Mental Health in Graduate and Professional Schools

Recently, I sat and had conversations with fellow peers in graduate programs and professional schools ranging from subjects such as Master of Art Education to Medical School and Graduate studies in Nonprofit Management. We talked about mental health resources and access within their schools and professors. Our conversations ranged tremendously, with some saying they are provided with resources and time off if stressed, to some feeling like they are not seen or cared for within their programs but are cared for by their professors. With the immense pressure of graduate and professional schools, students tend to go through many life changes that have had effects on their mental health. Graduate programs and professional schools contain an intense climate and harbor a strong need to succeed. With the stress, long hours studying, and a lost balance of life, many students do not feel that they are provided with the proper mental health resources. Mental health is typically overlooked or not given as much importance when considering human rights. The right to mental health is just as important as any other human right and has increased importance at the Human Rights Council. The balance between studies, life, work, and outside obligations, takes a toll on any individual. Ensuring that every person has access to free or affordable mental health services has been a goal for human rights advocates and organizations. The UNHCR notes that the right to health includes mental health.

Yahoo Images, Looking after Mental Health
Yahoo Images, Looking after Mental Health

Mental Health in Graduate School

A study done by Harvard found that students within graduate schools are three times more likely to experience mental health struggles than an average individual. The study conducted a survey of over 500 students in graduate programs and found that in every 10 students, one had suicidal thoughts over a two-week period. With the constant stress and studying, graduate students begin to develop depression and anxiety. The environment of graduate schools differs immensely when compared to the undergraduate level. Rather than having to attend class and prepare for exams, they spend their entire time—often 2-6 years—dedicated to a research project. Typically, 60 hours per week is spent preparing and studying research.

Many factors and challenges aid in stress for graduate students: poor mentorship, lack of access to counseling services, lack of training, and leave-of-absence policies. The list can go on and on about the challenges faced by graduate students. In addition, the biggest factor I found is the academic mindset. There is an embedded mindset within professional studies that a failure is never an option. Every student tries to be the best, the smartest, and the most achieved. This leads to many bad outcomes; a 2019 survey of Ph.D. students found that 76% of students work more than 40 hours a week on their research and projects and cannot attain a work-life balance. They have no room to take a breath or a break. As noted by a student, they said, “if you slack, you are out.”

 

Yahoo Images, Students studying
Yahoo Images, Students studying

 Mental Health in Professional Schools

Studying to become a doctor, lawyer, dentist, etc., carries immense stress. Students within professional schools dedicate their entire lives to a program in the hope of getting their dream careers. But the process of getting into professional school and finally being accepted to study all have factors that can deter one’s mental health. Within law school, it has been found that depression rates have increased from 10% to 40% among students. 96% of law students and 70% of medical students face significant stress. Factors that have been found ranging from loneliness, rejection, alcohol and substance abuse, academic performance, anxiety, depression, peer pressure, and the list can go on and on. There is constant stress and worry about entering the professional field. If one gets a good score on their exam, that determines the path of their career. While in professional school, the worry of not being the smartest, being able to handle the stress, or burn out. Although the studies and information are stressful, and the process of becoming a doctor or lawyer does contain high stakes, there still needs to be a fixation on acknowledging mental health. Many students are extremely gifted but get slowed down and begin facing challenges due to mental health neglect.

Yahoo Images, Mental health; students and schools
Yahoo Images, Mental health; students and schools

Where to Go from Here

It is very important for every institution and university to have the proper mental health resources; it is just as important to make sure these resources are constantly being worked on and evolved over time. The stigma and thought that students must be overworked and can’t take breaks must be removed. Within higher studies, a work-life balance must be implemented to ensure every student is learning and working at their highest potential. Over time, there have been drastic improvements in mental health awareness worldwide, but that is just a starting point. Mental health resources and accessibility must be a requirement within all universities and institutions. Below are resources for students and professionals to maintain and implement positive mental health practices.

Yahoo Images, Mental Health
Yahoo Images, Mental Health

For students at UAB:

UAB has a Student Counseling Service that provides mental health services, prevention, and outreach. The services include counseling and emergency support. Resources can be found here.

Guide to mental health practices in graduate/professional schools: https://www.apadivisions.org/division-6/publications/newsletters/neuroscientist/2019/07/grad-school-healthy

Managing Mental Health: https://www.nature.com/articles/d41586-021-01751-z

Books on mental health practices: https://www.healthline.com/health/mental-health/mental-health-books

The Realities of Being Homeless in America

An image portraying an encampment under a bridge
Source: Yahoo Images; People experiencing homelessness sleeping under a bridge

The homeless population in America tends to be neglected by the society they live in. They are among the most vulnerable, belonging to already marginalized communities that struggle to meet their day to day needs. As a result, the unhoused have little to no power or influence on social norms and affairs. As someone who has experienced homelessness both in India and in America, I have come to distinguish some of the common misconceptions society holds about the unhoused population. There are a lot of stereotypes and social stigma that surrounds the discussions around homelessness, which often blames the victims of systemic issues, instead of restructuring the conversation around how we as society can best help these marginalized groups realize their basic human rights to shelter. In order to do so, we must first understand what it really means to be homeless in America.

History of Homelessness in America

Homelessness is not an issue unique to the United States, as it can be found in countries all over the world. While homelessness in America can be found as early as the colonial times, modern homelessness rose as a response to the Great Depression, where people experienced high levels of unemployment and poverty. Especially interesting is the relationship between the growth of urban cities and the rise in homelessness. Coupled with low-wages and higher costs of living, people found it more expensive to find places to live in urban centers, such as New York and California. The aftermath of the Great Depression put a lot of people in desperate need of employment, and as the economy took to the service industry, more and more undereducated, impoverished people had no other choice but to turn to these low-income jobs. The country’s shift to a service economy meant that laborers were now being paid lower wages, leaving service industry employees unable to afford the rising costs of housing. Coupled with higher housing costs and lower wages, when people turned to social welfare programs, they found these programs to be lacking in funds as well.

Additionally, there was a campaign to “Deinstitutionalize” people held in mental asylums. While the campaign itself was well-intended, its applications were lacking in structure, and instead of providing patients with proper access to mental health resources, people with mental disabilities were released to fend for themselves. The neglect of these institutions led to the increasing numbers of mental health patients facing housing insecurity. To make matters worse, gentrification policies (made to bring in wealthy real-estate investors and high-income residents to underdeveloped parts of the city) led to the displacement of many low-income families, putting them out of their homes. These policies disproportionately  affect people of color, something that has forced many marginalized communities to fall prey to an endless cycle of poverty and degradation.

