Remember the Nebraska law meant to keep desperate new mothers from abandoning their babies in dumpsters by offering them the possibility of legal drop-off points at “safe havens” like hospitals?
As was widely reported last year, the law neglected to set an age limit for dropped-off children, and eventually led to 36 children – mostly between the ages of 13 and 17 – being left with state authorities. Most of these children had serious mental health issues. Some were handed over to the state by relatives who had no other way of securing for them the heavy-duty psychiatric care they needed. Seven of the children came from out of state, including one who’d been driven 1,000 miles to Lincoln, Neb., from Smyrna, Ga.
Recently, The Omaha World-Herald acquired 10,000 pages of case files concerning these children from the state’s Department of Health and Human Services. They paint a portrait of desperation – of out-of-control kids, overtaxed parents and guardians, and an overstretched health care system – that really deserves more widespread national notice.
Because even though the mentally ill “safe haven” children had extreme needs, and some of their parents and guardians had extremely limited capabilities (one grandmother said her charge had “demons inside of him”; a mother who dumped her two teenagers in an emergency room said they were “mouthy,” “too much work” and “need to be voted off the island”), what their stories have to say about children’s mental illness, parental limitations and the paucity of care available in our country is altogether typical. They illustrate how a lack of good care early on can create much bigger problems, for families and for society, in the long run.
Their example also serves as a necessary corrective to the popular view that children being labeled mentally ill today are just spirited “Tom Sawyers” who don’t fit our society’s cookie-cutter norms, with parents who are desperate to drug them into conformity.
The children abandoned in Nebraska had big-deal problems. An 11-year-old boy, hearing voices since the third grade, had punched his fist through a glass door and smeared another child with his feces; other children had started fires, tortured pets, sexually abused younger children and made murder and suicide threats. Some of the adults charged with their care had problems, too, mental health issues that made them incapable of properly seeking help. Some parents and guardians had blocked earlier efforts by the state to provide care for their children, by not taking their children to Medicaid-funded therapy sessions or not picking up free psychiatric medications.
Others had tried hard to get help for their children; Matthew Hansen and Karyn Spencer, reporters for The World-Herald, noted that the 29 Nebraska “safe-haven” children alone had received nearly $1.1 million in state-financed mental health services. But these services “were not provided in a coordinated and cohesive way,” Kathy Bigsby Moore, executive director for the advocacy group Voices for Children in Nebraska, told me. She reviewed the state case records and found that some children received too little care too late and some, in desperate straits, were spending months on waiting lists for spots to open in residential treatment programs.
One Oklahoma woman who had been frustratedly trying to get her adopted son into a residential treatment program phoned a Nebraska official and threatened to bring the boy to his state unless she received help. The boy was admitted to a psychiatric program almost immediately.
“Why on God’s green earth does it take all that to get help?” she asked The World-Herald.
This problem of lack of access to care – and lack of access to truly good care – is the real mental health “epidemic” affecting children in our time.
Insurance companies will no longer pay for long-term inpatient care for mentally ill children; as a result, psychiatric hospitals have been steadily closing, and residential treatment programs for the most difficult children, whose tuition is most often paid with public funds, are packed.
And yet the care available for children at home with their parents is severely lacking. Outside of big cities, where even under the best of circumstances there can be a two- to three-month wait to see a child psychiatrist, there is a severe shortage of children’s mental health specialists.
In 1990, the Council on Graduate Medical Education estimated that by 2000, the United States would need 30,000 child psychiatrists; there are now 7,000. Many rural areas have no child psychiatrists or psychologists at all. Often, pediatricians end up providing mental health care, but they aren’t trained for it and often aren’t reimbursed for it by health insurance. The American Academy of Child and Adolescent Psychiatry is currently working with the American Academy of Pediatrics to try to formalize ways to collaborate on caring for children with mental health needs, but models for such joint care are scarce. And doctors have no financial incentives to talk to one another on the phone.
Programs that could help support mentally ill children and their families – therapeutic after-school care, community-based outpatient services, transitional care for children with chronic mental illness who sometimes suffer dramatic flare-ups of symptoms that send them to emergency rooms or to adult psych wards unequipped to help them – are also very poorly developed around the country, and generally not reimbursed by health insurance.
