First published on WhyIHateCCA
By Jenny Landreth

Historic photo of North Carolina prison farm, 1925 (Photo: Government & Heritage Library, State Library of NC).
The news that GEOCare, a private for-profit company, is hovering around the prisoner mental health honeypot in North Carolina is an extremely worrisome development. Mental health in prisons tends to fall at or near the very bottom of the list of priorities in prison management– and likewise in prison budgets– not least because a large percentage of the typical prison population suffer from mental health issue. This covers everything from anxiety and depression, to self-harm, insomnia, suicide attempts, psychosis, borderline personality disorder, uncontrollable anger and violent impulses associated with schizophrenia, bipolar disorder, and eating disorder. To be honest, if a prisoner is not suffering from some sort of despair related condition whilst incarcerated in the US prison system, they are doing remarkably well. Some prisoners are clearly more robust mentally than others, and it cannot be denied that these prisoners are likely to become the strongest of the population, sometimes to the point of bullying of vulnerable, mentally ill prisoners.
Tough Lives
Bullying of those with mental health issues is as common outside of prison walls as it is on the inside. Many criminals have suffered lives of appalling neglect, which has stunted their ability to feel anything approaching a normal response to others. When you think of these prisoners, think also of the little three year old child they once were, being abused, ignored, going hungry, being battered and shouted at. Any child being brought up in this sort of impoverished manner, often with parents who are poor and criminalised, will be seriously scarred by the experience, and will be developmentally and socially underdeveloped. Abused children often go on to be bullies themselves, in response to their own feelings of powerlessness. It’s not an excuse for such behaviour, but it goes a long way to explaining it. Beginning life with a poor home background is a huge disadvantage, and often the young teenagers who end up behind bars never had a chance at a better future. The thought of mental health services taking over the care of damaged and vulnerable prisoners – the bullies as well as the bullied, beggars belief. In the words of Dana Cope, executive director of the State Employees Association of North Carolina, “It just boggles my mind that folks think a for-profit private company with shareholders can perform a more efficient, better service at a cheaper rate than state employees.” Quite so.
Forensic Psychiatry
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