Unfortunately, one of the most concerning additions to the homeless population is the disproportionate number of youths that identify as being part of the LGBTQ+ community. According to a recent study conducted by Chapin Hall at the University of Chicago, LGBTQ+ youth had a 120% higher risk of experiencing homelessness. These members who already belong to an ostracized community can become more vulnerable to harassment, violence and hate crimes.

Additionally, unable to find jobs after returning home from military service, many veterans end up homeless with nowhere else to go. Although places do exist to support veterans who experience homelessness, many are either unaware of the resources at hand, or too ashamed to use these resources. As a result of the social stigma surrounding the topic, people experiencing homelessness often become withdrawn from society.

Society’s Attitudes Toward the Homeless

A bench that has armrests in-between to prevent laying down
Source: Yahoo Images; An example of hostile architecture that prevents the unhoused from sleeping on benches

Homelessness is received with wildly different attitudes among different cultures. America is a very diverse country, with people that share hundreds of different cultures and traditions, and these cultural attitudes can carry over in the way they respond to contemporary social issues. Different cultures share a varying definition of what a “home” means, and even more distinctions in their approach toward people experiencing homelessness. What the dominant White culture might consider to be a home, (an individual unit of space for nuclear families), might not be what someone who belongs to the Indigenous population believes. They might argue that a home is where you can interact with your community, a place to feel safe and share with friends and family. Even the attitudes toward helping people who are unhoused have strict cultural implications. As described in Islam, it is part of the every-day religious ritual of a Muslim to give alms and help the poor in their community. In Hinduism, while helping the poor with food and shelter is allowed, certain castes are not allowed to eat alongside with or sit beside  people of lower castes. People experiencing homelessness have their own unique culture, where certain skills or strategies for survival on the streets are shared amongst each other.

Along with all these complexities, the unhoused also undergo various types of stigmas, including social stigma, and cultural stigma. Social stigma can be discrimination and harassment directed toward the homeless population by the institutions, systems and people that make up society. Cultural stigma can refer to the stigma expressed by friends and family members or other religious or cultural institutions that may shame and blame the victims for being homeless.

Unhoused people also have a hard time finding employment. This is partly due to the fact that the job application requires a home address for the application process to be completed. As a result, people who are dispossessed also experience difficulties when finding housing. The applications for apartments include a proof of income/employment section and applying for government housing takes months to be processed and reviewed. Many states have long and complicated application processes, and even then, it is not a guaranteed housing option. Nevertheless, applicants can be denied, and they would still need a place to stay while awaiting their application to be approved.

Adding to these difficulties, people in the homeless community are constantly harassed with wild stares or abuse, (both verbal and physical), from members of society. The law enforcement agency, an institution designed to serve and protect people of the community, may make matters worse by deteriorating the situation further. Without proper training, police approach the homeless defensively, ready to attack at the slightest “abnormal” reactions. What they haven’t been trained to realize is that many people experiencing homelessness are also at high-risk of developing mental health issues due to the stress and realities of being homeless. These altercations can turn deadly, and unfortunately, many people of the homeless community have either been locked up or even killed by officers of the law. Many of these instances were even caught on camera, yet these officers faced little to no accountability or legal punishment.

People experiencing homelessness are also easy targets to getting their possessions robbed, and many times, police will raid their camps and confiscate what few belongings they might acquire, including sleeping tents and toiletries. Society also treats the homeless population as a burden and blames them for being “lazy” or “druggies” or “criminals/suspicious,” without any provocation from the homeless community. It can be especially insulting for the people experiencing homelessness to be judged for their situation while society simultaneously fails to criticize the state’s inability to protect peoples’ fundamental human rights to food, shelter, and other basic needs.

The Legal Response to Homelessness in America

Spikes under bridges
Source: Yahoo Images; An example of hostile architecture to deter the homeless from sleeping under bridges

The legal response to the homelessness crisis in America has not been a heartwarming one either. Urban cities all over the United States have put in place anti-homelessness measures, otherwise known as hostile architecture. These include slanted benches, benches divided by armrests, spiked and rocky pavements to prevent people from sleeping there, and even boulders under bridges. Not only are these measures inhumane, they also cost the tax-payers a lot of money. These atrocious tactics are put in place to discourage homelessness, attempting to connect rising numbers of homelessness to increased crime rates. As recently as July of this year, Los Angeles even went so far as to make homelessness downright illegal, restricting homeless encampments in majority of the city. The city has even  prohibited the homeless from sitting, sleeping, or laying in public.  Due to the fact that homelessness overwhelmingly affects people who belong to already marginalized communities, a rights-based approach is necessary, one that addresses the existing systemic issues which need to be fixed first.

Covid-19 and How it Continues to Impact the Homeless Population

An image of a crowded homeless shelter
Source: Yahoo Images; Homeless shelters can be crowded, without proper social distancing measures in place

The Covid-19 pandemic continues to impact many different communities in a variety of ways. The pandemic hit especially hard among the homeless population, where access to hygienic products are often slim, if not non-existent. People experiencing homelessness may not have the ability to continuously wash and sanitize their hands, with limited access to clean water and soap products. They also been experience complications with social distancing measures, forced to be in crowded spaces like homeless shelters, which has only increased their risks of getting infected. Furthermore, even when infected, or exposed to the disease, the homeless population has very limited ability to quarantine, further allowing the spread of the disease to others in close proximity. The unhoused population has limited access to healthcare and medicinal treatments, and many are already immunocompromised or have pre-existing conditions, which increases their vulnerability of catching the disease. Stereotypes geared toward the homeless population labeling them as “junkies” or “druggies” has influenced the care they receive, leading to many cases of misdiagnoses or mistreatment as a result of biases held by healthcare professionals and others in the health care industry. Due to the rise in unemployment numbers during the economic shutdown as a response to the pandemic, millions of people who did not qualify for unemployment benefits, and could not make ends meet, also became homeless as a result.

