Prisons and Mental Institutions Revisited

I pointed to the provocative chart below a few days ago and was intrigued by the thesis that the prison boom has basically been the flipside of the 60s-era decline in institutionalization of the mentally ill:

Mark Kleiman does it buy it and argues, convincingly in my view, that “the demographics aren’t right.”

As Steven Raphael and Michael Stoll point out in Do Prisons Make Us Safer? (just published), mental-hospital patients tended to be white, female, and elderly, while prisoners are disproportionately black, male, and young.

Certainly, the jails have borne some of the brunt of de-institutionalization; the Los Angeles County jail has been described as the largest mental hospital in the nation. But Raphael and Stoll compute that fewer than 130,000 of the nation’s 2.3 million prison and jail inmates are the products of de-institutionalization; that’s about 10% of the growth in the system.


Yes, it’s important to provide better mental-health services to criminal-justice clients, and doing so will tend to reduce prison and jail headcounts. But de-institutionalization is not among the major sources of mass incarceration. That policy had costs, some of them due to the failure to replace asylum care with good community-based care. Those costs fell on the criminal justice system, on the neighborhoods disturbed by disturbing behavior, and on those released, many of whom wound up on the streets or in homeless shelters.

But surely the civil libertarians got the bigger question right: locking people up for acting crazy is a pretty rotten thing to do, and I’m glad we mostly don’t do it anymore. There’s a revisionist tendency to add de-institutionalization to high-rise public housing on the liberal-good-intentions-gone-awry list. It should be resisted. And the notion that the current level of incarceration is somehow historically normal needs to have stake driven through its heart.

That sounds good to me.