Insane

In Insane, journalist Alisa Roth goes deep inside the criminal justice system to reveal how America's tough-on-crime policies have transformed it into a warehouse for people with mental illness, one where prisoners are denied proper treatment, abused, and punished in ways that make them sicker. She takes readers from the overwhelmed mental health units of the Los Angeles County Jail to the women's prisons of Oklahoma, which have one of the fastest-growing populations of people with mental illness in the country. She introduces us to ordinary people whose untreated mental illnesses drive them repeatedly into the justice system-and in some cases, to their deaths. Investigating police departments, courts, jails, and emergency health care facilities across the country, Roth provides the first nationwide account of this mental health crisis-and uncovers the hidden forces behind it. She also surveys a range of efforts to address the problem, making the case for a large-scale overhaul of mental health care and criminal justice. Insane is a galvanizing wake-up call for criminal justice reformers and anyone concerned about the plight of our most vulnerable.

“"Chilling...Roth writes movingly of the human toll of incarceration...She convincingly diagnoses the glaring inadequacies of mental health treatment in prison but she is not out for scapegoats... Insane is rife with sharp, brutal details that pull the reader beyond the realms of abstract policy debates."-- New York Times Book Review”

"A searing expos� about the criminalization of mental illness...Though the subject matter dictates that much of the book is relentlessly depressing, the author is such a talented information gatherer and fluid stylist that the narrative becomes compulsive reading. An eye-opening book that cries out for change."--Kirkus (starred review)
"Alisa Roth's powerful new book...calls into question such simplistic solutions to the current crisis in our mental health-care system...Based on in-depth interviews and observations, the book provides revealing snapshots of conditions at New York City's Rikers Island, the Los Angeles County jail, and Chicago's Cook County jail, the nation's de facto three largest mental health-care providers."--Democracy Journal
"Chilling...Roth writes movingly of the human toll of incarceration...She convincingly diagnoses the glaring inadequacies of mental health treatment in prison but she is not out for scapegoats...Insane is rife with sharp, brutal details that pull the reader beyond the realms of abstract policy debates."--New York Times Book Review
"Deep, broad and well documented. Roth has provided an eye-opening book about mental health care in the U.S."--Missourian
"Powerful, heart-wrenching...A summons to action to correct a system that inflicts needless suffering on people in custody."--Time Free Press
"Roth got rare access, including at mental health units inside the Los Angeles County Jail and a women's prison in Oklahoma, and dove deep into the stories of a handful of individuals whose florid mental illness led them to prison, was badly managed and resulted in awful outcomes...[She] navigates it with grace."--Marshall Project
"Roth strikes a powerful balance between big picture analysis and individual stories to make this searing account of America's misguided treatment of the mentally ill hard to ignore."--Publishers Weekly (starred review)
"Superb...Roth stresses America's failure to provide the vital community mental health services first promised in the Kennedy years...Some of the most revealing sections of Insane deal with the officers who patrol these wards...Burnout is inevitable."--New York Review of Books
"This essential expos�, which includes tragic case histories, tells of legions of prisoners put in solitary confinement or subdued with medication...At the heart of the problem, Roth notes, is the changing landscape of mental-health care."--New Yorker
"50 percent of the mentally ill go untreated-half of them because they can't afford it...The place where the poor are likely to get treated, if anywhere, is prison...With an eye not toward shaming but toward progress, [Roth] gestures at solutions."--San Antonio Express-News

Alisa Roth is the mental health correspondent for Minnesota Public Radio and frequent contributor to various NPR programs. A Soros Justice Fellow, her work has also appeared in the New York Review of Books and New York Times. She lives in St. Paul, Minnesota.

In Insane, journalist Alisa Roth goes deep inside the criminal justice system to reveal how America's tough-on-crime policies have transformed it into a warehouse for people with mental illness, one where prisoners are denied proper treatment, abused, and punished in ways that make them sicker. She takes readers from the overwhelmed mental health units of the Los Angeles County Jail to the women's prisons of Oklahoma, which have one of the fastest-growing populations of people with mental illness in the country. She introduces us to ordinary people whose untreated mental illnesses drive them repeatedly into the justice system-and in some cases, to their deaths. Investigating police departments, courts, jails, and emergency health care facilities across the country, Roth provides the first nationwide account of this mental health crisis-and uncovers the hidden forces behind it. She also surveys a range of efforts to address the problem, making the case for a large-scale overhaul of mental health care and criminal justice. Insane is a galvanizing wake-up call for criminal justice reformers and anyone concerned about the plight of our most vulnerable.

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