Retiring Arizona Prison Watch...


This site was originally started in July 2009 as an independent endeavor to monitor conditions in Arizona's criminal justice system, as well as offer some critical analysis of the prison industrial complex from a prison abolitionist/anarchist's perspective. It was begun in the aftermath of the death of Marcia Powell, a 48 year old AZ state prisoner who was left in an outdoor cage in the desert sun for over four hours while on a 10-minute suicide watch. That was at ASPC-Perryville, in Goodyear, AZ, in May 2009.

Marcia, a seriously mentally ill woman with a meth habit sentenced to the minimum mandatory 27 months in prison for prostitution was already deemed by society as disposable. She was therefore easily ignored by numerous prison officers as she pleaded for water and relief from the sun for four hours. She was ultimately found collapsed in her own feces, with second degree burns on her body, her organs failing, and her body exceeding the 108 degrees the thermometer would record. 16 officers and staff were disciplined for her death, but no one was ever prosecuted for her homicide. Her story is here.

Marcia's death and this blog compelled me to work for the next 5 1/2 years to document and challenge the prison industrial complex in AZ, most specifically as manifested in the Arizona Department of Corrections. I corresponded with over 1,000 prisoners in that time, as well as many of their loved ones, offering all what resources I could find for fighting the AZ DOC themselves - most regarding their health or matters of personal safety.

I also began to work with the survivors of prison violence, as I often heard from the loved ones of the dead, and learned their stories. During that time I memorialized the Ghosts of Jan Brewer - state prisoners under her regime who were lost to neglect, suicide or violence - across the city's sidewalks in large chalk murals. Some of that art is here.

In November 2014 I left Phoenix abruptly to care for my family. By early 2015 I was no longer keeping up this blog site, save occasional posts about a young prisoner in solitary confinement in Arpaio's jail. I'm deeply grateful to the prisoners who educated, confided in, and encouraged me throughout the years I did this work. My life has been made all the more rich and meaningful by their engagement.

I've linked to some posts about advocating for state prisoner health and safety to the right, as well as other resources for families and friends.

until all are free -

MARGARET J PLEWS (June 1, 2015)
arizonaprisonwatch@gmail.com



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Showing posts with label alliance for the mentally ill. Show all posts
Showing posts with label alliance for the mentally ill. Show all posts

Tuesday, March 27, 2012

Rikers, Solitary, and Schriro...

City Limits

SOLITARY CONFINEMENT ON THE RISE AT RIKERS

There's been a 44 percent jump in the number of punitive segregation cells in city jails the past two years. Jail officials say it's to prevent violence, but advocates argue the punishment is counterproductive.

Jeanmarie Evelly
March 27, 2012
 
Elmhurst - Over the last two years, the Department of Correction has nearly doubled the number of "punitive segregation" cells—the Department's term for solitary confinement—at the jail facilities at Rikers Island. The 44 percent jump, DOC Commissioner Dora Schriro testified at a City Council budget hearing this month, constitutes "the most significant increase in the department's history," one that prisoners rights groups say gives New York City one of the highest solitary confinement rates in the nation.
 
At press time, 914 inmates were being held in segregation at Rikers, meaning they are typically confined to their cells for 23 hours a day. Jail officials say this is a necessary tool to curtail an uptick in violence, maintain safety and order and deal with inmates who commit serious rule violations.

But prisoner advocacy groups say the increase is alarming at a time when the inmate population in the city's jails is at a low, and in light of a growing body of research that says solitary confinement does little to curb bad behavior, and could actually make some inmates act more violently.

Correctional systems across the country have been reducing their use of segregated units, and this fall, a United Nations expert called an all countries to ban the practice except under the most extreme circumstances, likening the mental health effects of prolonged solitary confinement to torture.

"We're at a terrible point where management is really overly punitive, and not able to grasp that it's wrong, that it's not working," says Sarah Kerr, of the Legal Aid Society's Prisoners Rights Project. "The idea that other places are realizing the error and trying to reform, and New York is doing the opposite, is really a problem."

"It's interesting that DOC is doing this when the jail population is falling," says Jennifer Parish, director of criminal justice advocacy at the Urban Justice Center. Indeed, from 2001 to 2010, admissions to city jails fell by 20 percent and their average daily population dropped by 10 percent. "I find it incredible that there's actually a need for this, and that there aren't management strategies they could use to address the problem."

