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WWL>Topics>>1-23-14 2:10pm Angela: on mental health

1-23-14 2:10pm Angela: on mental health

Jan 23, 2014|

Angela talks with criminologist Dr. George Capowich of Loyola University and crisis intervention specialist Cecile Tebo about how best to serve the mental health needs of the state.

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Automatically Generated Transcript (may not be 100% accurate)

-- had just said at the end of their land show that we would be talking to the candidates for coroner. This hour in I was wrong it's the next out at 3 o'clock we'll be talking to them. But this hour real real ongoing important discussion. About mental health and our prisons. We're hearing more and more that prisons have become America's new mental health facilities. As mental health hospitals have closed and fewer beds are available in general hospitals for mental health patients. Where are they going how are they living where families going for help. What we do know is that the cycle of ending up in prison. Will only continue unless something changes. Do we as taxpayers want to pay for their care in prisons where there is little to no help for them. Or do we want to pay for care that can help them and perhaps and that cycle. There are several things happening that could help the situation. And here to talk about them and the concern if nothing is done. Is doctor George capital which a former police officer and now criminologist in the department of sociology. At Leo university. He is leading the new targeted hotspots community policing initiative. And Cecile Tebow who -- called super woman. A crisis intervention specialist who spent ten years on the streets of New Orleans working with the -- PD crisis unit. She is now creating and running exodus house which is also going to tell us about I wanna thank both of you for being here. Again and this is not the first time we had this conversation probably won't be the last as it's just something that's happening in. Right before -- we're seeing that so many of the mentally ill. Are in essence dropping through cracks with cutbacks federally with cutbacks statewide. Certainly locally we have limited funds. What what is the answer. Is it putting more and more into prisons. And we are spending a fortune on prisons and I think that as a society perhaps were looking at that. Both men who we are housing why we're housing them for non violent things. And that cost is it sustainable. And now we have the youth promise act which is being pushed by senator Mary Landrieu. And also but to -- criminologist Peter sharp who helped write that. So we want to emphasize right off the bad as we do every time not all people who have a mental illness and up in prison or become criminals. But we are seeing a greater percentage of those with mental illnesses in prisons aren't. Let us talk -- cap which just your general thoughts on what we're talking about. Well I think it strikes me is that. This is a long standing issue we've had his discussions socially and within the criminal justice system for decades. So the problem Hughes is not new. And with respect treatment. Either before prison or during prison -- afterward. There's no doubt that. The lack of treatment or at short duration and other issues. Contribute. To. Minor criminal issues in terms of -- lots of people refer choose a criminal organization -- mental illness so. Disorderly conduct and street offenses and things like that. Are part of the picture. But then we also knows that this is mental illness untreated. It is a risk factor both in terms of serious offending. Recidivism after prison and also for victimization. Cecile. You were boots on the ground for. For a decade. Have things gotten better. -- And not about our car. Back out at. They'll talk your acting. Out -- All. You are are more accurate. -- -- Are your -- to. Change our way. -- Act. Of getting all app and I. And on all night. I went. I. -- I'm sure all. At all. At all. -- Here are. Well on. And at all. Well. Well I like our car. -- -- -- -- -- It helped change the act so. Are. You know or. But we're all not all. Our area are. All. Mental health are -- I'm not at. All. Sure I'll call it -- -- -- -- -- You're. Not where the way -- hit. It. And act. -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- How on here or at all at. All. -- work -- out and out. And. Is it because as a society perhaps. On a Mercedes had forgotten once because I know so many people who have mental illness and their family who have had. Issues with Brothers cousins sisters. Parents and it is such a heartbreak. And yet they don't know what to do and then this thing snowballs. But as a society. It's we're not prioritizing. And -- I. -- -- -- -- I. Meant -- this particular population. -- there are. By. Well there and take. It. And I. And -- All. Our. Car. -- -- Doctor chat with just what your thinking. Well I from his seals right with. Back in the seventies following emphasized to institutionalization. And the idea was that people would mentally ill people will be better treated. In a community based setting. Without being. Institutionalized. And that the the funding for those community clinics never materialized. In this lack followup. Continues. Now the availability of mental. A mental health. Counseling and treatment. In facilities. Is sorely lacking. The best predictor for whether someone gets. Mental health treatment or any other treatment for that matter in many prisons is how close or to release. Which means they've been there for a long time and now and quick and dirty effort to get them ready to release state it treatment and it's just not going to be effective. We're going to take a break we're gonna come back and I wanted to ask doctor channel which about. Cap which I'm sorry about. What this does to police department who now have to put on them. Stay with us we'll be right back doctor George capital which a criminologist sadly only university and Cecile Tivo crisis intervention specialist. Our guest today talking about. An issue that just keeps going on witches. Mental illness and how we're handling it or not handling it in this country. The issue of the growing number of those who are mentally ill ending up in prisons. As we left the last segment. It is also how this is affecting police departments who now really are the ones carrying the burden