The result of all this fractured, fragmented, chaotic or non-existent care, said Christopher Bellonci, a psychiatrist who is the medical director of the Walker School, a nonprofit residential treatment program in Needham, Mass., is that children with psychiatric problems get steadily worse, and eventually “fail up” through repeated trials of medication and short-term hospitalizations until they can no longer be kept at home. Getting these children into good treatment programs requires “significant advocacy on the part of parents who have to be extremely sophisticated,” he said. And the cost of those programs is so great that, as was the case in Nebraska, some parents are actually forced to make their children wards of the state in order to get the child welfare system to pay for their care.
“Parents who have not been abusive or neglectful are put in the untenable situation of having to surrender custody,” Bellonci told me. “It’s criminal, frankly.”
In Nebraska, where access to child mental health services is particularly poor, child advocates had hoped that last year’s headline-making child abandonments would shock lawmakers into spending more money to develop better child mental health services. But that isn’t happening.
So far, Moore says, the only legislation likely to win passage would create a uniform state hotline and provide “navigators” to help parents find mental health services for their children. There isn’t, however, any increased funding for actual care. And without access to services, she said, “We fear it’ll be a hotline and navigators to nowhere.”
“Navigation to nowhere” perfectly sums up the experience of many parents I have interviewed about their attempts to secure mental health services for their children. As a country, it’s really in our interest to provide them with a compass.
I would like to share with you a letter sent to me by Daniel Zuma, a member of our UNION prison reform group with a graduate degree who gives us a first person, professionally qualified description of water at Duel Vocational Institute, a prison at Tracy, California and conditions he personally witnessed after he was terrorized by law enforcement. He was harshly sentenced to three years on a first arrest for possesion of recreational drugs. A senior citizen who was harming no one, a well-educated, gentle person who used to be in state service, thrown into prison. Whom did this benefit? No wonder we have no state budget and so many people are walking around traumatized for life after a ridiculous prison sentence.
Here is Daniel’s shocking account. He is now out of prison, but he told me that he will never get over how his own life was devastated by what he endured and witnessed there. It is a key to why nobody is getting out of prison as a better person, but are instead broken in mind, body and spirit. Here’s the letter from a very courageous man whose government has destroyed him over a victimless “crime”. After his letter, I discuss other instances of poison water in the state’s prisons and call everyone to rally with us outside the San Francisco, California courthouse on February 4, 2009
Begin Letter from Daniel Zuma:
Dear Rev. Bird:
Nobody ever expects to go to prison, least of all someone who has never been in trouble before, and who has retired from a career in civil service. But, a friend of mine got caught for possession of drugs and they offered him his freedom in exchange for mine. The government broke down my front door, destroyed my faith in humanity, ruined me financially, and sentenced me to 3 years in prison for drug possession.
Prison did nothing about my drug use except to traumatize me to an extent that I would only be more likely to use them in the future (drug use is one of the defining criteria of Post Traumatic Stress Disorder). Prison also ruined my physical health, leaving me bitter and in chronic physical pain. To my surprise, the vast majority of the people I met in prison were there for non-violent offenses–mostly for drug possession, or for technical violations of their conditions of parole–things like “failure to follow directions,” failing to keep an appointment, or turning in a dirty drug or alcohol test; i.e., things that are not even crimes. Many were over 50 years old, like myself.
I was at Deuel Vocational Institute in Tracy CA, where the water runs gray and sometimes brown from the tap. It tastes of industrial chemicals and fermented cow urine, since a dairy sits atop the shallow aquifer from which the prison draws 620,000 gallons per day. It´s disgusting even in the best of times; the staff won´t drink it; there are signs warning visitors not to drink it; and trying to wash anything white only makes them dirtier. In mid-May of 2006, Plant Ops did some routine maintenance changing over the pipes bringing water into the prison. They turned the water off to the entire prison for about 18 hours, and when they turned it back on, the water ran black and thick as paint for nearly a day, after which it gradually went back to its usual gray. The staff brought trash cans full of potable water into the large dorms, and gave the prisoners buckets to help flush the toilets.