Split lips, broken bones

Violence has long been the most-cited rationale for solitary confinement, and the DOC is under considerable pressure to make sure its facilities are safe.

"Our core objective is to protect both the inmate population and the workforce from harm," Commissioner Schriro says.

For the last several years, union officials who represent jail workers have complained of an uptick in violence against their members. In 2010, there were 84 incidents of inmate assaults on staff resulting in serious injury, according to DOC statistics, up from 63 in 2009 and 53 in 2008.

"Correction officers bear the brunt of it by being assaulted on a daily basis," says Norman Seabrook, president of the Correctional Officers Benevolent Association (COBA). "Every day, every other day, three or four times a day, I'm getting a text message or an e-mail from the Department of Correction notifying me of how many of my correction officers have been assaulted—split lips, sutures, broken bones. This goes on and on and on and this has to stop."

Seabrook blames the increase, in part, on insufficient staff numbers, saying the DOC is not hiring enough correction officers to replace those who retire, get promoted or leave for other reasons.

At the budget hearing last month, Commissioner Schriro said that while the department is hiring several hundred new posts, there is still a shortfall in the department's budget for authorized uniformed staff.

But union officials have also pointed to a shortage of punitive segregation units—known as "Bing" beds—for putting officers at risk. Last fall, the DOC was blasted after media outlets reported on a backlog of inmates who had been sentenced to solitary confinement but who were being held with the rest of the general population because there weren't enough segregated beds. In one incident in November, the Daily News reported that two men involved in a violent slashing in a recreation room were supposed to have been in solitary for previous infractions.

This backlog is the main reason prison officials give for the recent expansion of segregated housing units. In 2009, DOC spokeswoman Sharman Stein said, there were over 1,200 inmates waiting to be placed in solitary. Since then, the department has added 325 units, bringing the total capacity to 1,035 solitary beds, or seven percent of the average daily jail population (a number the DOC says is comparable to other correctional systems, but which advocacy groups argue is much higher than the average—the Legal Aid Society says that the nationwide solitary rate is between two and four percent.)

Today, Stein says, only a "handful" of inmates owe Bing time.

"Resolving this backlog was important to address – all too often, inmates who had remained in general population pending imposition of the punishment for assaulting another inmate or staff, harmed another person," Stein wrote in an e-mail.

Running the New York City jail system, the second largest in the country, is not a simple task. The population at Rikers is an ever-changing one. There are over 87,000 admissions and more than 88,000 releases a year, according to the DOC. Unlike the state prisons, a majority of the population at Rikers is made up of detainees awaiting trial. Some are felons awaiting transfer to a prison facility upstate. Others are those serving short-term misdemeanor sentences, generally less than a year.

Schriro says that while the number of inmates being held in the city's jails is at a low, Rikers has seen an increase in the types of inmates who are prone to bad behavior and who are responsible for the majority of jail incidents: "high-custody" inmates, deemed by jail officials as more inclined to institutional violence, including inmates with gang affiliations, adolescents and the mentally ill.

"The inmate census is lower now than before, but the inmates who are in jail are far more difficult to manage and far more damaged than the inmate population previously," Schriro says.

"The very good news is the vast majority of inmates in our custody are violation-free. They're here to work through their case and then be gone," the Commissioner says. "But there are several populations in particular that have the greatest likelihood of breaking the rules, breaking the law, assaulting a member of the workforce or causing serious injury. There's this group that's pretty dedicated to those endeavors."

Overused and overly punitive?

Prison advocacy groups, however, dispute the DOC's assertions that they need more punitive segregation units. The backlog in inmates waiting for solitary beds, they say, is not due to lack of space but on the DOC's reliance on segregation as a punishment and as a management tool.

"My feeling is, it's being overused," says Barbara Hamilton, a former law librarian at the DOC who now works as a staff attorney at the Legal Aid Society, handling appeals for Rikers detainees challenging their punitive segregation time. "Sometimes it's used as retaliation, sometimes it's used to control mental health inmates."

Mentally ill inmates, experts say, are more prone to violent outbursts and other disruptive behavior in jails and prisons. At Rikers, just over a third of the population has a mental health diagnosis. Mentally ill inmates who violate rules and get sentenced to segregation time are placed in what's called a Mental Health Assessment Unit for Infracted Inmates, or MHAUII—200 solitary confinement beds where, according to Stein, there is increased access to clinicians staffed by the Department of Health and Mental Hygiene.

