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Solitary confinement can eat away at someone's mind, making mental illness worse and leaving many people depressed, suicidal, hopeless or hallucinating. It's no place for individuals with mental illness.

In 1995, a federal court in California agreed. After a trial exposing the appalling conditions at Pelican Bay鈥攖he state's most notorious, all-isolation, supermax prison and the site of repeated hunger strikes鈥攁 all mentally ill prisoners out of the prison's security housing unit (SHU) in a case called Madrid v. Gomez.

But, because of the sometimes frustratingly limited nature of legal decisions, this judge's order only impacted Pelican Bay. While Pelican Bay has for years been notorious for its conditions of extreme isolation鈥攍eading thousands of prisoners across California to participate in , some for as long as two months鈥攊t is the only California prison in which prisoners with mental illness may not be held in solitary confinement as a matter of law. This means that seriously mentally ill prisoners all over California continue to be held in long-term solitary confinement, even though the Madrid order prohibits those conditions for the mentally ill at Pelican Bay.

It's time to change that. Today in Sacramento, key witnesses, including experts in psychology and corrections practices, will take the stand in support of the first statewide case aimed at getting all mentally ill people in California out of solitary confinement. The case is called Coleman v. Brown, and beginning today these experts will help to expose the extreme and sometimes irreversible damage of holding people with mental illness in solitary confinement.

The Coleman plaintiffs have marshaled stunning evidence to support their claims that all California prisons must remove mentally ill prisoners from solitary confinement. Statewide, according to case filings, about 9 percent of the California Department of Corrections and Rehabilitation's (CDCR) approximately 123,600 total prisoners are held in some form of segregated housing鈥攂ut that number includes 21 percent of mentally ill prisoners system-wide. This means that mentally ill prisoners in California are held in disproportionately high numbers in solitary confinement. Even more alarming is evidence uncovered by the Coleman plaintiffs showing the dramatically heightened suicide rate among prisoners in segregated housing: in 2011, more than one third of all suicides in CDCR facilities took place in segregation units; more than half of the individuals who committed suicide in the first half of 2012 were housed in segregation; and 58 percent of the 19 people who have taken their life to date in 2013 occurred in segregation units.

These disproportionately high instances of suicide are unfortunately not surprising to those familiar with the harms of solitary confinement. Psychological studies consistently show that solitary confinement can wreak distinctive harms on prisoners, including heightened symptoms of hopelessness, depression, hallucinations, self-mutilation, suicidal ideation, and suicidal acts. And a noted a striking correlation between segregated housing and prison incident reports of self-mutilation and suicide.

Although the harms of solitary confinement for mentally ill prisoners are well known, many states, including California, have been slow to catch up to the growing trend against prolonged solitary. Across the country, corrections departments, judges, activists, prisoners and their families alike will be watching to see if the Eastern District of California holds that the CDRC must forbid the housing of mentally ill prisoners in solitary confinement. If the court holds that it must, then California鈥攁nd the rest of the country鈥攚ill be forced to rethink its statewide policies governing the use of solitary confinement.

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