Some Successful Approaches to Ending Homelessness

A person sitting next to a hostile architecture with a sign reading, "Homes Not Spikes"
source: yahoo images; An unhoused person advocating against hostile architecture

There have been some successful attempts at ending homelessness in America as well as in other nations. Utah attempted to decrease its rates of homelessness back in 2015, which successfully reduced its homelessness by 91%. They executed a policy known as “Housing First,” which gave their chronically homeless populations free housing, a decision that cost the state less money than alternative anti-homelessness measures. This program unfortunately has not been a complete success, as people experiencing homelessness in other states have been migrating to Utah, making it too expensive for Utah alone to pay for the country’s increasing homelessness crisis. A national policy, on the other hand, that could implement the Housing First approach taken by Utah, may be the easiest, and essentially cheapest option to ending the homelessness crisis in America. This is essentially what Finland did. In 2019, Finland approached the homelessness issue with the most obvious of answers, by providing housing for all those who are unhoused. Like Utah, they applied the “Housing First” policy, (which came with no strings attached), recognizing that housing is an essential human right that should be protected and promoted. They also understand that in the long run, providing the homeless population with housing is the cheaper option to society. Also, as examined earlier, if applied in America, this Housing First policy will inevitably save more lives, with fewer interactions between the homeless and the police.

While homelessness is not something people are normally born into, the unhoused face discrimination, stigmatization, and marginalization from society just as much as any other group. Although people’s socioeconomic status is a major factor in determining who is most vulnerable to experiencing homelessness, as we’ve seen in the case of the LGBTQ+ youth, and older veterans as well, homelessness can impact people of any and all races, at various age levels, and at any given time. The pandemic itself has expanded the homeless population as people are unable to pay their backed-up rent or mortgage payments. While alternative approaches can assist to eradicate levels of homelessness in our society as implemented in Finland and Utah, it is crucial that we also continue to destigmatize being homeless in American society and take a rights-based approach to finding long-term solutions to end their suffering.

 

 

The Texas Social Worker’s Code

social work student listening to lecture
Social Work Students’ Accreditation Visit 3.26.13. Source: Southern Arkansas University, Creative Commons

Social work is a field in which professionals are intended to do their best to help connect members of vulnerable populations with the resources necessary to allow them to live with their rights and general well-being safe.  However, on October 12 of this year, during a meeting between the Texas Behavioral Health Executive Council and the Texas Board of Social Work Examiners, a section of the social workers’ code of conduct was altered.  A section which previously stated, “A social worker shall not refuse to perform any act or service for which the person is licensed solely on the basis of a client’s age; gender; race; color; religion; national origin; disability; sexual orientation; gender identity and expression; or political affiliation.”  During the meeting, the words “disability; sexual orientation; gender identity and expression” were taken out.  They instead replaced that phrase with the word sex, making the social workers’ code match the Texas Occupations Code. 

This is concerning for a few reasons, the most glaring one being that it leaves members of the LGBTQ+ community and people with disabilities in Texas, two populations that are already seriously vulnerable, even more vulnerable than before, as social workers can now turn away potential clients from those communities.   

This led to an uproar among advocates for the LGBTQ+ community and people with disabilities, as at puts their ability to access important resources that are related to their basic human rights directly at risk.  There is an increasingly serious concern that members of these populations will face even more obstacles in accessing the things they need than they already do. 

The Human Rights Connection 

It’s important to recognize that is an issue of human rights, even outside of the clear issue of discrimination against these groups that is involved.  Consider some of the jobs of social workers.  They include therapists, case workers, workers for Child Protective Services, and much more.  In addition to working with people with disabilities and members of the LGBTQ+ community in general, many social workers specialize in work with children and older adults, two groups which overlap with the former.  Then these vulnerable populations are unable to get the support they need in order to access the tools, programs, and resources that exist specifically to help them live life and access their basic needs, they are by extension often kept from being able to access their basic human rights.   

Sign that reads "Social Workers change the world"
Source: Yahoo Images

One clear example of this is when people with disabilities require financial aid to support themselves do to an inability to be a part of the general workforce.  Social workers are an important part of the process of connect the people affected by this issue with the resources and government programs they need.  Without the aid of social workers, they might have significant difficulty accessing their right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control,” as recognized in Article 25 of the United Nations’ Universal Declaration of Human Rights. 

The fact that this allows social workers to discriminate certain groups in accepting clients is human rights issue in itself, as according to Article 7 of the UDHR, all are entitled to equal protection under the law and, All are entitled to equal protection against any discrimination in violation of this Declaration and against any incitement to such discrimination.” 

 The Purpose of Social Work: Helping Vulnerable Populations 

Another reason this change in the Texas social workers’ code of conduct is problematic is that the field of social work is inherently meant to involve professionals helping vulnerable populations (such as the LGBTQ+ community and people with disabilities).   According to the National Association of Social Workers’ (NASW) Code of Ethics, The primary mission of the social work profession is to enhance human wellbeing and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty.”  vulnerable population is a group or community “at a higher risk for poor health as a result of the barriers they experience to social, economic, political and environmental resources, as well as limitations due to illness or disability.” 

Social work is also built a set of core values: service, social justice, dignity and worth of the person, importance of human relationships, integrity, competence.  It is the job of a social worker to do what they can to uphold those values by helping vulnerable populations access the resources they need.  Therefore, social workers’ turning away members of the LGBTQ+ community and people with disabilities, particularly vulnerable groups, goes against the social work code of ethics.   

The ethical principles of social work also bar social workers from participating in acts of discrimination on the “basis of race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, or mental or physical ability.” 

There is a meeting set for October 27, 2020 so that the Texas Behavioral Health Executive Council can discuss the issue of discrimination as it applies to the changes that were made to the Texas social workers’ code of conduct.  It is vital that we do not underestimate the significance of this situation and the serious harm that it can cause. 

Not Fair, Still Lovely: The Perpetuating Toxicity of Colorism

advertisement for a skin whitening cream
Source: Adam Jones

This past summer, two pandemics plagued the world: COVID-19 and systemic racial discrimination and prejudice against Black communities. While the former was making modern history, the latter had been happening for centuries. As I thought of ways to address and educate myself and my family on these injustices, I found myself revisiting and reevaluating my own biases, particularly those I’ve experienced within the Indian community.

Growing up in South India, I would mimic my mother and grandma’s daily skin care routine when they used “Fair and Lovely,” a skin lightening and bleaching cream. I was constantly told to not play outside because I might get too dark, and my foundation for dance competitions and rehearsals was often shades lighter that what it needed to be. I was raised in a world where your worth was defined by the color of your skin, and if by chance your skin was too dark or too tan, then you were seen as un-beautiful, unworthy, and incompetent. Most women like my mom, my grandma, and I, as well as other individuals that suffer from the stigma that being dark is ugly, have often fallen prey to companies that profit off the ideology that whiter skin is equivalent to beauty, self-confidence, and self-worth.