Research has shown that psychiatric symptoms are aggravated by the type of isolation used in punitive segregation, and advocates say even the MHAUII units are not sufficient and lack the resources for dealing with inmates with serious mental health problems.

"It's nothing like what would qualify as a mental health treatment unit," says Parish. "They have some mental health staff who checks on people every so often."

(At the same time, the DOC has been criticized in the past for not segregating mentally ill inmates. In 2001, for example, a detainee was beaten to death by his cellmate, a 19-year-old inmate whose own lawyers said should have been placed in solitary for his psychotic tendencies).

Schriro says Rikers staff carefully evaluates the needs of every inmate to determine where they should be housed. The department has spent the last two years fine-tuning their inmate classification system, "scoring" inmates based on factors like mental and medical health needs, as well as their propensity towards violent behavior. Someone deemed high-security, for example—like a known gang member—might be put in a housing unit where food is brought to their cell, instead of one where they need to be escorted to the chow hall, reducing the chance of a fight that might happen en route.

Inmates are re-assessed every 60 days, Schriro said, and good behavior can lower an inmate's score, which can get them moved into a less restrictive housing unit that offers some kind of reward incentive, like a common room that has two television sets instead of one.

Schriro adds that the DOC's hands are tied in many ways by city rules, set by the Board of Corrections' minimum standards, that allow all inmates in the general population—essentially, anyone other than those sentenced to punitive segregation—the option of leaving their cells or "locking out" for up to 14 hours a day. If the DOC were given more discretion in determining lock out periods for individual inmates, she says, they wouldn't depend as much on punitive segregation.

Further still, she insists, the city's solitary units are less restrictive than those in the state prisons or in so-called "super max" facilities, where inmates are often placed indefinitely and for years on end. At Rikers, where the average length of stay is 50 days, punitive segregation is more a "temporary assignment," she says, one that's largely reserved for inmates who've committed a grade 1 offense, typically a violent infraction.

Inmates who commit lesser violations, grade 2 or 3—say, drug possession or disobeying orders—will often receive less harsh reprimands, Schriro says. "But for that group where incentives do not entice, where lesser sanctions are not sufficient to otherwise modify their conduct, punitive beds become an important strategy," she adds. "Not by any means the only strategy, but it's something that's necessary, just as jail itself is."

Inmates rights groups, however, assert that it's common for individuals to get Bing time for minor offenses, like disobeying orders, and that much of the discretion is left in the hands of correction officers. The Legal Aid Society, which represents many Rikers inmates and detainees, says clients report a "culture of brutality."
Many accused of committing violence are often reacting to assaults committed first by officers, advocates say, pointing to DOC statistics indicating an increase in uses of force by jail staff as proof.

"I don't think it's running as smoothly as the Commissioner thinks," Hamilton says.

Victor Herrera, 45, was locked up in Rikers in 2010 for a drugs possession charge. He describes himself as a "boisterous" inmate and says he was disliked by the staff for complaining about his meals—he's a vegetarian—and for disobeying orders. He estimates he spent four or five months in the Bing, a period during which, he says, he was at the mercy of correction officers.

"Every need has to be met by the COs," he says. "They don't care about the inmates, they have this view that inmates are the lowest on the totem pole, that they're trash."

He says some officers would intentionally not deliver his meals as retaliation for bad behavior, and that he was routinely ignored if he tried to request something. He would take to covering up the small window looking into his cell—a security violation, because officers then couldn't check in on him—just to get someone's attention.
"They'd walk right by my cell and I could bang and yell and scream and nobody does anything," he says.

"You can talk until your mouth is dry and they will ignore you."

‘No better way to create a violent individual'

Inmates held at the Bing are typically on lockdown for 23 hours a day, experts say. They are allowed out for an hour of recreation, required by the Board of Corrections' standards, and for occasional meetings with lawyers or to meet with religious advisers, but their access to showers can be reduced at the discretion of staff. Reading materials and meals are brought to inmates in their cells by guards.

The isolation imposed by segregated confinement, many experts say, can cause severe psychological distress, even in otherwise healthy people. According to Dr. Stuart Grassian, a psychiatrist who studies the effects of solitary confinement, isolating inmates can result in agitation, paranoia, panic attacks, hallucinations and problems with impulse control—symptoms that can make someone already prone to violence even more so.

