Wednesday, February 4, 2026

How one authorized group is constructing assist for folks with cognitive disabilities : NPR

Noah Cox, a lawyer in the Los Angeles County Public Defender’s Office, stands in the doorway of his office. He is wearing a gray suit and a patterned bowtie.

Noah Cox, a lawyer within the Los Angeles County Public Defender’s Workplace, fashioned the neurocognitive dysfunction group constructed on the premise that jail isn’t all the time the correct place for somebody with this sort of incapacity.

Philip Cheung for NPR


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Philip Cheung for NPR

Just a few years in the past, Noah Cox observed one thing about among the folks he represented in courtroom. They struggled to speak, suppose logically or downside resolve.

“I needed to know their account of what occurred, and I might ask them questions. And plenty of of them would battle with a fundamental clarification,” says Cox, a lawyer within the Los Angeles County Public Defender’s Workplace. “It appeared like they had been having challenges associated to some form of mental skill.”

What Cox was seeing was indicative of a broader development: Research present folks with mental and developmental disabilities are overrepresented within the nation’s prisons and jails.

He got down to break that sample, forming a group inside the public defender’s workplace often known as the neurocognitive dysfunction group. It is a pioneering effort constructed on the premise that jail isn’t all the time the correct place for folks with most of these disabilities.

‘A cycle of being concerned within the system’

There are lots of the explanation why somebody would possibly expertise a cognitive impairment, together with situations comparable to Fetal Alcohol Syndrome, Down Syndrome, a traumatic mind harm, or an mental incapacity, which may restrict studying and on a regular basis duties.

However a lot of Cox’s shoppers had been by no means recognized with any form of incapacity. That does not shock Leigh Anne McKingsley, senior director of incapacity and justice initiatives for The Arc, a nonprofit that advocates for folks with mental and developmental disabilities.

“Usually the incapacity goes unrecognized,” McKingsley says. “They may have gone by their faculty system not ever actually passing a lot, nevertheless it by no means received documented.”

A piece of paper that says "semi-structured interview questionnaire for cognitive disorders" is stapled to a bulletin board and holds questionnaire packets.

Academic flyers about cognitive problems are displayed within the Los Angeles County Public Defender’s workplace.

Philip Cheung for NPR


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Philip Cheung for NPR

She says it may be simple for folks like this to fall by the cracks. That may result in bother. In comparison with the overall inhabitants, folks with mental and developmental disabilities are extra prone to be the victims of violent crimes.

However that may go within the different path, too.

“Usually folks with mental disabilities are misunderstood, and that may result in this cycle of being concerned within the system,” McKingsley says.

An individual with this sort of impairment might not perceive penalties or be capable to discern who’s a pal and who is not. They are often extremely suggestible, McKingsley says, and extra simply led throughout a police interrogation.

“They go right into a system that does not tackle their incapacity. They in all probability come out a lot worse and extra prone to commit extra crime or become involved with folks that can,” she says.

‘I wasn’t conscious’

Jimmy is 56, and a local of East LA. He is wirey, with tattoos on his neck and glasses which are a bit too huge for his face. NPR isn’t utilizing his final title as a result of he and his household anxious in regards to the stigma of his legal document.

Jimmy, 56, stands next to a tree and faces away from the camera. He is wearing a blue t-shirt and has tattoos on his arms.

Jimmy 56, is a consumer of Noah Cox and was granted diversion. He meets in LA’s Ladera Park with a day program that works with adults with disabilities.

Philip Cheung for NPR


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Philip Cheung for NPR

For so long as he can bear in mind, he has been getting in bother – with household, with academics, with the police.

“I wasn’t conscious of something, that something was even improper,” he says. “It took me some time to know issues.”

Jimmy has been homeless, struggled with substance abuse, and been out and in of jail most of his life. He got here to Cox’s workplace on a housebreaking cost. It was a 3rd strike, which means he already had two violent felonies on his document and would now face a harsher sentence.

“I bear in mind assembly Jimmy,” Cox says. “He was attempting very arduous to inform me one thing that was crucial to him. However I couldn’t perceive what he was attempting to say.”

Cox requested the choose to nominate a neuropsychologist to judge Jimmy. His preliminary testing confirmed weak cognitive expertise, and an IQ low sufficient to point impairment.

“It grew to become obvious that this was someone who had a developmental incapacity, who had not been recognized when he was younger,” Cox says.

‘They had been truly attempting to assist’

Cox, together with a small group of paralegals, interns and social staff, needed to make the argument {that a} diversion program, an alternative choice to jail, can be extra acceptable for Jimmy.

Being recognized with a developmental incapacity, outlined as starting in childhood, would make Jimmy eligible for California’s regional facilities, a community that gives assist to folks with these situations. Entry to such assist might enhance his possibilities at diversion.

People walk by the Clara Shortridge Foltz Criminal Justice Center where the Los Angeles County Public Defender's Office is located. It is a tall and boxy cement building next to a small park and other office buildings.

Folks stroll by the Clara Shortridge Foltz Prison Justice Heart the place the Los Angeles County Public Defender’s Workplace is situated.

Philip Cheung for NPR


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Philip Cheung for NPR

So the group gathered as many data as they might, and interviewed Jimmy’s household to get a way of his childhood.

“They had been truly attempting to assist him. And it was very new to us,” his sister Sylvia says.

Sylvia has all the time recognized one thing was totally different about her brother. He was late to crawl and converse. He could not bear in mind methods to modify the bath water temperature. He struggled in class. She says he began getting in bother with police earlier than he even hit his teen years.

“I believe it was a self-fulfilling prophecy for him. The extra he was labeled dangerous, I believe the extra he grew to become dangerous,” she says.

After all of the interviews and checks, Jimmy was recognized with a gentle mental incapacity, one he’d had since he was a baby. He was 54 years outdated.

‘I am not pissed off anymore’

Skeptics of diversion say they are often too lenient on offenders. However Ricardo Garcia, the general public defender who leads the LA County workplace, says if completed proper, it may tackle an individual’s underlying points, whether or not they’re associated to psychological well being, substance abuse, or a cognitive dysfunction.

LOS ANGELES, CALIFORNIA - September 19, 2025: Ricardo Garcia, 56, Los Angeles County Public Defender, poses for a portrait in the office in the Public Defender’s Office at the Clara Shortridge Foltz Criminal Justice Center. CREDIT: Philip Cheung for NPR

Los Angeles County Public Defender Ricardo Garcia says diversion can tackle an individual’s underlying points, when completed accurately.

Philip Cheung for NPR


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Philip Cheung for NPR

“You give them function and also you educate them the talents for self-determination,” Garcia says. “It is not telling people methods to dwell their life higher. It is displaying them choices so that they turn out to be conscious and might determine for themselves with all the most effective info accessible to dwell the life that most individuals need to dwell.”

Jimmy is now a 3rd of the best way by his two-year diversion plan. He lives in a bunch residence, attends remedy, and most days he involves LA’s Ladera Park as a part of a day program that works with adults with disabilities. His days are wanting rather a lot totally different than they used to.

Jimmy sits on a cement wall in Ladera Park while facing away from the camera.

Jimmy is now viewing his life as a clear slate.

Philip Cheung for NPR


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Philip Cheung for NPR

“I’m going to my remedy. I come to this program. I am busy on a regular basis,” Jimmy says. “All I can say is that it affords greater than jail has to supply me, as a result of I’ve simply modified my life utterly. I do not even use medicine anymore. I am not homeless anymore. I am not pissed off anymore. I’ve traded in my life for a brand new one.”

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