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    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
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      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
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      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
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      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
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  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
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  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System

CO Jails & Prisons:
The LARGEST Mental Health Institutes in the State

Picture
Marvin Booker and Michael Marshall -- two Black homeless men who died in the Denver Detention Center. The proximate cause -- negligent use of restraint. The root cause of these deaths -- the State's failure to provide the housing and access to supports necessary for people with serious mental illness,

​<From the Broadway Mega Hit
"Hamilton":  "Who Lives, Who Dies, Who Tells Your Story"

Who is telling the story of the thousands of people with mental illness in Colorado's Jails & Prisons?


Ironically, it is often Sheriffs, Jail Captains, Jail Administrators, etc. in Colorado Jails who are telling the story of people with mental illness in jail.
Mesa County Jail Inmate Story

Study Finds 2/3 of Mesa County Jail Inmates Struggle with Mental Illness

-- Grand Junction Sentinel

Pitkin County

“This (grant) has to do with the realization in Colorado that state resources to deal with mentally ill people are really lacking,” [Don Bird, Pitkin County Jail administrator] said. “It’s inexcusable.  It’s a realization that’s way past due.”

http://www.aspentimes.com/news/19366244-113/pitkin-county-jail-gets-grant-to-provide-inmates
Picture
Study Finds 2/3 of Mesa County Jail Inmates Struggle with Mental Illness -- Grand Junction Sentinel

Douglas County

      "Jails and prisons have become the warehouses for people who aren't getting treated elsewhere," said Attila Denes, a captain at the Douglas County jail.

      
"It's among the most expensive and least humane" ways to provide care.


         "Denes, a student of history, sees patterns in American society's treatment of people with mental illnesses.

​         "As early as the 1650s, the plight of so-called "lunatics" in prisons attracted a call to the colonial legislature to find alternative housing.

​"We've gone full circle," Denes said. "We're back today to where we were in the 1650s."
Quote from Douglas County Jail Captain Attila Denes in Rocky Mountain PBS I-News article:
​http://gazette.com/mental-health-series-part-2-colorado-jails-become-warehouses-for-mentally-ill/article/1519827
​

Val's Take

              Well, Sheriff Firman pretty much corroborates the other Sheriffs in the State of Colorado with regard to the high percentage of people with mental illness seen in the jail population.
                NOW in the current climate, CIT (Crisis Intervention Training) is absolutely essential.  
                 At some point, like this point, we need step back and ask -- "Why are we having all of these crises?"; "How could we prevent these crises from happening in the first place?"
                  CIT can definitely help, and it can't address long unmet needs for the State to invest in housing for people with serious mental illness as well as intensive services such as Assertive Community Treatment (ACT).
                  AND that State failure is what leads to the revolving door of homelessness and incarceration.  
                   Title II of the Americans with Disabilities Act and the 1999 US Supreme Court Olmstead decision SHOULD BE preventing this for people with disabilities, but people with "mental illness" often face a fair amount of unwitting discrimination.
                      From our perspective and we think from the perspective of law enforcement,  it couldn't be more obvious that people with serious mental illness in the State need access to Housing and Intensive Treatments (we would say Assertive Community Treatment). 
                       If  the need genuinely isn't clear to the State (and quite frankly we and others find that hard to believe) we are happy to discuss and provide additional information.
                       If the concern is how the heck are we going to pay for this we are happy to discuss and provide additional information.
                  
                              


"If we decided that people were the most important thing -- we could stop the cycle  -- that's the thing."
                                
---from Breakdown:  Mental Health in Colorado
 
      The Denver Post's Award-winning Series




















​

​

Colorado Public Radio

Ryan Warner's Interview with Denver Sheriff Patrick Firman

Picture

Warner:
   Yeah and it makes me wonder if deputies truly are equipped to deal with complex mental health issues. I suppose there can be training in de-escalation but at a certain point are you asking a law enforcement official to be doing the job of a mental health professional?

Firman:   Yeah and I think you're right. And I think it's changing and it's not an issue that's unique to Denver.

This is something that you see across our nation with jails really becoming kind of the de facto mental health institution as we close down the formal mental health institutions, there's no place left for them to go and so the default to that is they get dropped off at the jail.


And so most, a lot of times our deputies are not equipped and so one of the things that we're committed to doing is we're committed to getting all of our deputies trained in this CIT, this Crisis Intervention Training.

We think that's important to give them some skills and some more tools in order to deal with this population because it's changing.

I think jails across the country are becoming more and more filled with individuals with mental health issues. 


https://www.cpr.org/news/story/denvers-sheriff-talks-about-lowering-heat-danger-inmate-confrontations​

Orchid:  Email

Crisis Services in Colorado, the US & Around the World

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Immunology & Mental Health
    • Alcoholism & the Immune System & Mental Health
    • Brain Injury, the Immune System & Mental Health
    • Celiac Disease & Sensitivities, the Immune System & Mental Illness
    • Mental Illness & The Immune System
    • Racial Discrimination & the Immune System & Mental Health
    • Trauma & the Immune System & Mental Health
    • ***Physical Health Issues, the Immune System & Mental Health Index
  • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System