"There's no better way to create a violent individual than to put them in solitary," Grassian says. "Are there moments when a person should be housed by themselves until they calm down? Sure. We do it in psychiatric hospitals. But we do it in situations where there's an effort in re-engaging the patient. That's usually in a matter of minutes, hours, but not weeks, months or many years."

That's the argument that critics of solitary confinement make—that as a tactic to control violence, it just doesn't work. Jails should attempt to focus on fixing their management techniques, advocates say, and focus on rehabilitative efforts over lockdown.

"It may sound good politically to say you're tough on crime, but what you're really doing is being tough on the community, because we're going to see those people on the outside," Grassian says.

Thursday, February 17, 2011

FEDS OK AZ to cut more AHCCCS patients.


The following alert came in yesterday from the advocacy chair of the AZ Alliance for the Mentally Ill.

Thanks, Rachael.


---------------------------------

It is not a happy Wednesday for those of us who were trying to urge the federal government to deny the waiver that would allow Arizona to cut thousands from our community to access to adequate healthcare. The secretary of Health and Human services has made it clear to Arizona that they DO NOT need a waiver to cut 250,000 from AHCCCS. This is 30,000 thousand less than what the governor had hoped for because Arizona will be required to cover the parents of children on AHCCCS.

For what we can do now is below this article. Calling our representatives and telling them to oppose the budget for FY11... Get your voice heard. The federal government has washed their hands clean for these cuts and we as residents of Arizona with friends and family who will be affected are the only ones who can stand up. Get your voices heard and have your friends and family send these messages to the State telling them how this will affect us, as humans, NOT the budget.

We will keep the fight alive and continue to watch what is happening. IF these cuts are approved we will brace ourselves and keep our eyes and ears open for what we can do.

No matter how bad it may seem to be, we must never lose our drive, our passion or the fight. We must persevere and together we can make our dreams a reality.


Thank you guys for being awesome!

Rachael

-------------------------------------------------------------


Sebelius: Arizona doesn’t need waiver to cut 250,000 people from AHCCCS
AZ Capitol Times

By Jeremy Duda
jeremy.duda@azcapitoltimes.com

Published: February 15, 2011 at 7:14 pm

Arizona officials who spent nearly a year railing against the federal government for not allowing the state to cut its Medicaid rolls got some startling news Tuesday: Federal permission isn’t necessary for the state to drop 250,000 people from the Arizona Health Care Cost Containment System.

In a letter to Gov. Jan Brewer on Tuesday, U.S. Health and Human Services Secretary Kathleen Sebelius said Arizona could simply choose to not renew the agreement under which the feds provide matching funds for 250,000 childless adults in the system, known by the initials AHCCCS. The end of the agreement would effectively allow Arizona to drop those patients from AHCCCS on Sept. 30, when the agreement expires.

However, the news from the federal government does not mean Arizona has a clear path to cut patients from the program. A lawsuit probably will follow any attempt to make such cuts.

In her letter, Sebelius said the cuts would not violate the maintenance-of-effort provision in the Patient Protection and Affordable Care Act, the landmark health care law passed by Congress in 2010, which prohibits states from reducing Medicaid eligibility.

The revelation comes as Brewer was awaiting word from HHS on whether Sebelius would approve the state’s request for a waiver to allow the state to drop 280,000 people from AHCCCS. Brewer’s budget plan includes a $541 million cut from dropping the AHCCCS patients starting on Oct. 1.

But because Arizona is operating under a waiver that began when voters approved Proposition 204 in 2000, the state does not need a waiver to drop most of those people from AHCCCS. The ballot measure expanded AHCCCS coverage to include all childless adults who make up to 100 percent of the federal poverty level.

“I do want to make you aware that the (maintenance-of-effort) provision in the Affordable Care Act does not require Arizona to renew its demonstration as is, beyond its expiration date on Sept. 30, 2011,” Sebelius wrote. “Any reduction in eligibility associated with the expiration of your demonstration … would not constitute an MOE violation.”

In a press release, Brewer called the letter “an encouraging development” for the state as it seeks flexibility from the Affordable Care Act.

“Secretary Sebelius’ letter clearly indicates that Arizona may take the steps it requires to manage its Medicaid program and balance its budget without violating MOE requirements,” Brewer said. “I appreciate the timeliness of the secretary’s correspondence, as well as her pledge for continued cooperation as Arizona seeks the best means to serve its citizens while meeting its fiscal obligations. I look forward to meeting with Secretary Sebelius in the near future.”

