Wednesday, May 02, 2007

Suicides, late releases among prisons' problems

May 2, 2007
By KEN MAGUIRE - Associated Press writer

BOSTON--The health care provider for Massachusetts prison inmates acknowledged Tuesday it failed to identify the suicidal history of an inmate when he was given a mental health screening before being sent to a segregation cell, where he killed himself.

There have been 10 suicides, including several in segregation cells, in the past 17 months in the state prison system, which is accused in a lawsuit of inadequate oversight of inmates with mental illnesses.

"There was a medical record that was not reviewed in its entirety, and in that medical record there was reference to suicidal gesturing .. in the past, which would have been information that would have been helpful," Patti Onorato, executive director of UMass Correctional Health, said of one inmate, not identified by name, who committed suicide.

The testimony came Tuesday at a Statehouse hearing examining problems within the Department of Correction, which oversees about 11,000 inmates in 17 facilities.

Gov. Deval Patrick's administration is replacing the DOC commissioner, and is reviewing policies ranging from sentencing to post-release, said Mary Elizabeth Heffernan, undersecretary for Criminal Justice.

"The status quo is unacceptable to this administration," she said. "There's a whole array of things that need to be looked at that we are absolutely having conversations about."

Patrick's proposed budget for the fiscal year starting July 1 includes a $34 million increase for the department, most of which will pay for an expanded health care services contract.

DOC Associate Commissioner Veronica Madden said the expanded contract will allow for the creation of a behavioral management unit for maximum-security inmates; the establishment of a residential treatment unit for inmates with mental illnesses; and weeknight and weekend coverage by mental health professionals.

Those changes should reduce the number of suicide attempts, she said.

In addition, a new policy requires that every inmate recommended for segregation--because of violent behavior in the general population--will be screened "to determine if their mental illness impacts segregation.

Fixing the system will be among the priorities for the next department commissioner. The Patrick administration ousted Commissioner Kathleen Dennehy, and named her deputy, James Bender, as acting commissioner. Dennehy has taken a job with the Bristol County sheriff's department.

A federal lawsuit filed in March claims Massachusetts inmates with mental illnesses get inadequate oversight, contributing to an increase in suicide attempts.

The latest suicide was Jarred Aranda, a 27-year-old who was undergoing a psychiatric evaluation at Bridgewater State Hospital. He hung himself in a shower room in March.

That death was the third suicide in Massachusetts state prisons this year, after seven last year. Those are up from one suicide in 2004 and four in 2005.

The lawsuit filed in U.S. District Court by the Disability Law Center Inc. claims one-quarter of the 11,000 inmates in the state prison system are mentally ill, and criticizes the DOC for keeping hundreds of inmates in isolation for too long.

The state's inmate suicide rate was about 27 per 100,000 inmates during the 10-year-period that ended in 2006, according to a state-commissioned report issued in February. That was nearly twice the rate nationally, according to data for 2002, the report said.

That's not the only problem. The DOC is overhauling the system it uses for tracking sentences following revelations that 14 inmates were confined even after their sentences had been completed.

The department blamed the errors on the complexity of cou! rt decis ions governing the terms of sentences, and refused to say whether any employees had been fired or otherwise disciplined because of the errors, The Boston Globe reported.

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