Colorism in Indian Society

Colorism is an issue that is often ignored and rooted in societal pressure around fairness. It is a discriminatory practice in which institutions or individuals treat those with lighter skin tones more favorably, upholding instead White, Eurocentric standards of beauty. India is a mixture of diverse cultures, languages, and shades of brown. With different skin tones came colorism that continues to perpetuate stereotypes, prejudices, and discriminatory actions. For generations, Indian society has been brainwashed into the ideology that fairer skin is more desirable, leading to the nation  developing a multibillion-dollar skin lightening industry. Everyday products like Olay’s Natural White Glowing Fairness Cream, Lotus Herbal’s White Glow Skin Whitening and Brightening Gel Crème, Pond’s White Beauty Daily Spot-Less Lightening Cream, etc. promote stereotypes against darker skin tones through their marketing strategies. For example, a current advertisement shows a young woman with a darker skin tone being rejected from a job later ends up using a fairness product to become more beautiful and thus confident. She then goes on to score an even better job at the end. Mainstream media also fails to provide accurate representations of India’s population, with many actors being light skinned and with frequent recruitment of foreign and predominantly White-presenting actors. Often the practice of “brown-face” is used among these actors and production companies to fit a certain role or aesthetic, thereby enforcing negative stereotypes when proper recruitment should’ve happened in the first place. Even more disturbing is that these stereotypes are so enforced in people’s homes and daily lives and can affect prospective marriages, job opportunities, and other relationships due to preferential treatment towards lighter skin.

The Origins of Colorism

Often, people mistakenly identify the origins of colorism with the caste system present in India. The caste system divides the Indian population according to labor and promotes the idea that each subgroup has its own functionally important role in society. Over time, this led to misrepresentation and manipulation of the caste system, because higher status on the ladder typically meant more prestigious work related to education, religion, trading, etc., whereas lower status meant more labor-intensive work that typically meant occupations in dirtier, outdoor environments. Naturally, those individuals lower on that ladder became darker due to their exposure to natural environmental conditions. Their natural and seasonal tanning along with their status as Dalits (“the untouchables”) within the caste system can be argued to have contributed to colorism. While the caste system does play a part in this ideology, it doesn’t fully explain why discrimination continues to happen, especially among individuals that identify with a higher status on the caste system but are also darker. Apart from that, multiple text depict Hindu deities as “dark-skinned,” and who hold a tremendous amount of respect, honor, and power. Neither the caste system nor religion can wholly explain the origins or colorism and why it still continues to perpetuate today.

A chart depiction of the Caste system.
Source: Source: The Ancient Wisdom Project

Colonization, the third factor of this equation, seems to be the missing part of the puzzle. Like many countries, India was not exempt from British rule and had only in the past century gained its independence. During the centuries of British rule and oppression, “colonization was embedded in the idea that fair skin people were the ruling class, and darker skinned people were the subjects.” Apart from this, there was also blatant favoritism by the newly erected British government towards light skinned Indians that directly affected social and class mobility as well as a family’s socioeconomic status. This was seen through discriminatory practices, such as offering lighter skinned individuals government pardons, jobs, and a voice, which were not offered to Indians of darker skin tones. This mindset, that the only way to be worthy, to be accomplished, and to be civilized and beautiful, slowly became an innate mantra amongst the Indian population, creating generations of individuals that strive for a beauty standard deeply rooted in anti-ethnic, anti-Indian, and anti-minority sentiments. The effects of colonization intermingled with the stereotypical notions of the caste system to give us unique and deeply rooted coloristic principles.

Difference between racism and colorism

Earlier, I mentioned that I wanted to address my own biases regarding systemic racism and educate myself on this issue. However, as an Indian-American immigrant, I found it difficult to navigate the differences between racism and colorism as the two are often intertwined and seen together in my community. But the more I researched on this issue, I found that people, often non South Asians, frequently mistook colorism for racism because it can perpetuates anti-Black sentiments within South Asian communities. Except, they are very distinct concepts. For example, in the U.S. (but not exclusive to the U.S.), skin color is the foundation of race, and continues to be a criterion in determining how they are evaluated and judged. The United States’ historic treatment and oppression of Black Americans is racially based, and within that exist preferences for certain skin tones. However, in a lot of Asian and colonized countries, race is not the primary indicator of how an individual will be treated. Instead, the color of a person’s skin on the wide range of the color spectrum will be the major determinant. While the two sound very similar, “the pervasiveness of a color hierarchy” is the crucial factor in social and class mobility, not necessarily race. Colorism and racism, while closely related problems need different solutions, and while these some of these solutions may overlap, each has a unique set of problems.

Woman holding a Black Lives Matter sign.
Source: Socially Urban

Right now, certain skin care and make-up companies, such as Unilever’s “Fair and Lovely,” that release skin whitening, bleaching, and lightening products have issued public apologies and are removing, re-advertising, and rebranding their products. While this alone is not enough, because the consumption of such products is based in generational trauma surrounding discrimination around darker skin and beautiful shades of brown, it is a step forward in addressing how such companies are profiting off anti-Black sentiments and how to halt such practices.

What can I do?

  • Follow Nina Davuluri’s “See My Complexion” petition and project.
  • Continue to callout and critique companies that promote skin bleaching and whitening products because cosmetic changes such as rebranding products is not enough to halt harmful beauty standards.
  • Most importantly, it’s important to address and actively combat our own implicit biases that are rooted in generational trauma.

Let’s #BreakTheChains

Break the Chains
Source: Human Rights Watch.

“I used to be chained around the waist and one ankle. My waist used to hurt because the chain was so heavy. My leg used to hurt, I would scratch it and cry. I felt relieved when the chain was removed.”

–Rose, Kenya

An estimated 792 million people globally – that is 1 in 10 people, including 1 in 5 children – have a mental health condition. Despite this irrefutable fact, governments spend less than two percent of their health budgets on mental health. The absence of proper mental health support and knowledge of how to cope with a mental health condition has lead to thousands of people being shackled in inhumane conditions.

