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Mad or misunderstood…Social deviance or sick role?
.
Health, Health & Fitness
BY DR STEPHANIE D MULLINGS  
October 19, 2025

Mad or misunderstood…Social deviance or sick role?

JAMAICA’S ongoing national conversation linking crime and mental illness has raised urgent questions about the root causes of deviant behaviour. Are offenders simply “bad” individuals making immoral choices, or are they struggling with untreated mental illnesses that society refuses to understand?

The reality, as Leroy Fearon highlighted in an October 2023 article, is that a viral challenge, often hidden behind trending hashtags, reflects a deeper dilemma. Criminal acts frequently stem from a complex intersection of personal choices and broader social, psychological, and structural issues. Poverty, stigma, moral decay, family breakdown, and limited access to mental health care all intensify these challenges. Addressing crime in Jamaica requires both enforcement of the law and a compassionate, systemic understanding of mental illness.

Understanding mental illness

Mental illness comprises diagnosable disorders that affect thought, emotion, and behaviour, conditions such as depression, anxiety, psychosis, and substance use disorders. These conditions are not character flaws but medical and social realities that profoundly affect one’s quality of life and productivity. When left untreated, mental illnesses can result in vulnerable individuals experiencing homelessness, violence, or conflict with the justice system. Unfortunately, instead of empathy or intervention, society often responds with punishment and ostracism, perpetuating cycles of stigma and exclusion.

Sociology provides valuable insight into how societies respond to mental illness. Labelling individuals as “mad” or “criminal” fosters stigma, isolation, and barriers to recovery. Talcott Parsons’ sick role theory suggests that the ill deserve care and exemption from normal duties and this is offered only when society recognises their condition as legitimate, something often denied in Jamaica.

Similarly, Strain Theory explains that poverty, unemployment, and limited opportunities can drive marginalised youth toward crime. Together, these theories show that deviant behaviour often reflects social failure, emphasising the need for empathy, inclusion, and systemic reform rather than solely harsh punishment.

 

Global lessons and effective models

Many countries have developed effective strategies to address the association between mental health and crime through early intervention and school-based programmes. In the United Kingdom, mental health support teams function in schools to identify early signs of distress, train teachers, provide counselling for students, and establish referral systems to professional care, thereby preventing behavioural issues from escalating.

Australia’s MindMatters Programme integrates mental well-being education into the curriculum. This initiative promotes supportive classroom environments, enhances academic performance, and strengthens school communities.

In the United States, post-pandemic reforms have expanded access to mental health services and introduced trauma-informed education, equipping teachers to respond with empathy rather than punishment.

These international models demonstrate that prioritising emotional well-being within schools can transform them from disciplinary institutions into nurturing environments that prevent future criminality. Jamaica can adopt and adapt these models to strengthen its educational system as a front line for prevention.

 

Building a Jamaican response

To address the challenge of mental health and crime, Jamaica must reimagine its schools and homes as hubs of prevention, care, and resilience. Therefore, these strategies can be implemented.

1) Whole-school approaches: Make social-emotional learning central and appoint mental health leads in schools.

2) Teacher training: Equip educators to recognise and respond to mental distress early.

3) School-community partnerships: Create seamless connections with clinics, social workers, and non-government organisations for stigma-free support.

4) Trauma-informed practices: Replace punitive measures with compassionate interventions that consider students’ lived experiences.

5) Data monitoring: Track attendance, behaviour, and well-being to guide timely, evidence-based interventions.

 

Parenting, family, and social order

Effective parenting and strong family structures are essential for reducing crime and supporting mental health. Stable families contribute to safer, more cohesive communities. Furthermore, nurturing moral and social order through families, churches, and civic groups helps to discourage violence. Jamaica’s justice system should prioritise rehabilitation and diversion, treating mental illness as a health issue rather than a moral or legal failure.

The path forward demands a united, compassionate approach. Families, schools, churches, and community organisations must collaborate to create systems of care rather than punishment. Schools should serve as safe spaces for healing, providing counselling and values-based education.

Jamaica is at a crossroads. By stigmatising mental illness and viewing crime as “badness” it risks perpetuating cycles of incarceration. Therefore, investing in school-based mental health programmes, empowering parents, and strengthening justice reforms, Jamaica can build a society in which healing replaces hostility.

 

Dr Stephanie D Mullings is a senior lecturer, School of Pharmacy, University of Technology, Jamaica.

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