was that people were coming into the prison system with thes deficiencies in various realms of their lives that were keeping them from succeeding outside of prison. So they decided to dio needs assessment of everyone who came in to prison immediately when they arrived to see. Do you have a substance use problem? Well, then we will use the time that you're incarcerated. To get you mental health treatment for your addiction. Do need job training. Do you need education? Do you need language assistance? Do you need anger management classes or parenting classes? What are the What are the root causes of the behaviours that are getting you arrested that we can try to address Said that when you sew that will use this time in prison constructively is that when you leave prison, you don't come back, and that fundamental shift in philosophy was really fascinating to me. You know what struck me about this. As I read it was that the approach in Norway is to focus on the future. What's going to happen to the inmate in the future? What's going to happen to his relationship with the community as opposed to in the United States where I think you quote Anthony Kennedy of the Justice as saying that you know here we tend to think of the justice system as imposing sentences and don't really think beyond that. Don't really think about what actually happens in the prison system when sentences are imposed. That's right. The principle that really guided some of this decision making was exactly as you say, Dave that we need to be forward looking. So when I talked to people in those systems, they would say the crime is the one thing we cannot change. That's the thing in the past. It's not our job to look backwards to the crime, which we cannot change. What we can change now is the outcome's going forward. Another really key element of this in terms of their approach was to say the punishment is your loss of liberty. That's the entire punishment. You don't get to sleep at home with your family. You don't get to structure your day like you want to. That's the entire punishment of incarceration. There's not additional punishment. That means that you have to suffer more that you have other rights taken away. It's merely your loss of liberty. So then given that that's the punishment that just exists by you being here. And when you are here, let's use the time constructively and the outcomes in this case is not just the outcome for the prisoner. It's the outcome for the community that will. Eventually he'll rejoin. No questions. So, as I said, nor we had this recidivism rate in the 19 eighties and nineties that was between 60 and 70% and that recidivism rate has dropped to 20%. So only 20% of the region prisoners air now arrested in the two years after their release. It's taken a lot of work for them to get to this place, and it isn't just a simple is saying, we're going to provide programming, so a really critical shift occurred in the role of the prison officer, our term for a correctional officer, where they said that instead of just being a guard instead of being purely about security and control That the prison officer was now going to become someone with a really complex role that was assisting in this process of bolstering a person's development and strength as they moved through the prison system, so it was a role that was more akin to a social worker. In addition to the security duties that the person had, they would also have an ability to talk with the person about why they committed the crime that they committed. What kinds of things they needed, moving forward how they could set themselves on a more constructive path moving forward and that role really shifted and changed in a very pronounced way. Christine Mantra, is an associate professor of psychiatry and human behavior at the Brown University Medical School and the author of Waiting for an echo the Madness of American Incarceration. She'll be back and talk more after a break. I'm Dave Davies,.

officer Norway Dave Davies United States Ren Anthony Kennedy fraud Christine Mantra associate professor of psychia Brown University Medical Schoo
"christine mantra" Discussed on KQED Radio

