Can comprehensive mental healthcare be provided in an overcrowded prison system?

Abstract

This article deals with the efforts made in a 15-month period to provide mental health services in a large, antiquated, overcrowded prison system. The role of altered public sentiment engendered by recent prison riots and rising suicide rates in making available funding and personnel is discussed. The mental health services which were provided are described in detail as well as their relationship to the correction and criminal justice systems. Plans for viable alternatives to the present system are discussed. The risk that such services can be a perpetuation of a nonfunctional system that prevents needed radical change is explored.