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Report: Force against prisoners with mental illness at US prisons

Jail and prison staff throughout the United States have used unnecessary, excessive, and even malicious force against prisoners with mental disabilities, Human Rights Watch charged in a report released today.”

The 127-page report, “Callous and Cruel: Use of Force against Inmates with Mental Disabilities in US Jails and Prisons,” details incidents in which correctional staff have deluged prisoners with painful chemical sprays, shocked them with powerful electric stun weapons, and strapped them for days in restraining chairs or beds. Staff have broken prisoners’ jaws, noses, ribs; left them with lacerations requiring stitches, second-degree burns, deep bruises, and damaged internal organs. In some cases, the force used has led to their death.

Although no national data are available, Human Rights Watch’s research indicates that unwarranted, excessive, and punitive force against prisoners with mental health problems is widespread and may be increasing in the more than 5,100 jails and prisons in the United States. Experts blame deficient mental health treatment, inadequate use-of-force policies, insufficient staff training, and poor leadership.”

Staff in US correctional facilities are authorized to use force when necessary to control dangerous or highly disruptive prisoners. But as Human Rights Watch found, staff at times respond with violence when prisoners engage in behavior that is symptomatic of their mental health problems and even when it is minor and non-threatening, such as urinating on the floor, using profane language, banging on a cell door, masturbating, complaining about not receiving a meal, or refusing to come out of a cell. Staff also sometimes use force to punish inmates who annoy or anger them.”

In one case, staff at a California prison sprayed a prisoner approximately 40 times with pepper spray, and threw four pepper spray grenades into his cell after the man, who claimed to be 'The Creator,' resisted removal from his cell. In another, a Florida prisoner diagnosed with schizophrenia defecated on the floor of his cell and refused to clean it up. Officers allegedly put him in a scalding shower knowing he could not control the water’s temperature or flow. After being left in the shower for more than an hour, the inmate was dead.

Corrections experts say that best practices require special use of force measures for prisoners whose disruptive behavior is symptomatic of mental illness. For example, following recent class action litigation, prison officials in Arizona and California are adopting policies that greatly restrict the use of chemical sprays on prisoners with mental illness except in an emergency. But most agencies lack such policies. Similarly, most agencies do not train their staff to understand the impact mental illness can have on behavior and to use verbal negotiation strategies to end disruptive behavior without force.”

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