KQED Radio

06:45 min | 1 year ago

"christine mantra" Discussed on KQED Radio

"In today for Terry Gross. My guest psychiatrist Khristine. Montrose has spent years treating people with serious mental illnesses. And she's noticed that many of her former patients end up in jails were prisons where their conditions inevitably deteriorate. In her new book, Montross notes that in America today there are 10 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 people psychiatrically on well, making the prison system literally maddening. Dr Montrose. His book explores the reasons people with mental illnesses get arrested and incarcerated. She takes readers too many prisons for a firsthand look at the harm the experience does. Can she explores and alternative model for confinement and rehabilitation in effect in Norway. Christine Mantra, says the 2015 Guggenheim fellow in 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 Montrose. Welcome to fresh air. Thanks so much, Dave. I'm delighted to be here. You're a practicing psychiatrists. You freed a lot of patients with serious mental illnesses. What's taking you two so many jails and presence? So I work in an inpatient psychiatric hospital, and I work on floors that are called the intensive care units, which is like the psychiatric version of an icy you. 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. They're really punitive. One's police take them to jail in prisons, And as I talked 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 undertreated symptoms you know, shouting in the Starbucks are 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 then 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 also do work in court cases, right evaluating psychiatric patients, right. So so I visited a lot of prisons, and I also began working and jails doing competency to stand trial. ERROL 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, they often ask for the expert opinion of psychiatrists. So I began performing these evaluations as well. TTO learn more about what goes on when mentally ill people are charged with crimes. Right? And I wonder if you could just contrast the experience of Talking to a patient in a treatment in a clinical setting and going to a prison where you're asking questions for a different purpose in a very different atmosphere. So they're there to really remarkable differences in those circumstances. One is the environment and one is what I'm being asked to do, and I had to learn a great deal about the difference in those two things. So so the 1st 1 in terms of what I'm being asked to do when I am seeing patients in a psychiatric hospital. I'm really charged with their care. And it is my job to diagnosis them to treat them to comfort them in the midst of their suffering to work with them and their families and the nurses that are providing their care and really try Tio, help them manage and cope with the symptoms of their illness and help improve that as much as I can when I'm working, doing evaluations in the jails and prisons I'm really asked to be an objective analyst and to ask questions that try to determine almost a snapshot of the person's mental state in that moment, but it's not a clinical or treatment. Encounter on. So that was That was an important thing for me to learn that my job in that role was not to treat but was really to provide an objective analysis of what I was seeing in the moment. The other piece of the question is really A critical one as well. And we're talking about the difference between a punitive environment and a therapeutic one. And one of the things that was so striking to me when I started working in the jails and prisons were that the people that I was seeing in these two places For indistinguishable. So so the patients that I was seeing in my hospital were indistinguishable many times from the men and women that I was evaluating in jail. But the environments were so markedly different one charged with again trying Tio help in hell and the other really designed to control and punish. I want to talk about what you've seen in correctional institutions. But I want to talk a little more about this phenomenon of people with mental illnesses being arrested and incarcerated. Why is it that so often people with mental illnesses who are clearly acting out their symptoms, not intending to necessarily steel or disturb the peace or You know, or make people feel uncomfortable end up in jail. You write that there's a a phenomenon known as a compassionate arrest, which seems like an ironic term. Right, so to really understand the origins of why there are so many mentally ill people in jails and prisons in America. You really have to go back to the sixties and seventies and eighties, when large numbers of people were moved out of our state run hospital's psychiatric hospitals with the goal of shifting mental healthcare from institutions to the communities, And as you said in the opening that was an enormous shift that closed down state psychiatric hospitals. Largely due to the 1963 community Mental Health Centres Act that passed to enact this change of shifting people from hospitalized, institutionalized the lives into the community to receive their care. A great problem with that was that funding for community care was never adequately allocated so people who had required very significant levels of care and support in hospitals and institutions. Or suddenly without.

Christine Montrose America community Mental Health Centre Terry Gross Montross Starbucks Khristine Christine Mantra Norway Tio Dave associate professor of psychia ERROL Brown University Medical Schoo attorney analyst
"christine mantra" Discussed on WNYC 93.9 FM

