New York has made it share of bad penal policy choices. Remember the "Rockefeller Drug Laws"; mandatory life sentences for persons arrested with large quantities of dangerous drugs that helped set the nation on the path toward indiscriminate use of incarceration? But the "Empire State" has also had a historic knack for getting out of bad penal positions early. The state began to wind down its position in mass incarceration as early as the mid-1990s, closing as many as 14 prisons, and in recent years has eliminated its mandatory drug laws. This week the state announced a sweeping settlement with the New York Civil Liberties Union that will bring major reforms aimed at reducing the state's use of isolation prison units (read the NYCLU statement here). These units, common in the US, keep prisoners isolated full time, with no programming and no access to other prisoners or correctional staff. All too often, such isolation can continue for years and result in serious mental degeneration of the inmate. The New York settlement will eliminate the use of this kind of incarceration for juveniles and people with mental illness and begin an expert led process to reduce the state's use of isolation as a disciplinary tool, especially long term use. The experts, James Austin and Elton Vail, are two of the nation's best penologists and can be expected to seek dramatic reduction.
Interestingly New York's ability to pivot seems to have historic roots. I was just lecturing to my undergraduate course on prisons about the infamous experiment in solitary confinement at the outset of America's correctional history. Under the belief that separation of law breakers from society was essential to their reform, Jacksonian prison designers believed that total separation would be best of all. When New York opened its new cellular penitentiary at Auburn in 1821 it conducted an experiment. The prisoners deemed least redeemable (oldest and most hardened), were placed alone in cells day and night. Other prisoners were isolated in cells only at night, and worked together in workshops during the day. According to historian Rebecca McClennan (in The Crisis of Imprisonment) the results of the experiment were clear within two years. The prisoners kept in total isolation were so mentally damaged that the public outrage led a new governor to pardon the prisoners and end the practice. New York's "congregate" model of common work became the national model for the 19th century.
At around the same time Pennsylvania opened a total isolation prison in Philadelphia. Aware of Auburn's results, the designers in Philadelphia endeavored to provide the isolated prisoners with a larger cell in which to conduct some kind of distracting labor. The isolation regime there also resulted in mental degeneration according to its many critics (Charles Dickens among them), but the state stubbornly held on to its regime for another fifty years (the result of organizational factors my former student Ashley Rubin analyzed brilliantly in her dissertation "“Institutionalizing the Pennsylvania System: Organizational Exceptionalism, Administrative Support, and Eastern State Penitentiary, 1829–1875”).
What makes New York so good at getting out of losing positions? Could it be the State's long association with the financial industry (which survives by being adept at getting out of losing positions with the least damage possible)? Is it the Empire State's corporatist style of consensus government as described by Vanessa Barker in The Politics of Imprisonment? It would make a good research paper. Other states are moving. Just today, Colorado Corrections Secretary Rick Raemisch published an op-ed in the New York Times (read it here), reporting on a night he spent in one of his state's isolation cells, and why he is so motivated to wind down the state's use of the practice.
Sadly California seems destined to play Pennsylvania in the 21st century replay of the 1830s debate about solitary confinement. Under the administration of Governor Brown and Secretary of Corrections Beard, the Golden State has dug in its heels to defend the states typically outsized reliance on total isolation imprisonment. No state holds more of its prisoners for longer periods of time than California. And while most states use isolation as a penalty for specific disciplinary violations (albeit in New York sometimes very trivial ones), California makes gang affiliation the primary rationale for isolation on a longterm or permanent basis. A lawsuit has been mounted on behalf of prisoners held in isolation for more than ten years at the state's worst isolation unit, Pelican Bay's notorious SHU (read about it here). Brown and Beard should follow New York's lead and seek to settle this lawsuit now with a broad strategy to end this shameful second era of solitary. Perhaps Secretary Beard should follow the example of his Colorado colleague and spend a night at Pelican Bay. While there he should sit down and talk with the gang leaders whose unified actions during last summer's hunger strike suggests more than worthy interlocutors, and whose lifetime isolation against all international human rights standards has clearly done little to make California prisons safer or less gang identified.