“People in the neighborhood say that I’m mad [maluca or n’lhanyi]. I was taken to a traditional healing center where they cut my wrists to introduce medicine and another one where a witch doctor made me take baths with chicken blood.”
—Fiera, 42, woman with a psychosocial disability, Maputo, Mozambique, November 2019

This brutal practice is an open secret in many communities, according to Kriti Sharma, the senior disability rights researcher at the Human Rights Watch. Sharma and her team compiled a 56-page report titled “Living in Chains: Shackling People with Psychological Disabilities Worldwide,” shedding light on the conditions in which people with mental disabilities are bound by families in their own homes or in overcrowded and unsanitary institutions against their will. This is due to the widespread stigma and taboo of mental health issues within governments and health institutions in several countries. In state-run, private, traditional, and religious institutional “healing centers,” people with mental health conditions are often forced to fast, take medications or herbal concoctions, and face physical and sexual violence.

Afghan
“A mentally ill patient is chained in a cell at Mia Ali Saeb Shrine in Samar Khel, Afghanistan on Nov 12, 2008. Patients, usually brought here by family members, are only given daily rations of bread, black pepper and water, and are kept in their cells for 40 days. With mental illness widely misunderstood, many Afghans believe God will cure the patients with such treatment.” Source: Yahoo Images.

The Human Rights Watch’s study of 110 countries unveiled evidence of shackling people with mental health conditions across age groups, ethnicities, religions, socioeconomic levels, and urban and rural areas in about 60 countries. Countries that indulge in these types of practices include Afghanistan, Burkina Faso, Cambodia, China, Ghana, Indonesia, Kenya, Liberia, Mexico, Mozambique, Nigeria, Palestine, Yemen, and several more.

Though a number of countries have started to acknowledge mental health as a real problem, the inhumane act of shackling remains largely out of sight. There is no data or coordinated effort at either international or regional level to eradicate the binding of people who are mentally ill. The act of shackling impacts both the mental and physical health of someone who is already ill. Some effects include post-traumatic stress, malnutrition, infections, nerve damage, and cardiovascular problems, not to mention the loss of dignity. The #BreakTheChains Movement is an organization devoted to bringing awareness of shackling to nations and increasing access and awareness of mental health services in countries where shackling is a common problem. The movement has been successful in Indonesia where its country-wide interviews and advocacy led the government of Indonesia to deepen its commitment to #BreakTheChains. Over 48 million households in Indonesia now have access to community-based mental health services.

Laymen can also assist the movement by following two easy steps: sign the pledge, and share the movement on social media to promote awareness. It is time to acknowledge that mental health is a real issue that affects millions of people, and shackling and ignoring the issue will not resolve any issues, nor will it reduce the stigma associated with mental health. If we, as global citizens, have learned anything from this pandemic, it is how deathly and dangerous the invisibility of a disease is. Mental health is invisible like COVID-19, but there are always symptoms. Make an effort to educate yourself, and take the opportunity to check in on people by simply asking how someone has been. It really is that simple.

Brief Video about the Chained

COVID-19’s Effect on Mental Health

woman sitting alone on a bench next to a backpack
Self Isolation. Source: Bicanski, Creative Commons.

Amidst the global pandemic, we have all had to make some changes to our daily lives. It used to be normal to go to restaurants, movie theaters, and concerts, but now, for the most part, we stay away from those activities and social distance instead. While social distancing has slowed the spread of COVID-19, most of us are aware of the toll it takes on our mental health. Humans are a very social species, and social isolation can have a severe impact on overall wellness. Financial hardships and anxiety over illness contribute to a decline in mental health as well.

Social isolation has many benefits when it comes to slowing the pandemic. However, it drastically impacted the lives of many people in an unintended way. Loneliness has skyrocketed due to people only having contact with the people they live with—or no one. The effects can be even more confusing because social isolation affects everyone differently. Some people have pre-existing mental health conditions, and when the pandemic forced them into isolation, they recognized their symptoms worsening. While their original symptoms worsen, they also are more likely to develop PTSD than their counterparts without pre-existing conditions.

Even those without pre-existing mental health conditions are vulnerable to worsened mental health when facing social isolation, especially children and adolescents. Many people in this age group get most of their social interaction through school, and with many schools closed or on limited schedules, they’re not receiving the social interaction they need to grow. Because of the loneliness these children and teens are feeling, there is the increased risk that some of them will develop depression at an early age, with even higher rates than normal among those that have a family history of depression.

College students are facing very similar challenges that adolescents in middle and high school experience, except many have the added pressure of being away from their families while also no longer having a strong social network on campus to rely on. Many students are experiencing increased fear and anxiety in addition to depression, which can lead to physical health issues; anxiety and depression can worsen sleep and eating habits, which can have profound effects on a student’s energy, and in turn their performance in school and overall health.

Financial struggles have been shown to have severe impacts on a person’s overall wellbeing outside of this pandemic. Over a third of the United States’ population experienced negative financial impacts due to the pandemic. Hourly workers, who typically already struggle financially, were hard hit, which creates a lot of stress for them and their families. People who are worried about their finances may also be unable to seek mental health help from professionals, which could potentially improve mental health.

Many people with stable work before the pandemic hit, lost their jobs. They experience an added stress of worrying about evictions and foreclosures and where their next meal is going to come from. This can lead to higher levels of anxiety and depression, and in the past, economic downturn, which we have experience during the pandemic, is associated with an increased rate of suicide.

This pandemic has been a new experience for all of us. The COVID-19 pandemic wasn’t the first pandemic, and many are realizing it won’t be the last. This realization is increasing anxiety in many people, along with worrying about the health of immunocompromised loved ones or personal health. Additionally, many are worried about dying alone. This increase in stress can lead to an increase in anxiety and depression, along with other mental health issues, and worsen existing mental health conditions.

Being home all day has kept people in front of the TV, watching the news. It’s beneficial to be informed, but studies have shown that too much COVID-19 news can worsen mental health issues. This can exacerbate issues that already existed. One way to reduce being overwhelmed with the news, but to stay informed is to limit the time watching the news and instead get reliable information from the CDC, which updates information regularly.

Mental health is a human right, and should be a priority, especially during times or social isolation, financial hardship, and illness. An emphasis should be put on practicing self-care, but it’s also important that people who need help from a psychologist or psychiatrist get the chance to see them. During this pandemic, mental health has been put on the back burner. While many of the steps taken have saved countless lives, their impact on mental health should not be overlooked. In the future, when we take drastic measures, such as social isolation, we need to make sure the mental health aspects will be given the attention they need to be able to keep our population healthy in every way possible.