WNYC 93.9 FM

07:08 min | 1 year ago

"christine mantra" Discussed on WNYC 93.9 FM

"Progressive and from the Corporation for Public Broadcasting, a private corporation funded by the American people. This is fresh air. We're speaking with Christine mantra. She's a clinical psychiatrist, and she has a new book about the damage prison life does to mental health and how things might change. It's called waiting for an echo the madness of American incarceration. You know, one of the things I could imagine people saying as well, Maybe this works in Norway. But America US society is so different. Norway is thought of as being more Ethnically homogeneous and probably having fewer inequities in the distribution of wealth and income so that you don't have these huge, terribly poor, struggling communities, which make it the harder sometimes for people to rebuild their lives when they get out of prison. 100. What about that our Scandinavian countries just in a better position to undertake this kind of change? Well, there's no question that Scandinavian countries they're smaller than America. Right. There's no there's no question about that. But to me it was very interesting to think about Scandinavian countries compared to American states. And the reality is that prison business is conducted really on a state by state level, so policy decisions about state jails and prisons are really made within the states, so you can see quite a bit of difference from one state to the next In terms of Prison conditions, prison policies, sentencing trends, all those kinds of things. So it was useful to me to begin to think about how the experiment of prison approach like that in Norway could be transferred. To our states. And so that was one of the frames that I used to think about those very differences that you raise and again, I found those differences to be somewhat overblown. So as an example The population of Norway is around 5.3 million people, so that puts it just smaller than Colorado and Minnesota just larger than South Carolina and Alabama. So you know, in the realm of state of our states. The population of Oslo is similar to the population of Nashville. Numbers lies so then I said, When I saw that, I thought all right well, so let's compare American city to Norwegian City and I looked really closely at the demographics between Oslo and Nashville. Nashville is 60%. White. Oslo is 70% native Norwegian. That's not a gigantic difference. The other 30% of Norwegians are Either immigrants are were born to immigrants and the major ethnic groups that make up that 30% are Pakistani and Somali, not light skinned Norwegian people as I think we so often imagine, and they're also immigrants from many other countries in the region. Iraq, Iran, Turkey, Vietnam, Morocco, the Philippines. On DH. Maybe one of the things that was most interesting to me is that 40% of the kids in Oslo primary schools speak a language other than Norwegian as their first language. So I think when we have an idea of Scandinavian communities as these very homogeneous communities that really differ a great deal from our own. I think that that is Perhaps an antiquated view, you know their racial and ethnic divisions within American prisons are off often. Pronouncement. People may join gangs or form cliques among people that share their ethnicity or race. Does that happen in the prisons in Norway? That's such a prominent discussion in American prisons. It's a real problem that has brought up over and over again. There's certainly talking about how the country is adapting to these shifting Representation of different ethnic minorities within the Norwegian community, and that you absolutely are seeing people who are starting to question some of the closely held tenets of socialism that you know, provide benefits to people in the country. Some of those There are issues of racism that are beginning to emerge in the country for sure, But I heard about those conversations much more as a part of the cultural conversation and I didn't hear about them within prison populations. We're at a time when there's more of an appetite for criminal justice reform than we've seen in a long time. You know, states and local governments run a lot of prisons and jails. Do you see places where Different approaches. Different models maybe tried or are being tried. Definitely There are their projects going on around the country where people are beginning to look at these very issues, and in fact, there's been a fantastic program out of California that is taking groups of Legislators and also prison correctional officers and wardens to visit European prisons that are having better outcomes and part of this has been aimed at an effort to reduce the use of solitary confinement in American prisons. Solitary confinement is a practice that we think of as reducing violence and promoting security. In fact, when we look at the numbers, that's not the case, we don't have the outcomes from solitary confinement that that Would justify its use. Given how damaging a practice it is. And so this group in California is taking the stakeholders over to visit prisons in Germany prisons like Holden in Norway to try to show them How alternative methods are working, and so that they can see firsthand the environment. How the practices are implemented and how the outcomes are better not just for the prisoners, but also for the people who work in these conditions. You know, one of the one of the things I learned. I'm working here in Rhode Island, which is a very insular, tiny little state with a very, very long institutional memory. And so you have people who are working as correctional officers in the prisons, who, if a correction officer who was killed by an inmate 10 or 20 years ago? They're still correctional officers working in the prisons who remember that incident and use that incident as justification to continue the practice of solitary confinement because of that risk that of the situation that happened many, many years ago. And that's you know, justifiable fear, of course, when we're asking people Teo to take on these dangerous jobs, but but one of the things that this group in California has realizes that if you take the correctional officers who are the ones shouldering this fear, and you show them the environment, it's not just academics. It's not just psychiatrists who we're talking about. How to make the situation better. But you actually have prison officer speaking to prison officer talking about how things have improved that that's really a locus for change. And I think that those kinds of situations Ring a lot of promise because the system has to be fixed. The system is broken, but we don't have to reinvent the wheel in order to fix it. There are places that can show us a road map for how to achieve the.

Norway Oslo America Corporation for Public Broadca California officer Nashville Christine Norwegian City US Teo Iraq Colorado Rhode Island Alabama South Carolina Minnesota Morocco Iran Holden
"christine mantra" Discussed on WNYC 93.9 FM

