I just reflect back on experiences I had when I was a correctional services superintendent—or warden, as the federal system calls them. I used to laugh and say I got same-day service from the psychiatric system at the time. My physician would send a mentally ill person over to a psychiatric hospital and they'd be back the same day, because the psychiatric hospital would say, “We don't have the security to handle those people. Why on earth are you sending them to us?” So that's a good example of the health care system at that time not being ready to handle those most difficult people--neither are they today, for the most part.
In fact, in psychiatric circles I think you'd find people saying that we really don't have psychiatric methods to handle many of these people. Obviously there's something wrong with them, and we don't have a good prescription for them these days.
So correctional staff—wardens and senior staff in institutions--end up putting people in segregation who have no business there, because they don't know what else to do with them. I think that's the serious problem. Then when you put somebody in that state in a secure cell with nothing around them, they're not going to get better, for sure.