It was not clear why state officials did not realize earlier that a waiver was unnecessary, nor why HHS did not inform the state sooner that the waiver was unnecessary. Brewer submitted her waiver request to HHS on Jan. 25, but she and lawmakers had sought to cut AHCCCS for nearly a year. The budget passed by the Legislature and signed by Brewer in March 2010 cut about 310,000 people from AHCCCS, but the cuts were restored when Congress approved additional temporary funding for state Medicaid programs.

“Our Medicaid folks are aware that this provision was going to expire. But obviously we applied for the waiver request thinking that would be necessary,” Brewer spokesman Matthew Benson said.

Sebelius wrote the letter in response to a letter Brewer sent her on Feb. 3. In that letter, Brewer complained that Sebelius’ recent suggestions for how states could cut Medicaid costs provided few opportunities for Arizona, which she said had already used every method Sebelius suggested.

Under guidelines set by HHS and the Centers for Medicare and Medicaid Services, Arizona still must establish a phase-out plan in which it provides for people who would face immediate harm from the loss of their coverage. The state must also determine whether the people being cut from AHCCCS are still otherwise eligible for Medicaid coverage.

Arizona will be permitted to cut only 250,000 of the 280,000 people Brewer sought to remove from the AHCCCS. The state will still be required to cover 30,000 parents of children who are on AHCCCS.

Benson did not say whether Brewer would still seek to drop the 30,000 parents from AHCCCS coverage.

“We’re going to continue studying this letter and what it means for the state,” Benson said. “There are a lot of things yet to be determined.”

And when the full Affordable Care Act goes into effect in 2014, Arizona will be required to provide coverage once again to the 250,000 AHCCCS patients who are likely to be cut. The health care act requires all state Medicaid programs to cover anyone who earns up to 133 percent of the federal poverty level.

The state may have a green light from HHS, but it likely will have a court battle on its hands over whether the proposed cuts violate Proposition 204. The ballot measure required the state to cover all people who earn up to 100 percent of the federal poverty level using money from a settlement with tobacco companies and other “available funds.”
Brewer and Republican lawmakers argue that no funds are available due to the budget deficit, which is estimated to be $1.2 billion in the fiscal year 2012, and that the state is therefore permitted under Proposition 204 to drop patients from AHCCCS.
“That has been our position,” Benson said.

Sebelius also offered HHS’s assistance in establishing a provider tax on hospitals to help fund Arizona’s Medicaid program. The Arizona Hospital and Healthcare Association was long resistant to the idea, but recently came out in support of a tax to prevent deep cuts to AHCCCS.

“We are also available to work with you on the possibility of adopting a provider fee, as we have done with several other states,” Sebelius wrote. “I realize that the (hospital) association’s proposal is in an early stage, but I want to assure you that the full resources of our department are available to you as you and the association work to structure this fee in a fiscally responsible and permissible manner.”

--------------FEDERAL LEGISLATION ALERTS-------------


Subject: Act Now - Massive Cuts Loom for Federal Mental Health and Housing Programs
To: givmearevolution@hotmail.com
From: e-news@nami.org
Date: Wed, 16 Feb 2011 11:57:16 -0500

NAMI.org

Massive Cuts Loom for Federal Mental Health and Housing Programs
Action Needed!

Contact your U.S. House member today and voice your opposition to proposed FY 2011 cuts to mental health services, research, special education and supportive housing for children and adults living with mental illness.

HR 1 Continuing Resolution Federal Budget Cuts for FY 2011
Mental Health Services

* The House bill slashes $200 million from the Substance Abuse and Mental Health Services Administration (SAMHSA), a 5.5 percent cut below the agency's FY 2008 funding level.

Research

* Cuts $86 million (7 percent) from research on mental illness at the National Institute of Mental Health (NIMH), reducing funding to $1.404 billion.

Special Education

* A $557 million reduction to special education funding.

Housing

* Reduces HUD Section 811 program by 70 percent--from $300 million in FY 2010 to $90.36 million.

All House offices can be reached by calling 202-224-3121 (not a toll free call), or send a message to your U.S. House member.

* View details of the U.S. House FY 2011 "Continuing Resolution"
* View the President's FY 2012 Budget

At a time when states are already imposing deep cuts to mental health services (over $2.2 billion over the past two years), proposed cuts in the federal FY 2011 continuing resolution further erode needed services and supports for individuals who live with serious mental illness.