WNYC 93.9 FM

06:02 min | 1 year ago

"christine mantra" Discussed on WNYC 93.9 FM

"It's called waiting for an echo the madness of American incarceration. You write about Norway, which has adopted a strikingly different model of incarceration. But this is really just in the last 25 years or so you want to just say a little bit about what their penal system used to be like that? What prompted a search for something different? So in the 19 eighties and nineties, Norway had a prison system that looked very much like our prison system. They had quite a bit of violence within their jails and prisons. They had a high recidivism rate. The recidivism rate at that time was between 60 and 70%. Which was on a par with the three year recidivism rate in the US right now is 68% so so really similar outcomes and similarly fraud environments within the jails and prisons themselves. They looked at the situation. The government looked at the situation and acknowledge that it wasn't working that they weren't having the outcomes that they desired on DH. They also had a system where there were there were escapes. A correctional officers have been killed. On DH, So they took a very hard look at the prison system to revamp it to see how their outcomes could improve and had the safety of the system could improve. And as I learned more about the system, they assigned a working group within the Justice system. Tau look at changes that could be made and one of the central tenets that came out of that working group was To stop meeting hard with hard and start meeting hard with soft and what I learned they meant by this was that if you take Ahh! Ahh, harsh stance of punishment toward people When they enter the legal system. You don't get the outcomes that you desire that the this idea of a hardened criminal becoming more hardened in the prison setting was something that they really thought. Was true. They also when they say start meeting hard with soft meant that what they were really noticing was that people were coming into the prison system with thes deficiencies in various realms of their lives that were keeping them from succeeding outside of prison. So they decided to do needs assessment of everyone who came in to prison immediately when they arrived to see. Do you have a substance use problem? Well, then we will use the time that you're incarcerated. To get you mental health treatment for your addiction. Do you need job training? Do you need education? Do you need a language assistance? Do you need anger management classes or parenting classes? What are the What are the root causes of the behaviours that are getting you arrested that we can try to address so that when you sew that will use this time in prison constructively is that when you leave prison You don't come back, and that fundamental shift in philosophy was really fascinating to me. You know what struck me about this. As I read it was that the approach in Norway is to focus on the future. What's going to happen to the inmate in the future? What's going to happen to his relationship with the community as opposed to in the United States where I think you quote Anthony Kennedy of the Justice as saying that you know here we tend to think of the justice system as imposing sentences and don't really think beyond that. Don't really think about what actually happens in the prison system when sentences are imposed. That's right. The principle that really guided some of this decision making was exactly as you say, Dave that we need to be forward looking. So when I talked to people in those systems, they would say Crime is the one thing we cannot change. That's the thing in the past. It's not our job to look backwards to the crime, which we cannot change. What we can change now is the outcome's going forward. Another really key element of this in terms of their approach was to say the punishment is your loss of liberty. That's the entire punishment. You don't get to sleep at home with her family. You don't get to structure your day like you want to. That's the entire punishment of incarceration. There's not additional punishment. That means that you have to suffer more that you have other rights taken away. It's merely your loss of liberty. So then given that that's the punishment that just exists by you being here. And when you are here, let's use the time constructively and the outcomes in this case is not just the outcome for the prisoner. It's the outcome for the community that will. Eventually he'll rejoin. No questions. So, as I said Norway had this recidivism rate in the 19 eighties and nineties that was between 60 and 70% and that recidivism rate has dropped to 20%. So only 20% of the region prisoners air now arrested in the two years after their release. It's taken a lot of work for them to get to this place, and it isn't just a simple is saying, we're going to provide programming, so a really critical shift occurred in the role of the prison officer, our term for a correctional officer, where they said that instead of just being a guard instead of being purely about security and control That the prison officer was now going to become someone with a really complex role that was assisting in this process of bolstering a person's development and strength as they moved through the prison system, so it was a role that was more akin to a social worker. In addition to the security duties that the person had, they would also have an ability to talk with the person about why they committed the crime that they committed. What kinds of things they needed, moving forward how they could set themselves on a more constructive path moving forward and that role really shifted and changed in a very pronounced way. Christine Mantra, is an associate professor of psychiatry and human behavior at the Brown University Medical School and the author of Waiting for an echo the Madness of American Incarceration. She'll be back and talk more after a break. I'm Dave Davies,.

Norway officer Dave Davies United States Anthony Kennedy fraud Christine Mantra associate professor of psychia Brown University Medical Schoo
"christine mantra" Discussed on WNYC 93.9 FM

WNYC 93.9 FM

01:38 min | 1 year ago

"christine mantra" Discussed on WNYC 93.9 FM

"The ingredients include things like beans, oats, margarine, mechanically separated poultry, You know ingredients that tick off a checklist of nutritional needs. But are then combined and prepared in a way that is absolutely disgusting. When you hear people describe the experience of eating it, it's it's intended to be disgusting. And so the reason that I wrote about it was really To get hat. The urge that I see so much in our nation's Carcerano practices, which is to make people suffer. I think neutral Ove to me was just a prime example of How blatant our intention is that we say that we incarcerate people to rehabilitate them or to keep our community safe. And yet the foremost thing that I saw over and over again is how much We want people to suffer once they're held within our jails in prison, so serving someone and incredibly disgusting known to be tasteless at best and really foul tasting at worst item of food. Knowing that they are going Tio, perhaps not eat that at all. Or if they do find it to be extremely unpleasant experience. That to me was just a crystal clear example of how the intention behind how we treat people is not aligned with what we say Our intention is when we incarcerate people. Christine Mantra is a psychiatrist who treats patients with serious mental illnesses. Her new book is Waiting for an echo the madness of American incarceration. We'll talk more after a break. This is fresh air. In.

