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分析心理健康法庭与监狱产业综合体之间的关系。

Analyzing the Relationship between Mental Health Courts and the Prison Industrial Complex.

作者信息

Zhou Helen, Ford Elizabeth B

机构信息

Mx. Zhou is a Third Year Medical Student and Dr. Ford is Adjunct Associate Professor of Psychiatry, Department of Psychiatry, NYU School of Medicine, New York, New York.

出版信息

J Am Acad Psychiatry Law. 2021 Dec;49(4):590-596. doi: 10.29158/JAAPL.210012-21. Epub 2021 Aug 27.

Abstract

Mental health courts (MHCs) were designed to address the high rates of incarcerated individuals with serious mental illness in the United States by providing mental health treatment and social supports to those facing criminal charges. In the setting of national uprisings and grassroots demands for abolition of the prison industrial complex (PIC), which is the broad construct of economic and sociopolitical drivers of imprisonment, we draw upon the scholarship of community activists to examine the role of MHCs within the PIC. Specifically, we explore whether MHCs exacerbate harms caused by the criminal justice system or work to reduce its oppressive power. In this analysis, we argue that MHCs can perpetuate harmful assumptions about mental illness and crime, can legitimize the harsh punishment of individuals unfairly deemed undeserving of policy intervention, and can preserve power differentials between courts and court participants. Our analysis underscores the need for a critical reassessment of the role of MHCs in communities and in the PIC. We advocate for an open discussion between community members and advocates, policymakers, and health professionals about how to address the need for mental health treatment and social support without expanding and entrenching the power of the PIC.

摘要

心理健康法庭(MHCs)旨在通过为面临刑事指控的人提供心理健康治疗和社会支持,来解决美国患有严重精神疾病的被监禁者比例过高的问题。在全国起义以及基层要求废除监狱产业综合体(PIC)的背景下,监狱产业综合体是监禁的经济和社会政治驱动因素的广泛概念,我们借鉴社区活动家的学术研究来审视心理健康法庭在监狱产业综合体中的作用。具体而言,我们探讨心理健康法庭是会加剧刑事司法系统造成的伤害,还是会努力削弱其压迫性权力。在这一分析中,我们认为心理健康法庭可能会使关于精神疾病和犯罪的有害假设长期存在,会使对那些被不公平地认为不值得政策干预的个人的严厉惩罚合法化,并且会维持法庭与法庭参与者之间的权力差异。我们的分析强调了对心理健康法庭在社区和监狱产业综合体中的作用进行批判性重新评估的必要性。我们主张社区成员与倡导者、政策制定者和卫生专业人员之间就如何满足心理健康治疗和社会支持需求展开公开讨论,同时又不扩大和巩固监狱产业综合体的权力。

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