The roughly 3,900 prisoners confined two to a cell were completely without water; 379 prisoners and eight staff members were seriously sickened by some sort of diarrheal disease, variously identified as the Norovirus, Campylobacter and, according to one Doctor I spoke to, “a mixture of fecal bacteria” that were never conclusively identified. DVI is a reception center–a feeder prison–which sends about 750 inmates per week to Mule Creek, Wasco, Folsom and elsewhere in the Central Valley. It is, therefore, the first stop for any epidemic entering the prison system. Between May 16 and May 23, 2006, 1,344 inmates and 14 correctional staffers at 10 prisons came down with the disease.
From the 1950s to the 1980s, DVI was used as a firefighter training facility. Chemicals would be ignited in an open pit and extinguished by firefighting personnel. Consequently, there are now high concentrations of Volatile Organic Compounds, such as PCE, TCE, and DCE in the groundwater. The prison dairy contributes significant amounts of nitrates and fecal bacteria, which leach into the water table only 12 feet below. Instead of filtration, the prison relies on high levels of chlorination to suppress fecal contamination, so there are high levels of chlorides (i.e., the “C” in PCE, TCE and DCE) in the water.
In addition to manganese and iron, the water at DVI has a very high salt content due to it´s proximity to San Francisco Bay. So, the water is very “filling,” but it doesn’t quench your thirst. During intestinal disease outbreaks and in hot weather, it is very difficult to stay hydrated or to flush the accumulated toxins from your body. (This is a particular danger for the elderly, or the many inmates who are on psychotropic medications due to mental health problems.)
After 3 months of drinking the DVI water I developed a rash over 80% of my body, which was so itchy I would scratch myself bloody in my sleep. It also affected my joints and my vision, and only cleared up when I was able to obtain bottled water.
I went to Mainline Medical to try to get a prescription or a medical “Chrono” for bottled water, or else a transfer to another institution with clean water. I was told by Dr. Fox, the Chief of the Medical Staff, that they didn’t have the power to grant either request, and besides, I couldn’t prove medically that it was the water (even though my rash would come back when I started drinking the water again). I was advised to file a Medical 602 , an Inmate Appeal which, in keeping with the normal standard of incompetence in these matters, was routed to the prison´s Chief Engineer as a “quality of life” issue, who denied it on the grounds that there was nothing he could do about the water.
Unlike many inmates I was fortunate enough to have family who could send me my own money from the outside, and I was able to purchase 2-liter bottles for 90 cents each once a month at the prison canteen. But then CDC suddenly canceled these from the canteen inventory in favor of 20 oz bottles at triple the price. I filed an Appeal on the price increase, citing my own health reasons and the fact that clean water is a necessity of life and health. After nearly a year of working my way through the various levels of appeal, it was finally turned down at the highest level by CDC in Sacramento.
They said that the decision to raise the price on water was made at the state level by a committee and, having been made, it cannot be unmade just for me. Apparently, allowing all prisoners access to clean water–even at their own expense–was not deemed sufficiently reasonable to revisit the committee´s decision. I know from my own years of experience in state government that there is no impediment to modifying a contract of this sort. They simply did not consider the health of inmates worth the effort.
In the meantime, I began documenting cases of others who had filed grievances at DVI and found a consistent pattern of obstruction and delay–and, when appeals were granted, the outcomes were deliberately calculated to make the situation worse, so as to convince the inmates of the futility of trying to change the system by working within it. All of the organizational self-correcting mechanisms have been disconnected in CDC–there is no meaningful press access; no outside audits; no inmate self-governance; no checks and balances; no whistle blower protection; chaplains can be fired for disclosing substandard conditions; and a recent federal case brought by an inmate at Pelican Bay regarding the serving of hot meals has shown that even the federal courts cannot force CDC to follow its own rules–should a prisoner survive the year-long gauntlet of delay and reprisals that pervades the Inmate Appeals Process.
What I didn´t know at the time is that polluted drinking water had been known about for decades at DVI and elsewhere, but it has been largely ignored as overcrowded prisons overtax the aquifers from which they draw their water. Nitrate contamination due to fertilizers is especially common in rural areas, such as the Salinas Valley State Prison near Monterey; the California Institution for Men (CIM) in Chino; at the California Men´s Colony (CMC) in San Luis Obispo; and the nearby California Institution for Women (CIW). Mule Creek State Prison´s water is contaminated with dry cleaning chemicals; Old Folsom´s water is contaminated by toxic waste from the old scrap metal, drum storage, industrial manufacturing areas, and a firing range. At Kern Valley State Prison, there are high levels of arsenic in the water. Alkalinity, asbestos and fecal contamination are issues at Avenal. Inmates have also been sickened by the water at the Sierra Conservation Center in Jamestown, and by outbreaks of Helicobacter pylori (a bacterium that causes peptic ulcers) at the California Rehabilitation Center in Norco.
