An urgent exposéf the mental health crisis in our courts, jails, and prisons America has made mental illness a crime. Jails in New York, Los Angeles, and Chicago each house more people with mental illnesses than any hospital. As many as half of all people in America's jails and prisons have a psychiatric disorder. One in four fatal police shootings involves a person with such disorders. In this revelatory book, journalist Alisa Roth goes deep inside the criminal justice system to show how and why it has become a warehouse where inmates are denied proper treatment, abused, and punished in ways that make them sicker. Through intimate stories of people in the system and those trying to fix it, Roth reveals the hidden forces behind this crisis and suggests how a fairer and more humane approach might look. Insane is a galvanizing wake-up call for criminal justice reformers and anyone concerned about the plight of our most vulnerable.

A stunning account of life behind bars at the federal penitentiary in Leavenworth, Kansas, where the nation’s hardest criminals do hard time. “A page-turner, as compelling and evocative as the finest novel. The best book on prison I’ve ever read.”—Jonathan Kellerman The most dreaded facility in the prison system because of its fierce population, Leavenworth is governed by ruthless clans competing for dominance. Among the “star” players in these pages: Carl Cletus Bowles, the sexual predator with a talent for murder; Dallas Scott, a gang member who has spent almost thirty of his forty-two years behind bars; indomitable Warden Robert Matthews, who put his shoulder against his prison’s grim reality; Thomas Silverstein, a sociopath confined in “no human contact” status since 1983; “tough cop” guard Eddie Geouge, the only officer in the penitentiary with the authority to sentence an inmate to “the Hole”; and William Post, a bank robber with a criminal record going back to when he was eight years old—and known as the “Catman” for his devoted care of the cats who live inside the prison walls. Pete Earley, celebrated reporter and author of Family of Spies, all but lived for nearly two years inside the primordial world of Leavenworth, where he conducted hundreds of interviews. Out of this unique, extraordinary access comes the riveting story of what life is actually like in the oldest maximum-security prison in the country. Praise for The Hot House “Reporting at its very finest.”—Los Angeles Times “The book is a large act of courage, its subject an important one, and . . . Earley does it justice.”—The Washington Post Book World “[A] riveting, fiercely unsentimental book . . . To [Earley’s] credit, he does not romanticize the keepers or the criminals. His cool and concise prose style serves him well. . . . This is a gutsy book.”—Chicago Tribune “Harrowing . . . an exceptional work of journalism.”—Detroit Free Press “If you’re going to read any book about prison, The Hot House is the one. . . . It is the most realistic, unbuffed account of prison anywhere in print.”—Kansas City Star “A superb piece of reporting.”—Tom Clancy

"Few places are more chaotic than jail. For incarcerated individuals and staff alike, the volatility of the jail environment is based in large part on its status as a temporary institution. Unlike prisons, where all incarcerated individuals have been convicted of a crime and are serving long sentences (typically of more than a year), jails overwhelmingly house individuals who are waiting a disposition to their court case (approximately 74%; Sawyer & Wagner, 2020); a minority of jailed individuals are also serving sentences under a year for minor offenses. While a jail is a temporary holding area for persons awaiting adjudication, temporary can mean days or years depending on factors often outside the control of the jailed person. In jails, people charged with violent felonies are often housed alongside citizens arrested for minor crimes as they all await a disposition to their case. Unlike in prison, where incarcerated individuals know the outcome of their case and sentence length, in jail these are unknowns"--

“A magnificent gift to those of us who love someone who has a mental illness…Earley has used his considerable skills to meticulously research why the mental health system is so profoundly broken.”—Bebe Moore Campbell, author of 72 Hour Hold Former Washington Post reporter Pete Earley had written extensively about the criminal justice system. But it was only when his own son—in the throes of a manic episode—broke into a neighbor's house that he learned what happens to mentally ill people who break a law. This is the Earley family's compelling story, a troubling look at bureaucratic apathy and the countless thousands who suffer confinement instead of care, brutal conditions instead of treatment, in the “revolving doors” between hospital and jail. With mass deinstitutionalization, large numbers of state mental patients are homeless or in jail-an experience little better than the horrors of a century ago. Earley takes us directly into that experience—and into that of a father and award-winning journalist trying to fight for a better way.