NAMI E-News Alerts are electronic newsletters provided free of charge as a public service. With more than 1,100 state and local affiliates, NAMI is the nation's largest grassroots organization dedicated to improving the lives of people with severe mental illnesses.

Thursday, January 13, 2011

Jared Loughner and The Deranged State of our State.

-----------From Democracy Now-----------


Jared Loughner, Mental Illness and How Budget Cuts Have Slashed Behavioral Health Services in Arizona

January 11, 2011

AMY GOODMAN: While federal investigators and the news media try to uncover the motivation behind the attack, the picture emerging of Jared Loughner is of a severely disturbed 22-year-old who was behaving in an increasingly erratic manner. YouTube videos and other internet postings under his name suggest an obsession with bizarre anti-government grievances, including ramblings about currency policies and language control through grammar. Acquaintances in Arizona said Loughner had distanced himself from friends and family members in recent years.

In September, he was suspended from Pima County Community College after five run-ins with campus police for disruptive behavior, being thrown out of class, students saying they were afraid, professors saying that they were afraid of him. College administrators told him he needed clearance from a mental health professional saying he would not present a danger to himself or others before he could return to classes. Pima County behavioral health officials have no record of Loughner seeking treatment in the public system overseen by the Arizona State Department of Health Services.

Saturday’s attack and Jared Loughner’s apparent mental health problems have shone a spotlight on issues surrounding mental health treatment in Arizona. The state made drastic budget cuts to behavioral health services in 2010. The unprecedented cuts slashed all support services for non-Medicaid behavioral health patients and took away coverage for most name-brand drugs. As many as 28,000 state residents were affected. Meanwhile, Arizona is facing even bigger budget cuts this year and is facing an estimated $1.4 billion deficit in 2012.

H. Clarke Romans is the executive director of the National Alliance on Mental Illness of Southern Arizona. He’s joining us from Tucson.

Welcome to Democracy Now! Talk about your response to what has taken place.

H. CLARKE ROMANS: Well, our response so far has just been to point out that the availability of services has diminished due to these budget cuts, and although there’s no direct link, it just makes it less likely that people would be able to get services, even if they overcome the stigma of admitting or acknowledging that they have these illnesses. It just makes the availability of services even more difficult to obtain.

AMY GOODMAN: What do you think needs to happen now, H. Clarke Romans?

H. CLARKE ROMANS: Well, I think that the legislature has taken a simplistic approach to solving the budget crisis, with respect to mental health services, at least. What we’re finding in the community is that the costs were not really eliminated; they were just pushed down to less visible areas in the community, and we’re responding to the difficulties with the most expensive form of services that the community has to offer to people. That’s emergency rooms, hospitalization, law enforcement intervention. So, the communities are spending the money, even though it appears that the lawmakers believe that they have actually cut the budget and saved money. It’s just coming out of a different pocket down at the community level. And I think that we need to acknowledge that it ultimately is less expensive in the community to offer necessary services. And this is all without respect to the devastating impact this has had on people’s lives.

AMY GOODMAN: What had been the effect of the budget cuts, specifically?

H. CLARKE ROMANS: Well, I can give a number of examples, but in particular, people who have a serious mental illness diagnosis beginning last July were denied any further coverage in a number of areas—case management, brand-name medications, access to support groups, transportation subsidies, and more recently, housing subsidies. So these individuals who have the most serious forms of mental illness were essentially, except for generic medications, were basically pushed out of the system. And these are individuals who have a serious illness, who, in many cases, were managing with a support network, are now being pushed to the point where they can’t manage. So they’re decompensating. There’s suicide attempts. There’s one woman that we know that’s very ill, but she’s been managing OK. She’s now been hospitalized for 36 days over the last six months.

AMY GOODMAN: These budget cuts under Jan Brewer—she, in particular, the Governor, must understand, with her son Ronald in a state mental facility for, what, 20 years after being convicted of sexually assaulting a woman, but was by reason of insanity, was the ultimate verdict. So she knows and was a mental health activist herself, the Governor.

H. CLARKE ROMANS: Yes, she was. And frankly, to my surprise and many other of my colleagues, I don’t think she put up a strong enough battle to, you know, at least protect or minimize the effect on mental health services. I think she succumbed to the—kind of the ideologues who were pushing a different agenda. And she did make some statements that she wanted to protect mental health services, but ultimately I think she succumbed to the other political pressures.