If there is any pollution in the local water table, it tends to get sucked into the prison because of the rates of pumping have to keep up with overcrowding. To make matters worse, prisons only concentrate these pollutants further, and they discharge them back into the host communities, who are forced to subsidize the cost of treating the excess sewage. Between 2000 and 2006, eight of California’s 33 state prisons have been cited for major water pollution problems. Folsom State Prison, for example, was fined $700,000 in 2000 for a massive 700,000 gallon sewage spill into the adjacent American River.
The media is banned from California´s prisons which is outrageous when a full blown humanitarian crisis is taking place out of public view, which I believe is the reason that journalists can´t interview specific inmates and often have their notes seized. There are four journalists in the UNION and hundreds of family members who refuse to cooperate with this unconstitutional media ban, even though there is severe retaliation against those who file lawsuits and report the news from inside. There is less retaliation against the family members for reporting the news, since there is no way for the wardens and guards to know the source of information. Every effort is made by CDCr and state employees to cover up wrongdoing, which doesn´t work when people are educated and dedicated patriots who will write and make comments at the news sites.
The UNION´s jailhouse lawyers are suffering increased and severe retaliation during the final phases of the Plata trial in a concerted effort to silence them. There is very little help coming from the State lawmakers and officials to do anything to stop the deliberate physical and psychological torture being inflicted. I will be writing more on this topic soon and have been invited to be a guest on a national talk show to discuss the fact that there is no one who will assist families or inmates with real intervention even in life and death emergencies, unless they are able to write big checks or have a friend in office, which is rare. Losing a loved one to Prison is emotionally and financially devastating, which is why there are no large public outcry ad campaigns.
On February 4, 2009, we are going to rally outside the Federal Courthouse at 450 Golden Gate Ave., San Francisco at 9 am. In order to get national media involved, at least 500 folks need to be there to stand up against medical neglect and continued abuse of the mentally ill in California’s horrific prisons. While more than 100 family members attended our Nov 21 rally, we need five times more than that to make a stronger point that no one is addressing folks who are suffering and dying right now. Many are inmates who could be released right now to save the state billions and give some relief to the parents who are out of their minds with sick worry as an inmate dies daily. Many more will die before this gets resolved, but each of us must be the public outcry and fill up our cars for this historic day. Go here, hit print and mail 50 copies into an inmate to help spread the word, we are all unpaid volunteers in the UNION and cannot afford large mailings. This is a way everyone can help, we need crowds to bring in the national media so the lawmakers will do something to prevent more deaths which are highly visible right now.
Here’s the flyer for Feb 4, when closing arguments before Judges Thelton Henderson, Lawrence Karlton and Stephen Reinhardt will take place in the Plata case. The power of noisy numbers is the only solution, suffering in silence doesn’t work.
Over the last decade, I have published in my columns and editorials information about poison water at most of the prisons. The first time I encountered the problem was when I visited Calipatria State prison in 1999 and saw warning signs posted in the waiting room to the visitors that the water was dangerously contaminated and not to drink it. Alarmed, I contacted Sen. John Burton´s office about the inmates being forced to drink this water even with public safety notices, and his aide, Nettie Sabelhaus, assured me that the water was safe, in spite of the signs.
When one of our UNION journalists whose sister in Norco came down with H-pylori, we were able to convince the Riverside press Enterprise to do an investigation, but they were able to slide out of having to correct the problem. That story is in their news archives, so when the second flare up of h-pylori was discovered, the evidence is there that we tried very hard to get assistance in 2004, which never came.
Instead of treating some 200 women who had contracted this bug that causes ulcers and great gastrointestinal suffering in many folks who get it, the warden simply transferred all these women to other prisons to keep it out of the news and then retired from her position two weeks later before we could organize an outcry on this medical neglect.
Yes, CDCr scattered all these women, ill with a contagious bug, without treating them before the UNION families could find their relatives and gather enough support for a lawsuit. It was quiet until the same situation of h-pylori in the water at Norco arose in the headlines again just last month.
