The trans-institutionalization of individuals with serious mental illness from America’s public mental health hospitals to its correctional systems has created significant challenges to correctional leaders and public health policy makers. Never designed, equipped or intended to be mental health facilities, jails and prisons have struggled with costs, litigation, community linkage and care and custody issues for individuals with mental illness. A paradigm shift is needed to change how stakeholders approach the problem. Recognizing public safety and public health outcomes are inextricably linked, it is opportune to adopt a public safety/public health model which creates an effective synergy between the public health and criminal justice systems.
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