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most inmates at wabash prefer general population. for a number of those diagnosed as mentally ill, the only place they feel safe is the shu. >> in population, sometimes mentally ill people get victimized. so some mentally ill people are purposely in the shu. they do what they need to, to get in the shu. >> one such action that gets inmates sent to the shu is self-mutilation. >> i did that scar about ten years ago. i got it from the ankle all the way up to the hip bone, all the way down to the bone and i cut across sideways so the surgeons had to take about 12 hours to sew me up. you got seven layers of skin you got to go through before you get to the bone. and when you're going through one of them phases, you don't
>> today joe is extremely agitated. with dr. profitt's help, he tries to find a solution that does not involve cutting himself. >> how are you going to manage how you feel the rest of the evening? >> i'm all right. i'm all right. i'm not going to let anybody put any hands on me and that's over with. >> so you're going to go about this the right way then? >> yeah. >> excellent. i think people are going to listen to that more than the more outrageous attempts at getting that attention, you know, doing things like self-injury and those sorts of things. so i think you're going to be heard more that way. >> all right. >> and i'm proud of you for making that decision. i really am. i think you're doing the right thing. i'll be here for another little while, another 45 minutes at least if you need to holler at me again, please do so, all right? >> i'll be all right. i'm just going up. nice to see you. >> all right, but if you do, you know where to find me, all right. >> all right. >> all right, man. see you later. >> all right. thanks. >> but even after marked progress, joe still has doubts
a letter? was that meant for me? >> yeah. >> how are you doing? >> so i see people when they need to be seen, when they asked to be seen, when somebody else thinks they need to be seen. i will see what's wrong, see what can be done in the institution to help them cope. >> the only way i can get out of this mood, i mean, i don't care, you can give me drugs, alcohol. the only way i can get out of moods is through self-injury. >> okay. >> group therapy in the shu is conducted with each inmate locked in a separate holding cell. dr. sims moderates this small group of self-mutilators. >> once i see my blood, i'm in another world. i'm a different -- i'm someone totally different from myself. i mean, that's the only time i actually, you know, can actually feel real, feel alive, and feel like everything's going to be okay. >> for me, it's being in control. my whole life, i felt like i wasn't in control. but then when i had times when i do cut myself, i'm in control of the situation. >> there are a group of people that self-injure when they come to prison as a way to control their level of pain, that when they're in so much pain that they don't know what to do, that they are starting to feel like suicide, that self-injury cuts their level of pain down, so it's pain control. >> self-injury really isn't bettering yourself. and sometimes people die. but i mean, it's just -- >> it's the survival tool that you developed. some people self-injure as a
dr. mary ruth sims routinely checks on the shu inmates. >> i've been here for 7 1/2 years. what i do is different every single day. some days i do groups. some days i do individuals. some days it's crisis all day. hey, did you want me to pick up a letter? was that meant for me? >> yeah. >> how are you doing? >> so i see people when they need to be seen, when they asked to be seen, when somebody else thinks they need to be seen. i will see what's wrong, see what can be done in the institution to help them cope. >> the only way i can get out of this mood, i mean, i don't care, you can give me drugs, alcohol. the only way i can get out of moods is through self-injury. >> okay. >> group therapy in the shoe is conducted with each inmate locked in a separate holding cell. dr. sims moderates this small group of self-mutilators. >> once i see my blood, i'm in another world. i'm a different -- i'm someone totally different from myself. i mean, that's the only time i actually, you know, can actually feel real, feel alive, and feel like everything's going to be
self-mutilation. >> i did that scar about ten years ago. i got it from the ankle all the way up to the hip bone, all the way down to the bone and i cut across sideways so the surgeons had to take about 12 hours to sew me up. you got seven layers of skin you got to go through before you get to the bone. and when you're going through one of them phases, you don't even feel the pain. you don't even know you're doing it. >> joe carr is serving an eight-year sentence for robbery. he is taking antipsychotic medication and under staff supervision, he agreed to tell us his story. >> i was anti-sociable. i didn't want to be around nobody. i didn't want nobody around me. i wanted to be by myself. everything made my angry. i would take a lot of it out of myself and then i would feel better. i was cutting myself up every day, every day, every day. so they ended up putting me in the shu for hurting myself. and then my time was up in the
belligerent in the shower. >> and they come up here talking crazy to me, okay? she come up there and talking to me, well you called me a [ muted ]. i said what? i said, wait a minute, [ muted ] win just asked you for some [ muted ] and i snapped on her. >> when we tried to get him to come out of the shower, he was refusing. then he started throwing toilet water on myself and several other staff members. >> i got it all through my face, all down my back. >> he threatened to kill everybody out there, staff and all. we put him on the wall first. what we say, put them on the wall. have him face the wall. we want him facing the wall. we don't want him turning his head and getting mouthy and this and that. this way you're going to get spit on. you want his nose to the wall. when you want to talk to him, he can talk to the wall.
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okay. >> for me, it's being in control. my whole life, i felt like i wasn't in control. but then when i had times when i do cut myself, i'm in control of the situation. >> there are a group of people that self-injure when they come to prison as a way to control their level of pain, that when they're in so much pain that they don't know what to do, that they are starting to feel like suicide, that self-injury cuts their level of pain down, so it's pain control. >> self-injury really isn't bettering yourself. and sometimes people die. but i mean, it's just -- >> it's the survival tool that you developed. some people self-injure as a manipulation. they're not getting what they want and they self-injure and then everybody's attention is focused on them and people are more willing to do what they want because they self-injure. >> it's like a baby crying wanting his bottle. you give the baby his bottle because he's crying or change his diaper. me, you give me something sharp to hurt myself with, and then i'm fine. >> we had people break tvs and cut their throats with them.
to the world thinking, well, i can't do this. i'm beating myself up. i can't make ends meet. i'm just going to make one quick batch and be done with it, you know what i'm saying? i will get on my feet and then i will quit, whatever. in reality, we all know we can't do that. >> i'm most worried about being a convicted felon and going out there and having to rely on a temporary service making $6, $7 an hour and paying for house arrest, trying to establish my own residence. that's going to be a really tough thing, because when i leave here, i've lost everything. >> eddie newlin is in prison for manufacturing methamphetamine. >> when i look back at where i came from, i was the lower life of society. even though i didn't think i harmed nobody or done nothing wrong, running around sticking needles in my arms, leaving labs laying in the woods, having no real care about nobody but myself. if i go out there and get on drugs, there's no way i'll make it. i know that. there's no ifs, ands or buts. but if i use this program to my advantage and i get some good
so i think you're going to be heard more that way. >> all right. >> and i'm proud of you for making that decision. i really am. i think you're doing the right thing. i'll be here for another little while, another 45 minutes at least if you need to holler at me again, please do so, all right? >> i'll be all right. i'm just going up. nice to see you. >> all right, but if you do, you know where to find me, all right. >> all right. >> all right, man. see you later. >> all right. thanks. >> but even after marked progress, joe still has doubts as to whether or not he can function on the outside. >> this is all i know right now. this here is my world. this is what raised me. two years ain't far away. i'm getting out in two years. >> if joe leaves prison from the rtu, an after-care program will be set up at an outpatient treatment center. >> you set and you think about it, it scares you sometimes. you don't want to fail. you want to go out there and do right. then again, you don't know if