I hope that everyone with a loved one at Norco has filed a complaint with the Riverside County Grand Jury so that something will be done about this ignored problem. If nobody cares enough to make noise in the media, comment at the news sites and file complaints with grand juries, then problems are never corrected. The lack of objection in the form of comments at the news sites and large protests is what enables the medical neglect, torture and murder taking place in the prisons to continue. We have had some luck when 50 or more UNION members file complaints with some of the grand juries who are also lied to and blocked from doing real investigations.
The more info the grand jury has, which are mostly made up of citizen´s from the community, the more chance for actual resolution. The prisoners cannot do this type of complaint effectively for themselves, it is necessary for the family members to file these complaints in large numbers.
There is no place to go for help at any level, even in life and death emergencies. The lawmakers are elected into office with the dollars and votes of law enforcement labor unions in the majority of cases, so writing to most of them for help for inmates is a complete waste of time. That´s because the state runs off the dollars and budgets generated by the court system through fines and the human bondage industry is California´s largest. We, the people need to stop electing law enforcement’s picks for office, and start electing some who are smart on crime, and represent the rest of us for a change.
This callousness is one reason why the feds have had no choice but to take over the prisoners´ medical care, due to the deliberate indifference of most state lawmakers and officials who are should be doing the right thing, but who clearly are unresponsive. What goes on in the dark is deadly and empowers the cruelty that takes place in our mismanaged dungeons and I, as an old-fashioned journalist who has devoted four decades of my life serving the public´s right to know, am never going to cooperate with this cover up, even though the price I pay for reporting about the abuses is very high, more than I can tell you here.
Michael Rothfield of the Los Angeles Times did an important series on arsenic-laced water this week which the prisoners are being forced to drink in site of the danger of cancer and other symptoms of slow poisoning.
I don’t remember “give them cancer” as being part of the prisoners´ sentences. And, when the state allows this torture to happen, the amount of money we’ll pay for their healthcare costs will go up. It’s wrong on multiple levels, including humanitarian and financial. Maybe you think this isn’t your concern.
But do you know that there are three million Californians who never thought that they or someone they love would land in prison so someone you know is affected by the humanitarian crisis taking place in the prisons due to criminal neglect? Poison water is a public health crisis, but due to too much silence and inaction by the families that could force lawmakers to comply, this cruel and unusual punishment continues to exist. The fact that the State has known about arsenic in the water for several years and has no plans to resolve it is pure madness. What in God’s name is going here!! And why would anyone with a modicum of common sense buy into this?
I would dearly love to add a lawsuit to the 100 or so that our UNION families have already filed over wrongful deaths due to water, but we are limited by funds and volunteers to do everyone´s fighting for them without more workers.
I will continue to educate the public, so that if and when folks who are suffering ever decide to take legal action over their loved ones being forced to drink poison water, there will be a public record of it which was published nationwide. Our volunteer jailhouse attorneys pay for many of these battles out of their own empty pockets and suffer severe retaliation for even filing them, so the UNION families are choosing what we will take on in the future by vote only. Not all of the lawsuits we have filed are being litigated by jailhouse lawyers, some families are sacrificing everything they own to hire private lawyers to go into court in a system that favors the guards.
With enough participation, more lawsuits would be possible, as nothing is for free, someone pays for every lawsuit the UNION families have filed, which is the only language the bureaucrats understand. Still, I do not like witnessing this slow murder and torture and would rather be able to do something about it, rather than stand like an idiot on the sidelines and simply watch it take place like so many folks do who place no value on prisoners´ lives or simply do not understand how to organize and end these practices.
We cannot have too many volunteers working on organizing a large voice to stand up for inmates beneath articles at the news sites, who will bring 20 protesters in their car on Feb 4, who will help with gas money and other costs of doing a meaningful campaign.
When I tell people that I’m a vegan, the most popular question, by far, inevitably follows: “But, how do you get enough protein?”
There it is again, I think, the meat industry’s most potent weapon against vegetarianism — the protein myth. And it is just that — a myth.
In fact, humans need only 10 percent of the calories we consume to be from protein. Athletes and pregnant women need a little more, but if you’re eating enough calories from a varied plant based diet, it’s close to impossible to not to get enough.
The way Americans obsess about protein, you’d think protein deficiency was the number one health problem in America. Of course it’s not — it’s not even on the list of the ailments that doctors are worried about in America or any other countries where basic caloric needs are being met.