Tio Christine Mantra Ove
"christine mantra" Discussed on WNYC 93.9 FM

WNYC 93.9 FM

06:33 min | 1 year ago

"christine mantra" Discussed on WNYC 93.9 FM

"My guest psychiatrist Khristine. Montrose has spent years treating people with serious mental illnesses. And she's noticed that many of her former patients end up in jails were prisons where their conditions inevitably deteriorate. In her new book, Montross notes that in America today there are 10 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 people psychiatrically unwell, making the prison system literally maddening. Dr Montrose. His book explores the reasons people with mental illnesses get arrested and incarcerated. She takes readers too many prisons for a firsthand look at the harm the experience does. And she explores an alternative model for confinement and rehabilitation in effect in Norway. Christine Mantra, says the 2015 Guggenheim fellow in 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. Well, Christine Montross. Welcome to fresh air. Thanks so much, Dave. I'm delighted to be here. You're a practicing psychiatrists. You treat a lot of patients with serious mental illnesses. What's taking you two so many jails and presence? So I work in an inpatient psychiatric hospital, and I work on floors that are called the intensive care units, which is like the psychiatric version of an icy you. 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. One's police take them to jail Zim prisons and as I talked 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 undertreated symptoms you know, shouting in the Starbucks are 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 to do in these moments of the police encounter, and then 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 also do work in court cases, right evaluating psychiatric patients. Right. So so I visited a lot of prisons, and I also began working and 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, they often ask for the expert opinion of psychiatrists. So I began performing these evaluations as well. TTO learn more about what goes on when mentally ill people are charged with crimes. Right? And I wonder if you could just contrast the experience of Talking to a patient in a treatment in a clinical setting. And going to a prison where you're asking questions for a different purpose in a very different atmosphere, So they're there to really remarkable differences in those circumstances. One is the environment and one is what I'm being asked to do, and I had to learn a great deal about the difference in those two things so So the 1st 1 in terms of what I'm being asked to do when I am seeing patients in a psychiatric hospital. I'm really charged with their care, and it is my job to diagnosis them to treat them. To comfort them in the midst of their suffering to work with them and their families and the nurses that are providing their care and really try Tio, help them manage and cope with the symptoms of their illness and help improve that as much as I can. When I'm working, doing evaluations in the jails and prisons, I'm really asked to be an objective analyst and to ask questions that try to determine almost a snapshot. Of the person's mental state in that moment, but it's not a clinical or treatment encounter on. So that was that was an important thing for me to learn that my job in that role was not to treat but was really to provide an objective analysis of what I was seeing in the moment. The other piece of the question is really a critical one as well. And we're talking about the difference between a punitive environment and a therapeutic one. And one of the things that was so striking to me when I started working in the jails and prisons were that the people that I was seeing in these two places We're indistinguishable. So so the patients that I was seeing in my hospital were indistinguishable many times from the men and women that I was evaluating in jail. But the environments were so markedly different. One charged with again trying Tio help in hell and the other really designed to control and punish I want to talk about what you've seen in correctional institutions. But I want to talk a little more about this phenomenon of people with mental illnesses being arrested and incarcerated. Why is it that so often people with mental illnesses who are clearly acting out their symptoms, not intending to necessarily steel or disturb the peace or You know, or make people feel uncomfortable end up in jail. You write that there's a phenomenon known as a compassionate arrest, which seems like an ironic term. Right. So to really understand the origins of why there are so many mentally ill people in jails and prisons in America. You really have to go back to the sixties and seventies and eighties, when large numbers of people were moved out of our state run hospital psychiatric hospitals with the goal of shifting mental healthcare from institutions to the communities, and, as you said in the opening That was an an enormous shift that closed down state psychiatric hospitals, largely due to the 1963 community Mental Health Centres Act that passed to enact this change of shifting people from hospitalized. Institutionalized the lives into the community to receive their care. The great problem with that was that funding for community care was.

Christine Montross Dr Montrose America community Mental Health Centre Starbucks Khristine Christine Mantra Tio associate professor of psychia Norway Zim Dave Brown University Medical Schoo attorney analyst