Common Sense, Huge Impact

One of the lessons  that I’ve learned visiting mental health programs in 46 states during the past four years is how often a small, common sense change in policy can have a huge impact on helping persons who are ill. 

I saw an example of this when I toured the Los Angeles City Jail, which many of you know has become the largest de facto public mental heath facility in our nation with an average population of 1,400 prisoners with mental disorders.

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My trip to Skid Row

I toured Skid Row in Los Angeles last week and visited an innovative medical clinic that serves the homelessness population there. I also saw a newly built housing project for chronically homeless persons with mental illnesses, and then I ended the day at the Twin Towers – Los Angeles County’s main jail. Many of you know the jail is the largest public mental health facility in our country.

Six years ago, I spent two days on the jail’s seventh floor where the most psychotic prisoners are kept. It is where I planned to do research for my book, CRAZY. But lawyers in the sheriff’s office pulled my invitation citing privacy laws. I tried Cook County in Chicago next, then Rikers Island in New York City, then Baltimore and finally Washington D.C. but none of those facilities would let me in. Finally, my friend, Judge Steven Leifman, got me into the Miami Dade County Jail.

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