​In October of 2018, California’s chief prison psychiatrist released a scathing 161-page reporton mental health care in the state’s prisons. The report indicates that state officials are misrepresenting the care received by inmates with mental disabilities and are putting the health of these inmates at risk. In the report, Dr. Michael Golden states that inmates are not receiving the psychiatric care they need. 
 
Central Problem
 
One of the central problems the report focuses on is the lack of physicians in the prison system. Inmates may receive treatment from psychologists and other non-physicians rather than psychiatrists who are medical doctors. This means that medications are being managed and other crucial decisions about mental health care are being made by individuals without medical degrees. Shockingly, in some cases medical decisions by doctors are being overridden.
 
There is also a problem with accurate reporting of information to the courts and the public. For instance, the report alleges that the prisons mischaracterize the rate at which inmates are seen by psychiatrists and that fewer than 50% of inmates are seen in a timely manner. Some inmates are not receiving regular psychiatric treatment due to prison transfers. Other inmates are not receiving their treatment or doctor visits in a confidential environment, which can be a key factor in appropriate treatment. Without proper reporting of important information, the problem can’t be fixed.
 
Inmate Treatment
 
The report makes serious allegations about how mentally ill inmates are treated. The report refers to a specific incident involving an inmate with psychosis who was not given her medication and ripped out her own eyeball and ate it. The inmate had been placed on suicide watch and had been screaming for hours prior to the event. The psychiatrist on call was not contacted and the inmate did not receive her medications for four hours prior to the incident.
 
The California Department of Corrections and Rehabilitation (CDCR) denies the allegations in the report and made a statementindicating that they’ve made strides to improve the treatment of inmates with mental illness in their facilities. 
 
If you or a loved one has a mental disability and has been arrested or convicted of a crime, you need an experienced criminal defense attorney on your side. Elizabeth Kelley specializes in representing individuals with mental illnesses. To schedule a consultation call (509) 991-7058.

​Studieshave found that women are more likely to be diagnosed with a mental illness than men. This is particularly true in the case of common mental illnesses such as depression and anxiety. Depression is twice as common in women and is the number one mental health problem suffered by women. Women are also twice as likely to be diagnosed with post-traumatic stress disorder. But what are the reasons for the higher rate of diagnosis?
 
Gender Bias in Treatment
 
While women are more likely to get a diagnosis of mental illness, they are also less likely to have their symptoms taken seriously. Women are often discredited by health care providers and their symptoms thought to be exaggerated. While labels such as “hysterical” are no longer used to refer to women with mental health issues, there is still a bias in treatment. In addition, some women are diagnosed with mental illness even when their symptoms are physical. Serious health conditions such as autoimmune disorders are sometimes diagnosed by biased health care providers as anxiety or depression. 
 
Women More Likely to Suffer Trauma and Discrimination
 
Trauma is more common among women. One in four women has faced a completed or attempted sexual assault and one in three report being abused by a domestic partner. Trauma is a risk factor for a number of mental health issues including depression and post-traumatic stress disorder. The challenges of facing gender discrimination and mistreatment of women can also be factors in undermining a woman’s mental health. In addition the expectations placed on women to do more than their fair share of housework and childcare can lead to stress which is another risk factor for mental illness. 
 
Women More Likely to Report Symptoms and Seek Help
 
Unfortunately, men are socialized not to share their emotions and to view mental health challenges as a form of weakness. Men are less likely to seek help for their mental health issues and this can result in a lower rate of mental illness diagnosis. Women are more likely to seek help when they are suffering.
 
If you or a loved one has a mental disability and has been arrested or convicted of a crime, you need an experienced criminal defense attorney on your side. Elizabeth Kelley specializes in representing individuals with mental illnesses. To schedule a consultation call (509) 991-7058.

​A new survey of parents estimates that 1 in 40 children in the United States has autism spectrum disorder. The study was published in the December 2018 issue of the Journal Pediatrics. This number means that the condition was reported in 2.5% of children which amounts to approximately 1.5 million children between the ages of 3 and 17. A previous report estimated the prevalence at 1 in 59 children based on 2014 data, meaning there has been an increase in cases.
 
The more recent study collected data from the National Survey of Children’s Health which surveyed the parents of more than 50,000 children between the ages of 3 and 17. Only children who received a diagnosis of autism spectrum disorder were included in the estimate. The numbers are based on parent reporting and not on health or scientific data. Because there is no biological test for autism spectrum disorder, it can be difficult to track.
 
Access to Care
 
In addition to a higher prevalence of autism spectrum disorder, parents in the survey were also asked various questions regarding the health of their children. Parents who reported that their child was diagnosed with autism spectrum disorder were 44% more likely to report problems obtaining treatment for their child and were 24% less likely to receive help with care coordination than those families dealing with comparable such as ADHD and Down Syndrome. The parents of children with autism spectrum disorder were also 23% more likely to report that they didn’t have a designated team of caregivers for their children. 
 
While there has been some improvement over other surveys, it is clear that there are delays in getting a diagnostic evaluation even after signs of autism have been recognized. There is an urgent need for early diagnosis of the condition and follow up treatment, especially in lower income areas. Developmental and behavioral interventions can be helpful for children with autism spectrum disorder, parents need training and support to help their children succeed. 
 
If you or a loved one has a mental disability and has been arrested or convicted of a crime, you need an experienced criminal defense attorney on your side. Elizabeth Kelley specializes in representing individuals with mental illnesses. To schedule a consultation call (509) 991-7058.