Friday, February 21, 2014
Thursday, February 6, 2014
From Humanity to Health: Why Can't California Get Prison Healthcare Right?
Yesterday to no doubt considerable embarrassment in the Brown-Beard administration, admissions to California's newest prison near Stockton California, were halted by the court appointed health care receiver, law professor Clark Kelso. The prison, the first new facility in a decade, is the lynch-pin of the administration's frequent claim to have gotten on top of California's decades old prison health care crisis. The prison is the first of its kind to be purpose built to house and care for many of the state's seriously ill prisoners whose suffering in the grip the state's chronic overcrowding led the Supreme Court to describe the state's system as unfit for a civilized society in Brown v. Plata (2011). Under pressure to show that it can make progress in reducing that overcrowding, the administration is no doubt frustrated to have to halt adding inmates to the facility intended to hold nearly 1800 prisoners at full capacity, but Receiver Kelso's order and the report accompanied it raises more basic questions as to whether the State has yet drawn any lessons from its decades of human rights abuses about what it takes to operate prisons that respect human dignity as required by the Constitution (as well international human rights conventions to which the state is answerable through the courts of the United States).
So what went wrong in this brand new prison designed from the ground up to deliver health care? Problems with the radiation treatment equipment for cancer patients? Problems staffing the dialysis center? Actually the problems were a bit more basic. As reported in the Sacramento Bee (read it here):
Spokes persons for the administration described the situation as a normal glitch associated with the rolling out of a new facility. Perhaps. But it also looks like business as usual in a system where medical neglect of chronically ill prisoners went on for decades under the deliberate indifference of prison administrators and governors. Rather than apologize to the citizens of this state and seek to make amends to the prisoners, former prisoners, and correctional workers forced to experience and participate in those degrading conditions, the administration has continued with smugness to defend the status quo with an attitude that borders on contempt to the courts. Is it surprising that actors never held to account for their human rights violations cannot create conditions that respect human rights? Good healthcare takes medical professionals and modern infrastructure, which appear to be still lacking to a significant degree even in this brand new purpose built "Health Care Facility". But healthcare also takes humanity. A prison system that can't get that right, can 't run its healthcare system and shouldn't be allowed to continue to operate prisons on which the good name of the people of California is stamped.
So what went wrong in this brand new prison designed from the ground up to deliver health care? Problems with the radiation treatment equipment for cancer patients? Problems staffing the dialysis center? Actually the problems were a bit more basic. As reported in the Sacramento Bee (read it here):
A shortage of towels forced prisoners to dry off with dirty socks; a shortage of soap halted showers for some inmates, and incontinent men were put into diapers and received catheters that did not fit, causing them to soil their clothes and beds, according to the inspection report and a separate finding by Kelso.The report also said there were so few guards that a single officer watched 48 cells at a time and could not step away to use the bathroom.Kelso said the problems at the facility call into question California's ability to take responsibility for prison health care statewide. He accused corrections officials of treating the mounting health care problems as a second-class priority, the newspaper said.
Read more here: http://www.sacbee.com/2014/02/05/6130729/admissions-halted-at-stockton.html#storylink=cpy
Spokes persons for the administration described the situation as a normal glitch associated with the rolling out of a new facility. Perhaps. But it also looks like business as usual in a system where medical neglect of chronically ill prisoners went on for decades under the deliberate indifference of prison administrators and governors. Rather than apologize to the citizens of this state and seek to make amends to the prisoners, former prisoners, and correctional workers forced to experience and participate in those degrading conditions, the administration has continued with smugness to defend the status quo with an attitude that borders on contempt to the courts. Is it surprising that actors never held to account for their human rights violations cannot create conditions that respect human rights? Good healthcare takes medical professionals and modern infrastructure, which appear to be still lacking to a significant degree even in this brand new purpose built "Health Care Facility". But healthcare also takes humanity. A prison system that can't get that right, can 't run its healthcare system and shouldn't be allowed to continue to operate prisons on which the good name of the people of California is stamped.
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