so -- camp which. We did well it has it -- that it has -- affect some police on multiple levels. You know be -- disruptive behavior or something -- have to confront. -- and very often the only tool I am available it is arrest. Which just makes the matters worse the police are faced with a situation on the street have to come up with some media. Response. So it takes up their time. Com which means not a mystery answering other calls were. Patrolling it takes time. There's also a problem we if training. In terms of how police. Interact with the mentally ill. On the street very often they're not responsive so they're doing something. They may not be able to respond to command from the police -- holding a weapon or something like this. While bad news shortly threatening to the police and other people. It's not. Willful it's better mental illness that prevents them from. From responding. And an -- said earlier. Vicious cycles in and out these people got arrested in prison. They come out and her back into distinct cycles. And so it's an enormous strain on a police officer time. Resources. And and parish person. Societal was the air during the era of Mary said time after Katrina and we lost the wonderful police moment. -- -- Someone who clearly -- major major issues I think that probably crystallized for everybody. On the disaster services. -- app are part. It men should do it LI QLIT. She. Got. Her on a pretty. -- An. All. Time. Abort. An. Error by. A LAA. It charts at all. We all that up. Your act. -- -- -- -- -- All. Are. And our our country car. It. -- -- -- -- -- Or are cheap well. -- A crime. And they -- Like that. I -- aren't. -- -- -- -- I -- or training. At trade. I. Agree. -- on. Her and -- All our training. -- -- -- -- -- -- -- There. -- a lot. This is in existence now for our crisis intervention -- -- Out. At. GI RY. Or. -- Again. They act on. It. -- -- are a lot of work -- it. -- -- And I -- -- -- at. All. And I. Look at -- -- -- -- -- -- -- -- -- -- -- -- Well. -- -- -- it. 020. And it. Acts are a ball. And trying to. Get it. The shop -- -- it. -- Oh. Yeah like -- Did you say something to carefully. No I agree with everything that there's Cecile said. Not only increased training but the availability of the specialized. Unit and people. To respond with -- -- I can -- where you know he's three in critical month that's a lot that's a lot of police. Not doing. Serious and this isn't serious I'm talking about stopping Roberts and stop the -- senator. -- what is the answer. And we are filling these prisons with. People who could be one better taken care of -- I would think I would think. Not as expensive. Absolutely. And that's -- that's where the it's. Yeah the promise of community based. Sanders is so important. The is even after being released from a psychiatric. Institute. The research shows. People have. Higher risk of offending even after their first contact. And so there has to be away to. To follow a lot to help people stay on the medication. And treatment. They need because that's what tends to happen is that without the follow lot. Either from psychiatric hospitals more from from prison. If there's no follow up there and people tend to fall off their medication. Stopped taking I can't afford it. Whatever the reasons are and then -- right back to its. I want both of you to stay with this and also we have a -- Janet I hope you stay with us as well but we need to go to the new department right now. Let's let's do that and we'll be back talking. About the mentally -- We are talking with doctor George capital which and Cecile Tebow. Doctor doctor cap which courses -- criminologist at Leo university and Cecile. Very well known in the crisis intervention world and talking again about what is you know even -- we talk about it's been going on for four decades. In reality I think to the general public the the knowledge that some so many people in our prisons. Or not the series series offenders are there because approximately. Issues and -- as -- society. Have to look at. We're prioritizing. Our funds and this is a group of people affects a lot of people what's the best way to help. Before we go to the our discussion -- our caller Janet from New Orleans thank you for hanging. Hi Angela thank you so much partner program it's crucial. That the epidemic. -- mental illness right now going I mean or is that across the country. And that you stated that started about four decades ago. With the idea that we needed to be institutionalized. Mentally ill probably in that the health care act. In favor of any state control over funding. Which never happened for. Outpatient services for the mentally out we ran into the problem of homelessness and they act or two ago. Irony in my community out this idea that we we had its institutionalized. And -- outpatient care. What happened is now there isn't discrimination and it's happening -- that if you have insurance. You can go on to a clinic long arms. Patient clinic like the Mayo Clinic or maybe another fertility doctor -- long term care for people typically help. But if you don't have insurance -- being on his view go to jail if you get to troubles -- There in institutionalize. -- in the happening the whole idea being occasional lightning war. And I really believe that he needs -- outpatient and inpatient services. We're in hand and together in order to stop -- that it is it's you can't have one other. Because what we you know -- -- that people want it to him out because we we spoke out patient services which is ready. And I mall where that might be we have to have back but at the same people in -- that I don't think -- meditation. And I have a very close relative -- what these people. But even though sometimes. They -- and sometimes they need long term care and forward to grow. People are going to -- the -- -- -- -- -- they're lucky to get a bad across the lake in the all but one that only mental health facilities are indications that operating mountain Louisiana. All the governor backed down but they kept it going -- private practice. Well I'm glad that the global. And then if you have strictly patients circuit since then that you're going to get people -- -- Ultra -- and they let that get let them back and a lot of what you really any indication. -- in the hospitals to provide inpatient services when people -- it. And then you released those people to support it and open your support