Cancel Culture: A Societal Obligation or Infringement on Free Speech?

A large majority of people spend their time online talking to friends, sharing and obtaining news, or connecting with family. Our lives being connected to the internet has forced us to learn how to network and find our way around social media platforms. Social media platforms, such as Twitter, Facebook, Instagram, and TikTok, facilitated the creation of “cancel culture” as we know it today. Cancel culture is used to call out behaviors and actions of individuals and corporations that convey opinions or feelings which are objectively questionable or not appropriate from a public perspective. Engaging in cancel culture typically requires a series of hashtags that proclaim an individual is being cancelled. A hashtag followed by the word cancelled or a hashtag with a person’s name followed by the phrase “isover” are the most commonly used hashtags within the tradition of cancelling. This brings us to an interesting dilemma of whether or not cancel culture is an infringement on freedom of speech.

Infringement on Freedom of Speech

Cancel culture has proven to be an effective method to identify the actions taken by individuals and corporations to rectify mistakes. Recently, in light of social justice movements such as the Black Lives Matter Movement and #MeToo; during an election year, cancel culture has been used to take down racist statues, rename buildings named after white supremacists, call out celebrities and prominent figures in society, and address “racist, sexist, or homophobic views or ideologies.”

Cancel Culture from Two Perspectives

The first perspective is often from the people who are advocating against cancel culture. These people often have large platforms, and they are upset that their freedom of speech is being infringed upon due to the policing of cancel culture and they’re afraid of being criticized for their opinions. The first perspective against cancel culture revolves around the inability to take criticism.

The second perspective involves those that do not engage in exercising their right to free speech and expression. People are afraid of the repercussions of cancel culture so they choose to not express themselves. This second perspective of cancelling is more concerning because it involves actively suppressing the beliefs, ideologies, and perspectives of people and a true cancelling of these voices.

There is a delicate balance in defending the right to freedom of speech and holding individuals and corporations responsible for their actions. The issue with cancel culture is that there is no gradation and all missteps have the same severity of punishment. People can be fired, and student admission can be halted as a result of this. In most cases, it’s a trend to be cancelled where people jump on a bandwagon without the slightest amount of information on what they are cancelling.

On the other hand, “defending speech has become a tool to bully others into silence.” Often, proponents of free speech will quote the right to speech and expression granted by the Constitution to prevent others from criticizing them. While it can be a useful tactic in the short term to support an argument, it leaves no room for compromise. This tactic makes it impossible to find the equilibrium in a conversation, which I argue can be almost as bad as cancel culture.

A protestor holds us up a fundamental part of what defines the freedom of speech. Source: theduran.com
A protestor holds up a fundamental part of what defines the freedom of speech. Source: theduran.com

A Different Option: Call Out Culture

More often than not, free speech is not being infringed upon. It is often a case of what boundaries are being set to speak in a public setting and if those boundaries are acceptable. While it is our responsibility to be open and receptive of opposing views, these views are not always in concordance to what a majority of people might believe. This gives leeway for a new type of action where the public can participate in call out culture instead of cancel culture. But before calling out, it is still important to give the opponent a chance to respond and hear their responses to avoid regressing and participating in what can be a very toxic culture. Responses do not need to include canceling, suppressing, or removing, but can include educating, accepting, and forgiving. This gives room where we can set boundaries safely and simply say, “I do not agree with you,” but even with this it is very situational where some actions are above disagreeing and need to be addressed properly.

For example, in 2016 a Pepsi advertisement featuring model and influence Kendall Jenner was incredibly tone deaf, and downplayed the severity of protests and the Black Lives Matter movement. The outcry against the ad prompted a response from Pepsi and Jenner apologizing for the missing the mark on trying to project “unity, peace, and understanding,” and for putting Jenner is this position. The public seemed to not hold Pepsi to the same standards that Jenner was held, and to this day still is, and essentially made her accountable for the apology, when every one that participated in the situation and production should have also been held responsible. On the other hand, Larry Nassar, who was national team doctor for USA gymnastics, was charged for hundred of cases of sexual assault under the pretext medical treatment for the athletes. Him, his actions, and his behavior harmed hundreds of lives and families, and so the public outcry against the individual, his actions, and the system that supported him was warranted and justified in a situation. Did he deserve to get cancelled? I think most people would argue yes, in a situation that is very black and white both morally and legally. Then the question becomes one of gradation. Did Jenner, a decent person often on the right path, deserve to get cancelled and held to the same standards of accountability, just as Nassar, and risk facing a stagnant and declining career for a misstep? For this, I think most people would argue no, because, yes while the ad was harmful to several communities, it was no where near the severity of Nassar’s actions. Yes, her participation needed to be addressed, but did it warrant “cancelling” a targeted individual because of their background instead of education them?

How to avoid cancel culture?

  • Do your own research on the situation or individual – the one being called out or cancelled as well as the individual doing the calling out or cancelling.
  • Evaluate the gradation and the consequence of the action in question, and ask yourself if cancel culture actually works.
  • Try to address how toxic it can be for your mental health and identify if there is another way to help.
  • If you do decide to engage, make sure to call out and educate instead of cancel.

Fires and COVID-19 Race Through Lesvos Migrant Camp

We are asking for the European community to help. Why are they not listening to us? Where are the human rights? We took refuge in the European Union but where are they? There are no toilets, no showers, no water. Nothing. Not any security or safety. We die here every day.”

Devastation in Moria

On the night of September 8th, 2020, fires raged through Europe’s largest migrant camp in Moria, Lesvos in Greece. It is home to more than 13,000 people which is 6x its capacity. Recently, Moria has caused deep political divisions and unrest in Europe over Mediterranean migration. Moria serves a direct transit point for hundreds of thousands of people seeking refuge from Afghanistan and Syria with the European Union. After Europe started closing its borders and putting a quota on the number of immigrants 4 years ago, life in Moria began to be plagued by mental and physical health issues and desperation. What was originally a temporary camp, became the home of deplorable conditions for people who were running from another deplorable environment.

On the night of the fires, thousands of Moria residents were displaced and are currently being refused entry into Europe, being refused basic rights to shelter and safety, being refused access to proper shelter and sanitation, and being refused their human rights. Since fleeing the fires, the refugees have resorted to sleeping on fields and the sides of roads. Thousands of migrants are now demanding more permanent housing because their situation is so out of the norm and they just want to feel safe in one environment, but their cries for help are continuing to go unheard. The Greek government has taken positive steps to build a more permanent migrant camp, but this leaves little to no hope for refugees seeking a better life outside of Lesvos.

