Excellent Profile of Cook County Jail as Mental Health Facility

There is an excellent article about Cook County Jail in the Atlantic this week entitled “America’s Largest Mental Hospital Is a Jail.” The article hits on some of the same points I made in this post from 2012 on the propriety of incarceration versus electronic monitoring for pretrial detainees, especially when nonviolent.

A few fascinating facts from the article:

  • Cook County Sheriff Tom Dart recently appointed a clinical psychologist as the executive director of the jail.  She “is currently the only mental health professional in charge of a major jail in the United States.”
  • “A study in 1990 found that 1 in 15 prisoners at Cook County Jail had some form of mental illness. Today, a conservative estimate is 1 in 3.”
  • The article calls the jail’s processing system “unusual, and possibly unique”: “After the normal post-bail intake procedure is complete, inmates file through a series of concrete cubicles staffed by a battalion of employees from the Cook County Health and Hospitals System. About 600 of the county hospital system’s 6,000 employees work at Cook County Jail. If the inmate is eligible, county officials can sign up him or her for CountyCare, a health insurance program for low-income Cook County residents created through the Affordable Care Act’s expansion of Medicaid. The assembly-line layout allows the county to process about 200 applications a day. Over 10,000 inmates have signed up so far.”

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