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"A Tie to Mental Illness in Violence Behind Bars" (Texas edition, Sept. 22) highlights the overuse of solitary confinement for prisoners in the United States, a practice that is likely worsening the problem of violence. Solitary confinement is still far too common in the country's prisons and jails and has a negative effect on inmates' mental health.
While other countries lock up far fewer prisoners than we do, they have also moved away from the practice of solitary confinement, with good results. The best course of action is to carry out proven therapeutic strategies that result in improved mental health and less violence.
Given that the large number of mentally ill behind bars reflects the lack of effective community mental health care, the least we can do is develop and carry out proven therapeutic strategies while the mentally ill are incarcerated and prohibit prolonged stays in isolation, where prisoners are left to "shout and bang on steel doors" in desperation.
JOSIAH D. RICH
CRAIG HANEY
Providence, R.I., Sept. 22, 2013
The writers are, respectively, a medical doctor and director of the Center for Prisoner Health and Human Rights at the Miriam Hospital in Providence, and director of the Graduate Program in Social Psychology at the University of California, Santa Cruz.
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