What is on the list? Heart disease, cancer, diabetes, obesity — diseases of affluence. Diseases linked to eating animal products. According to the American Dietetic Association, which looked at all of the science on vegetarian diets and found not just that they’re healthy, but that they “provide health benefits in the prevention and treatment of certain diseases.”
They continue: “Well-planned vegan and other types of vegetarian diets are appropriate for all stages of the life cycle, including during pregnancy, lactation, infancy, childhood and adolescence … Vegetarians have been reported to have lower body mass indices than nonvegetarians, as well as lower rates of death from ischemic heart disease; vegetarians also show lower blood cholesterol levels; lower blood pressure; and lower rates of hypertension, type 2 diabetes, and prostate and colon cancer.”
Dr. Dean Ornish writes of his Eat More, Weigh Less vegetarian diet — the one diet that has passed peer-review for taking weight off and keeping it off for more than 5 years — that in addition to being the one scientifically proven weight loss plan that works long-term, it “may help to prevent a wide variety of other illnesses including breast cancer in women, prostate cancer in men, colon cancer, lung cancer, lymphoma, osteoporosis, diabetes, hypertension, and so on ….”
So when people ask me about protein, I explain that protein is not a problem on a vegan diet, that the real problems that are plaguing us in the West can be addressed in part with a vegetarian diet, and that I get my protein the same way everyone else does — I eat!
Beans, nuts, seeds, lentils, and whole grains are packed with protein. So are all vegetables as a caloric percentage, though they don’t have enough calories to sustain most people as a principal source of sustenance. And these protein sources have some excellent benefits that animal protein does not — they contain plenty of fiber and complex carbohydrates, where meat has none. That’s right: Meat has no complex carbs at all, and no fiber. Plant proteins are packed with these essential nutrients.
Plus, since plant-based protein sources don’t contain cholesterol or high amounts of saturated fat, they are much better for you than meat, eggs, and dairy products.
It is also worth noting the very strong link between animal protein and a few key diseases, including cancer and osteoporosis.
According to Dr. Ornish (this may be the most interesting link in this article, by the way — it’s worth reading the entire entry), “high-protein foods, particularly excessive animal protein, dramatically increase the risk of breast cancer, prostate cancer, heart disease, and many other illnesses. In the short run, they may also cause kidney problems, loss of calcium in the bones, and an unhealthy metabolic state called ketosis in many people.”
The cancer connection is spelled out at length in a fantastic book by Cornell scientist T. Colin Campbell, called The China Study. Basically, there is overwhelming scientific evidence to implicate that animal protein consumption causes cancer.
And just a few quick anecdotal points:
- Olympian Carl Lewis has said that his best year of track competition was the first year that he ate a vegan diet (he is still a strong proponent of vegan diets for athletes).
- Strength trainer Mike Mahler says, “Becoming a vegan had a profound effect on my training. … [M]y bench press excelled past 315 pounds, and I noticed that I recovered much faster. My body fat also went down, and I put on 10 pounds of lean muscle in a few months.”
- Bodybuilder Robert Cheeke advises, “The basics for nutrition are consuming large amounts of fresh green vegetables and a variety of fruits, to load yourself up with vibrant vitamins and minerals.”
A few other vegans, all of whom sing the praises of the diet for their athletic performance: Ultimate fighter Mac Danzig, ultramarathonerScott Jurek, Minnesota Twins pitcher Pat Neshek, Atlanta Hawks GuardSalim Stoudamire, and Kansas City Chiefs tight-end Tony Gonzalez.
And let’s not forget about tennis star Martina Navratilova, six-time Ironman winner Dave Scott, four-time Mr. Universe Bill Pearl, or Stan Price, the world-record holder in bench press. They are just a few of the successful vegetarian athletes.
Basically, vegans and vegetarians needn’t fret about protein, but many Americans do need to worry about their weight, heart disease, cancer, and other ailments — many of which can be addressed by healthier eating, including a vegan or vegetarian diet.
Vegetarians and vegans get all the nutrients our bodies need from plants, and will thus, according to the science, be more likely to maintain a healthy weight and stave off a variety of ailments, from heart disease to cancer.
For answers to other popular questions about conscious eating, please check out my previous post on the topic here.