The North Texas State Hospital, with 692 beds, is the largest remaining state psychiatric hospital. The Harris County Jail in Houston, where “25 percent of the prisoners receive psychotropic medication” (Bellaire Examiner, May 18, 2012), has over 8,000 inmates and thus is certainly the largest “mental institution” in the state. In Bexar County, “about 21 percent of the inmates suffer from mental illness” (San Antonio Express-News, Aug. 8, 2010). In both Bell and El Paso Counties, “about 40 percent of the inmates” are being treated with psychotropic medications “or need those medicines” (Texas Tribune, Dec. 16, 2010; KWTX, July 24, 2013).The group's recommendations were to:
One of the most depressing aspects of the situation for prison and jail officials is to see the same people repeatedly cycling through their facilities. In Harris County, almost 600 mentally ill individuals “cycled through the jail at least five times in the past two years” (YourHoustonNews.com, May 22, 2013). They include Patricia George, 34 years old and diagnosed with schizophrenia; she has been charged with 31 misdemeanors and 12 felonies and has already spent nine years in jail (Houston Chronicle, July 21, 2008).
Texas is among the states with the lowest number of public psychiatric beds and among the stingiest states in per capita mental health spending. Some of the jail overcrowding is directly attributable to having no available psychiatric beds. In 2010, the Bexar County Jail had 100 jail inmates waiting to be transferred to a state hospital, and the Dallas County Jail had 103; since then, the situation has only gotten worse (San Antonio Express-News, Aug. 8, 2010).
- Provide appropriate treatment for prison and jail inmates with serious mental illness
- Implement and promote jail diversion programs
- Promote the use of assisted outpatient treatment (AOT)
- Encourage cost studies
- Establish careful intake screening
- Mandate release planning
H/T: Sentencing Law and Policy.