communities where they continue to receive outtakes insurance -- -- -- optimistic that the -- you have that both and the falcons bits on one -- the other end and that's that the war. You have to have. And I want. -- -- It. -- -- -- -- -- -- -- It. And and. -- sad -- let me ask you about exodus house you have to now homes or exodus homes. And how is that funded. Are out there. And really. -- -- -- Oh. -- -- -- -- It. Out. -- -- -- -- There. -- -- -- Okay and we're gonna get back to that a very quickly would like to take a call from brand uptown. Area and thank you and look very important topic. You know we. After Katrina. Are. Good behavioral health partnership on any feelings were privatize. Yet there had been no accounting. As to the expenditures and the proper. The tell them -- under the Miguel group and you know we really need. If we're all by. A lot money. After Katrina. And an act of -- assuming we we could reopen charity hospital had to fight unity and there aren't scared we're billing and new. Facility which half the number. And yet we're spending twice the money. You know I think that there's something really wrong -- our legislative delegation. And our political leaders need to lift clean and find out with governor Jindal is that why there's a lot more money and providing Lester. Shouldn't get a I mean -- -- and her colleagues are doing a tremendous job with the lack. We're really short resource we need a lot lower at public resource. Expended. And going to private firm. What is the result. Thank you very much for those comments and I couldn't agree with you more thank you -- we're gonna take another break we'll be right back. We are back talking about mental illness filled with prisoners. And we as a society how we handle -- yes I think it's time that we really look at it yes nobody has enough funds. But we can do this better and I want to thank. Doctor George -- which from Loyola and Cecile Tebow for their discussion on this I wanna go to doctor -- which because. One of the good things that may be happening is that this I'm sorry I just dropped -- the profits. What is this -- promising youth promise act which Mary Landrieu is is backing and was written by another from -- local criminologist. Peter sharp. Is again one area that we can start perhaps chipping away in if you could talk about that. What we know that. Mean that one of the things that's true for this. Issue meant a mental illness. In treatment is -- issues -- the same for adults as there are four. Juveniles. And you know and also like to say that you know we've been talking a lot about. Criminals station mental illness in the minor offenses that that they -- but -- we also know that mental illness it's. Profound effects on violence. And more serious. And we look at juvenile halls. The whether they're male or female role. Untreated. Their psychological problems from behavior disorders. -- lead to some of the shirt shows almost four. Four times greater increase in risk of becoming violent because of the lack of treatment. And so the need to be able to treat and follow up. -- not only have effects in terms of the minor offenses that we've talked of blood it at all so. For the fact that escalate the violence -- gun violence rate in a community. And also let me say that it's not just that day -- they are also frequently victimized. So it's you know they're vulnerable won -- on that side. As well. They need to do this is -- well. Until this act with appropriate more money more money so that the treatment can be instituted. And I'm not. It's from leaders. Wanna be with that act but I would presume that there are some mechanism in the fall. You know that is saying at least we're looking at all practiced and not just this sort of warehousing in the prisons. Before I go back to Cecile patty and -- to -- you've been holding on. -- Optimal. Treatment people are obviously deranged other police department. -- that you keep -- clock only Elena being changed out to try and older who would probably needed. The police came and keep it from and they said in India and continue to. Jake. Rationed here and this street here on the that was area immediately that would be. Here and where -- this. Into two. Now three. -- Attic area. Usually a lot of people insult. I didn't feel like that at least it continued to question shot -- it in part. Perhaps those were not the ones who had been trained. You get out I'm on the Internet media brought to New Orleans that aren't -- frequently I like it that you can follow lock. How else -- at least we're not being at all reasonable -- personally obviously evident middle order. But listen I appreciate this call very much -- Cecile I mean I know that heart breaks your -- to. -- -- -- The car. All -- Yeah. Keep. In mind. -- I. -- -- Or or. And. I'm wondering sure. I'm that would that would be an incident did not feel threatened Bob Maynard but it brought relax and we felt like that police were inappropriate. -- -- -- Are no. Idea that well. -- -- -- -- -- -- -- Oh. -- -- Not are not related to mental health to training I've been doing with the NO PD has to do with problem oriented policing as violence reduction strategies. -- Yeah ethnic groups -- broker will be right. Erik thank you part of our. We've been talking about mental illness we've been talking about the mentally ill really filling up a lot of prisons. And I want to thank again Cecile Tebow crisis intervention specialists and doctor George capital which was a criminologist loyal and certainly to people who called in. And this is sort of -- chipping away at the discussion that I think that we as a group as a society. Really need to look at. Rihanna -- me to say. You know something we value of these people there are issues it's complicated. But are we doing the right thing by what we're doing now Cecile you had talked briefly about exodus house which are now involved with. As a these that this is where people say this is not paid for by government etc. But it is part. Of this perhaps the solution. Of not. Yes of going back into prisons and and getting the help. In an. Outbreak not our partner. -- -- -- -- -- I'll. Take it. -- -- -- -- I hate that I run -- out of time but I am I can't thank you enough for the call and doctor capital which we're gonna get you back. Thank you so very very much stay with this we're gonna talk to the corners.

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