This picture shows the a part of the residential area of the Moria camp where proper housing is severely limited and lacking along with our necessities. Source: Marianna Karakoukali

While accounts of how the fires started are currently being investigated the Greek government is claiming to have identified the culprits. Rumors of how the fires started are illustrative of ethnic and political tensions on Lesvos. The refugee migrants are tired of their poor living circumstances and the local population is upset with lack of regional, national, and international support for managing the influx of migrants and refugees on the island. While a second civil rights movement is happening not only in the United States, but all around the world, racial and ethnic tensions are high. Many refugees feel the European Union is turning its back on them. The European Union is becoming less tolerant for migrants and refugees, when it had once promised to help.

So how is COVID-19 affecting Moria?

Earlier this year, Greece went into lockdown and put travel restrictions on tourists coming in and residents going out. At the beginning of September, there was a small outbreak among the residents at the Moria camp, and human rights advocates are concerned that the Greek government is using this outbreak as an opportunity to further constrain the lives and freedoms of the migrants. The Greek minister for migration; Mitarchi, released a statement saying that the outbreak suggests need for a more “closed and controlled” environment for the migrants. This is odd considering that Moria has experienced far fewer cases than the rest of Greece, but the restrictions placed over the lives in Moria were much higher in comparison. In the Spring, the United Nations was so overwhelmed and concerned with livelihood and the living conditions at Moria that they called to expedite the migration process and related paperwork. So along with the day to day living conditions at Moria, COVID-19 and readily available access to healthcare is making life harder for the migrants. The fires may have been set in retaliation against the newer COVID-19 restrictions by the migrants or they might’ve been set by the local residents who fear the spread of COVID from the camp.

What is going on now?

In the meantime, while the Greek government is talking to French and Italian national leaders, riot police have been deployed to both the site where fires have been set, and also to the new refugee camp that is being set up to shelter those abandoned in Moria. This new site is at Kara Tepe where local media has identified helicopters that have been transporting tents and other necessities for the residents. In the fires, refugee documentation and belongings have been lost and burned, so it is still being determined how accessible the new site at Kara Tepe will be. Many refugees are now saying that they will not go back to another refugee camp where proper living conditions are not guaranteed, but the Greek government is saying that it will “not be blackmailed.”

Refugees sleep on side of the road following the fires, while they await further government housing and instructions. Source: Tasnim News Agency

What can you do to help?

The Right to Mental Health and the Importance of Self-Care

An image of a brain embroidered on a piece of fabric in an embroidery hoop.
Brain Anatomy Hoop Art. Hand Embroidered in Pink and Blue. Source: Hey Paul Studios, Creative Commons

While it seems that most people today would agree that taking care of one’s mental health is important, it may come as a surprise that mental health is actually a human right.  According to Article 25 of the Universal Declaration of Human Rights, all people have the right to “a standard of living adequate for the health and well-being of himself and his family…”  The Office of the United Nations High Commissioner for Human Rights has declared that “that the right to health is a fundamental part of our human rights and or our understanding of a life in dignity.”  

Mental Health as a Human Right 

The United Nations Human Rights Council recognizes three principles regarding the right to health: 

The first is that it is an inclusive right.  This means that it extends “not only to timely and appropriate health care, but also to the underlying determinants of health.”  This includes things like access to clean water, safe working conditions, and important information about health.  These factors, while clearly relevant to physical health, are also important in maintaining one’s mental health. 

The second principle is that the right to health includes both freedoms and entitlements.  Freedoms would include things like “the right to control one’s health,” while entitlements would include things like “the right to a system of health protection that provides equality of opportunity for people to enjoy the highest attainable standard of health.”  This is significant because one needs to be able to access important information and resources related to mental health in order to have meaningful support for their mental health.   

The third principle is that the right to health is a broad concept that can be divided up into more specific rights.  For example, there are some aspects of health that are specific to people who are assigned female at birth, and those aspects are associated with specific rights.  The right to mental health (and the rights associated with it) is one of the many rights that make of the right to health.   

Mental Health Impacts Your Overall Future Health 

According to the World Health Organization’s Constitution, health is “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”  Based on this, taking care of your mental health is not simply making sure that you are not actively going through a crisis.  Being healthy is more than just surviving.  Taking care of your mental health involves taking daily steps to care for yourself that not only improve your health in the present, but also protect your health in the future. 

Having poor mental health puts you at a greater risk for physical health problems.  According to the American Psychological Association, having a mental health condition reduces men’s life expectancy by an estimated 20 years and reduces women’s life expectancy by about 15 years.  This is in part due to the fact that nearly two-thirds of people with mental health conditions do not seek any form of treatment. 

Mental Health is a Key Part of Accessing Many Other Rights 

In addition to being a right on its own, maintaining good mental health is also a key part of being able to meaningfully access many other human rights.  For example, even when given all the necessary tools that are directly related to education, struggling with mental health issues can impede a person’s ability to receive a truly meaningful education.  This is reflected by the long-term effects of depression.  In one study, scientists found that individuals who faced depression during mid-adolescence and continue to deal with it as young adults are at an increased risk of educational underachievement and unemployment.  One’s mental health can also impact their access to other rights such as the right to participate in the cultural life of their community, the right to rest and leisure, and the right to work. 

Scrabble pieces spell out the words "mental health."
Mental Health. Source: Kevin Simmons, Creative Commons

You Have to Help Yourself Before You Can Help Others  

You’re probably familiar with the concept of putting your oxygen mask on before assisting others on a plane.  If you are struggling to breathe yourself, not only is your ability to help others inhibited, but you’re putting your own health and well-being at risk of harm.  This can be applied to mental health as well.  If you are facing serious struggles with your own mental health, it is important to focus on helping and support yourself before taking on responsibilities related to other people’s mental health. 

For this reason, the maintenance of good mental health is especially important for people who work in fields such as human rights advocacy.  The world of human rights is full of issues and topics that can be emotionally draining, so one can easily become overwhelmed by it all.  It is vital that advocates make their mental (and physical) health a priority, even if their main concern is helping others.  Self-care needs to be a part of any human rights advocate’s tool kit. 

