Eugene Richards

Few human beings are subject to as much misunderstanding, cruelty, and neglect as the mentally ill and the developmentally disabled. People with mental disabilities are often abandoned or hidden away in public institutions, which are grossly overcrowded and filthy, and which offer little in the way of medical care or training. The developmentally disabled are mixed in with the mentally ill, very young people with the very old, the physically unhealthy with the healthy. Heavily medicated and deprived of dental care, proper nutrition, education, and counseling, the mentally disabled have almost no chance of living productively and safely within these institutions and little opportunity of ever leaving.

First on assignment and then as a volunteer for the human rights group Mental Disability Rights International, I reported on conditions in mostly state-run psychiatric facilities. Now when I hear the words “psychiatric hospital,” I see barred windows, locked wards, gray walls, blank stares, drugged people lying on the floor.

Mention Ocaranza in Hidalgo, Mexico, and I will tell you that the men’s ward had a wide stream of urine running through it, that it was 48 degrees inside the hospital the morning we pushed our way in, and that at night there was only one nurse on duty for 110 patients. The women’s ward was as cold, damp, and bare as the men’s. I photographed an elderly woman with what was probably Alzheimer’s tied to a wheelchair and shivering in her thin nightdress, then a 17-year-old girl who, because she persisted in shoving her hand down her throat, spent most of every day in a straitjacket.

Mention Jalisco in Guadalajara, Mexico, and I will tell you about the children’s ward, where kids, often housed with adult patients, were left lying on mats covered with urine and feces or tied to the bars of their cells, eating their own excrement, and covered with flies.

Mention the Neuro-Psychiatric Hospital in Asunción, Paraguay, and I will tell you about two 17-year-old boys, Julio and Ramón, abandoned at birth, who were held for six years in six-by-nine-foot cells that had holes in the floors for toilets, no electricity, dirty blankets, and openings in the barred doors through which their food was passed.

Mention the Shtime Special Institution in Kosovo, and I will tell you that that is where I encountered patients curled up and barely conscious on floors soiled with waste. I will tell you about the female patients, women of all ages, who spoke in hushed voices of having been raped inside the institution. One woman was raped after attendants locked her in a room with a male patient, in order to “calm her down.”

The cruelty and mistreatment I witnessed in one place I witnessed in all—in Paraguay, in Kosovo, in Hungary, in Argentina, in Armenia, in Mexico—as if there is a global agreement that you can do things to people classified mentally or developmentally disabled that you couldn’t possibly do to other people.

—Eugene Richards, March 2005