AMY GOODMAN: What about your own story, H. Clarke Romans, how you got involved with the Alliance on Mental Illness?

H. CLARKE ROMANS: Well, I’m a member of a club that no one wants to belong to. And people become members when things happen to them like happened to my family. My son Kenneth was a smart, athletic, good-looking, popular young man, when his behavior became a little unusual. And we didn’t know what was going on. And eventually—we were living in Belgium at the time—a school counselor at the International School of Brussels called us up and said, "Gee, I think maybe Ken should be out of school for a while." And we were like, "What?" So we went to the school. Ultimately we took Ken to the doctor, a psychiatrist. And the doctor told us Kenneth is suffering from the symptoms of schizophrenia.

Well, I’m a highly educated, intelligent man. I couldn’t spell "schizophrenia," let alone have any idea what a devastating effect that was going to have on Kenneth, on the family, and for the rest of his life. And so, even though my son was killed by a drunk driver here in Tucson on September 11th, 2001, I’m still involved, because I think the indignities that Kenneth suffered in his life were not right, and I don’t want to see that happen to other people.

AMY GOODMAN: What about schools reporting? I mean, the teacher who alerted you, that’s very important. But here was Jared Loughner in college. Every classroom, it seemed, the kids, the students, the professors were concerned. They were scared. He was very disruptive. What does it mean for a school to get involved? And why don’t they? I mean, in this case, Pima County Community College says they did. They kicked him out.

H. CLARKE ROMANS: Well, I think there are two levels here, and the rules of the game are very different. When students are in high school and they’re minors, the school and the parents have a little more control. I mean, a few articles that I’ve read so far in the local paper indicate that some of these behaviors were already manifesting themselves in the—in high school. I mean, I read some of his high school classmates reported, you know, unusual behavior.

The difficulty for secondary schools is that if the teachers bring things to the attention of the parents and the parents take it to heart, that the school becomes financially responsible for a lot of assistance that the student might get. And due to budget cuts, a lot of principals and teachers, more or less, are instructed: don’t get involved, because if you do, the school is going to be financially responsible. And the schools are under tremendous financial pressure. So I think that’s a negative influence on the teachers. Even though school counselors and teachers deal with these students every day, they’re under kind of physical constraints.

When you get to college, it’s a different story, because, you know, by that time, generally the students are considered adults. The parents really don’t have any specific legal authority to force the person to do any particular thing. And only if a person is petitioned into the hospital due to their persistent behavior, there’s no way to force them to get treatment. They can be persuaded, and the college and the parents, I believe, have a role, a potential role, in persuading an individual to get help. I don’t know if the college did anything other than react to the negative behavior.

AMY GOODMAN: Finally, Pima County Sheriff Dupnik, he made the comment about the hate-filled language coming out of TV, radio, the talk shows. You have Jesse Kelly, the opponent of Congressmember Giffords, who put out a slogan that said something about targeting, taking on Giffords and bringing your M16 to a rally for Kelly. H. Clarke Romans, what this kind of explosive language does?

H. CLARKE ROMANS: Well, I think that it doesn’t help, particularly people who may have thought disorders or mood disorders, the part of their brain that would exercise caution—I mean, anybody that hears that kind of language may react to it. But people who are suffering from these mental process disorders don’t necessarily have the part of their brain that would set the boundaries. The cautionary or the commonsense parts of their thinking are not functioning properly. So, this kind of language has a much greater impact on individuals who are in that situation than on the average person who has, you know, the control of their thought processes and has in place the normal cautionary and restraining parts of the thought process. Many of these individuals, that part of their brain is not functioning properly, with bipolar disorder or schizophrenia. There’s all kinds of thoughts going on, and the normal constraints and rational thinking processes aren’t there. So when you pour gasoline onto a hot situation, the likelihood of a fire is a lot greater than if—you know, if things are not so, you know, combustible.

AMY GOODMAN: Just to be exact, what her opponent, the Tea Party-backed opponent of Congressmember Giffords—and let’s remember that Congressmember Giffords’ father said—walked into the hospital and said that the Tea Party was her enemy, that he blamed the Tea Party. But Tea Party-backed candidate, Jesse Kelly, said, "Get on Target for Victory in November. Help remove Gabrielle Giffords from office. Shoot a fully automatic M16 with Jesse Kelly."

H. Clarke Romans, I want to thank you for being with us, executive director of the National Alliance on Mental Illness of Southern Arizona.