The Basics of Self-Care 

Self-care can be defined as “any activity that we do deliberately in order to take care of our mental, emotional, and physical health.”  

Raphailia Michael, a licensed counseling psychologist, suggests that there are three golden rules to starting self-care: 

  1. “Stick to the basics.”  This makes it easier to include self-care into your schedule, make it a part of your regular routine, and figure out what works best for you.
  2. “Self-care needs to be something you actively plan, rather than something that just happens.”
  3. “Keeping a conscious mind is what counts…if you don’t see something as self-care or don’t do something in order to take care of yourself, it won’t work as such.”  

Michael also gives a basic checklist of self-care tasks that can apply to pretty much anyone.  This list includes things such as eating a nutritious diet, getting enough sleep, following up with medical care, and looking for opportunities to laugh every day. 

It is so easy to get caught up in the hustle and bustle of everyday life and forget to take care of oneself.  We all do it sometimes.  It is important that we set aside time to properly take care of ourselves and pay attention to our own needs.  Mental health matters just as much as everything else that is going on, and that’s something we need to remember. 

 

The Criminalization of Mental Illness

Prison cell block
Prison cell block. Source: Bob Jagendorf, Creative Commons.

It is no secret that the United States has an issue of overcrowding prisons, which can lead to many issues regarding quality of life in prisons. Overcrowding in prisons is not just a problem in the United States; over 100 other countries also have this issue. In many countries, the criminalization of mental health is a factor that is compounding the issue. Individuals with severe mental illnesses not only need treatment that prisons don’t provide, but also can be put in dangerous situations when they are in prison. Despite this, they are more likely to end up in prison than in treatment.

Up until the 1960s in the United States, when someone had a severe mental illness, they were typically placed in a mental institution or asylum. In an effort to provide patients in mental institutions better community-based care and reduce government spending, the process of deinstitutionalization began. However, that is not how it played out. While the movement gave those with mental illness more rights and turned society away from locking them up, it released some that would have benefitted from long-term care that community centers could not provide. However, with many patients moving out of long-term treatment facilities, many of these facilities were shutting down. This left community mental health centers to try to treat illnesses they were not originally intended to. Another issue arose when insufficient funding was allocated for the community mental health centers, further overwhelming the new system. Because the difficulty of the transition from institutionalization to community care was underestimated, many—then and today—have gone without treatment. The lack of treatment for serious mental illness, like Schizophrenia, has led to the incarceration of many people with mental illness who should instead be treated.

Not Guilty by Reason of Insanity

Another issue that has contributed to the criminalization of mental illness is the difference between the clinical definition of mental illness and the legal definition. The diagnosis of mental illness is dictated by the Diagnostic and Statistical Manual of Mental Disorders (DSM). The law, however, sees mental illness as symptoms that impair mental functioning. The main diagnoses that fits into the legal definition are psychotic disorders, such as Schizophrenia. Even if someone has been diagnosed with a psychotic disorder, when pleading not guilty by reasoning of insanity, their lawyer must show that they were having symptoms at the time of the crime that contributed to said crime. This can be a difficult task as some states require that the symptoms are so severe that the defendant didn’t know that the crime was illegal. Even in cases where the defendant has shown this to be true, some juries will give a verdict of guilty to ensure that someone is held accountable for the offense.

Some states have gotten rid of the insanity plea altogether, while others have changed it to “guilty because of mental illness” meaning after treatment, they must serve their sentence in prison. This can sometimes put the progress a patient has made in jeopardy, as prisons are not a suitable environment for maintaining a newly achieved healthy mental state. In states where not guilty by reason of insanity is still in effect, those found not guilty by reason of insanity are supposed to be released after sanity has been restored. Yet, this is rarely the case; due to fear they will go off their medicine and commit the same violent crimes, many are held in treatment facilities indefinitely. With the threat of this outcome overhead, many opt out of the not guilty by reason of insanity plea and are instead place into a prison where they will not receive the appropriate care.

Because of the law’s strict definition of mental illness, many are being placed in already crowded, underfunded prisons. Because of the lack of mental health professionals, prisoners in some states, including Nebraska, may not receive medications for mental illnesses or have access to talk to counselors. This can cause the reemergence of once-controlled symptoms, making the prisoner with a mental illness a danger not only to himself, but also to others. Additionally, many with severe mental illness are put in solitary confinement for long periods of time. Psychologists who have studied the effects of solitary confinement have seen a pattern of increased mental health problems in people who were originally neurotypical. If this is true, the effects on prisoners with mental illness could be devastating. Not only are people being sent to prison when they should receive treatment, they are also being put in situations that make their symptoms worse and make it harder to reenter into society if their sentence allows.

Substance Use Criminalization

In addition to violent crimes committed because of mental illness, many nonviolent acts associated with mental illness are criminalized; Substance Use Disorders are recognized by the DSM V and are therefore diagnosable and treatable, but the law instead criminalizes it. While at any given time there are more convictions for violent crimes, more people are sent to prison a year for drug-related crimes than violent crimes. Studies have shown that those imprisoned for drug-use are unlikely to receive treatment and often return to using drugs once released because they lack the resources that treatment would have given them. Sending people with Substance Abuse Disorders to jail does not improve their illness.

Not only those with Substance abuse disorder are affected by this criminalization; those diagnosed with another mental illness are five to eighteen times more likely to have a comorbid Substance Use Disorder. This can further prevent someone who needs treatment from receiving it. Most prisons don’t have adequate resources to treat prisoners with mental illness, so imprisoning people for crimes that are directly tied to mental illness can be detrimental to their treatment and future.

Current solutions

Some states are trying to combat the increasing proportion of prisoners with mental illness not receiving treatment. With our corrections system slowly catching up with our understanding of mental illness, states—like California—are beginning to consider replacing their old jails, not with new ones exactly like them, but instead with centers focused on rehabilitation. They are not calling for moving all criminals with mental illness out of prisons, but instead treating those with mental illness while they serve their sentence. Additionally, they do want to increase the diversion from jails, but that will be done on a case-by-case basis and only for those who have committed a crime because of mental illness.

Stigma

Ultimately, the criminalization of mental illness has a lot to do with the stigma surrounding it. The general population connects mental illness with violence, which leads to harsher punishments. As a society, we need to reduce stigma before any change can happen. If we continue to see those with mental health problems as inherently violent, they will continue to be prosecuted and sentenced unjustly.