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VIA THE COLORADO INDEPENDENT

Pre-Arrest Jail Diversion Could Have Saved Michael Marshall


By Art Way, Colorado State Director of Drug Policy Alliance


           Last November, 50-year-old Michael Marshall suffered an acute psychotic episode —symptomatic of his chronic schizophrenia —while in custody at a Denver detention center. Multiple deputies forcibly restrained the 130-pound, 5’3” man for thirteen minutes, during which time he choked on his own vomit. Mr. Marshall died ten days later when his family made the heartbreaking decision to discontinue life support.  The coroner ruled his death a homicide, but the District Attorney determined that the deputies involved should not face prosecution.

           Contemplating what could have prevented this tragedy begins with acknowledging what most certainly doomed Marshall—a system that punishes rather than protects our most marginalized community members. Policies and protocols implicate poorly-trained jail staff in the management of mental health conditions and substance use issues. Related symptoms can sometimes be alarming, but they are preventable and treatable with appropriate care. Conditions and collateral consequences of incarceration only make matters unnecessarily traumatic or even lethal, yet we continue to pour our money into this warped approach.

           Marshall isn’t alone in being funneled repeatedly into an overcrowded facility woefully ill-equipped to care for him or in being subjected to extreme force while in custody. Denver County Jail has been called a de facto “mental institution” because a fifth of the population has a serious mental illness. Individuals experiencing homelessness in Denver, as Marshall was, receive more than half of all trespass citations despite making up only a half a percent of the population—indeed, this was the charge that fatefully put Marshall behind bars.

           Nationally, at least one in four fatal police encounters involve someone with mental illness. And regardless of substance abuse or commonly co-occurring mental illness, drug possession alone drives the majority of the 1.5 million annual drug arrests in the U.S. At best, we are spinning our wheels with this wasteful status quo. At worst —as in Marshall’s case and far too many others — we’re maintaining a vicious, deadly cycle of mass criminalization.

             But it doesn’t have to be this way. Decision makers can reallocate resources to necessary service provision instead of relentlessly caging vulnerable people. Alternative approaches that reduce the role of criminalization, particularly in local drug control and mental health, are especially promising. Programs like Law Enforcement Assisted Diversion (LEAD) better equip police to identify and direct needy individuals to resources like drug treatment, mental health services, and housing supports at the pre-booking stage.

             And benefits don’t stop at reducing needless arrests for petty offenses. An extensive evaluation of the innovative LEAD model shows it also lowers prosecution and incarceration numbers while simultaneously reducing recidivism. This cuts down on criminal justice costs, saving taxpayer money while improving quality of life among participants and bolstering police/community relations. It’s a win for virtually all stakeholders—except maybe the private prison industry and beneficiaries of policing for profit.
​
              Once acknowledging that our system of mass criminalization played a role in Marshall’s death, we clearly see what may have prevented this tragedy. It is well past the time to stop using jails as subpar social service providers and instead focus our resources on actually improving public health and safety. Sensible fiscally and ethically responsible jail diversion programs will save lives.
Picture
Michael Marshall



​http://www.coloradoindependent.com/158142/pre-arrest-diversion-programs-could-have-saved-michael-marshall

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System