Policy Statement 11, Research Highlight 4
Over half of state prisoners with mental illnesses receive mental health treatment in prison; transition planning is a major issue for this population.
Sixty percent of state prisoners with mental illness have received some form of mental health treatment while in prison. [1] Of these, half reported taking prescription medication and 44 percent reported receiving counseling services. While comparable statistics do not exist for jails, 11 percent of all people in jails nationwide report receiving mental health services while incarcerated, with 9 percent taking a prescription medication for a mental health issue and 5 percent receiving professional counseling. [2] Among people with mental health problems who receive medication and counseling while incarcerated, the intensity of treatment is rarely maintained upon release. The Bureau of Justice Statistics reports that 66 percent of states help inmates with mental health problems to identify and access community-based services postrelease. [3] The extent of this assistance varies from a list of referrals upon release to established appointments with community providers. Even if every state were to provide prisoners who have mental illnesses with a list of referrals upon release, however, insufficient resources, deficient follow-up, the absence of social support systems, or a combination of such factors may result in poor outcomes for these releasees. [4] Further, parole agencies are generally ill-equipped to effectively identify and address the mental health needs of released inmates. Even when problems are identified, access to affordable services is often limited. A national survey of parole administrators found that less than one quarter of respondents indicated that they provide special programs for parolees with mental illness. [5]
- Paula M. Ditton, Mental Health and Treatment of Inmates and Probationers, US Department of Justice, Bureau of Justice Statistics (Washington, DC: 1999), NCJ 174463. back
- C. W. Harlow, Profile of Jail Inmates 1996, US Department of Justice, Bureau of Justice Statistics (Washington, DC: 1998), NCJ 164620. (Note: These figures are for all jail inmates, not only those individuals who reported having a mental health issue). back
- Allen Beck and Laura Maruschak, Mental Health Treatment in State Prisons, 2000, US Department of Justice, Bureau of Justice Statistics (Washington, DC: 2001). back
- Heather Barr, Prisoners and Jails: Hospitals of Last Resort-The Need for Diversion and Discharge Planning for Incarcerated People with Mental Illness in New York (New York: Correctional Association of New York and Urban Justice Center, 1999). back
- Arthur J. Lurigio, "Effective Services for Parolees with Mental Illnesses," Crime and Delinquency 47, no. 3 (2001): 446-461. back

