In Texas, jails and prisons have become synonymous with mental institutions. Psychologically ill persons are increasingly being placed in jails as a substitute for adequate mental health attention. As of today, an estimated 20% of inmates in Texas jails and prisons suffer from serious mental ailments such as: schizophrenia, maniac-depressive disorder, and major depression.
"The Texas Health and Safety Code art. 571.003(14) defines mental illness as an illness, disease, or condition, other than epilepsy, senility, alcoholism, or mental deficiency, that: (A) substantially impairs a person's thought, perception of reality, emotional process, or judgment, or (B) grossly impairs behavior as demonstrated by recent disturbed behavior" (Attorney handbook).
In 2007 Texas was among seven of the selected states to participate in a research study aiming to determine the number of mentally ill individuals currently incarcerated. The study found that in Harris county Jail 17.3 percent of the inmates were on psychotropic medications. The costs of treating these individuals amounts to $87 million annually, and with reduced funding for treatment of mental health, the cost is certain to rise.
Current laws make it difficult to treat mental patients effectively, and in turn cost the state twice as much to keep a psychiatric inmate in jail than the average inmate. Money, however, is not the only thing at stake – psychological and physical health is also severely affected. Inmates suffering from mental illnesses are often the targets of other inmates, as they are more likely to become the victims of harassment and violent crimes. A jail has been proven to serve as the opposite of a therapeutic environment - where mental health declines and the possibility of relapsing increases. Indeed, a staggering number of prisoners return to jail after being released, most times after having committed the same crime, for which they are typically detained twice as long as others. This discouraging cycle is evident in most of the detainees. During their stay at jail, mental patients are treated separately, yet inefficiently with countless medications; this yet another cost to the state and its residents.
It is not simply an issue tax payers face, but psychiatric institutions as well. Since Legislature reduced mental health funding in 2004, jails and psychiatric institutions alike are experiencing overflowing capacity. Because the mental health sector has reduced funding, fewer personnel are able to tend to patients, leaving jail cells to function as hospital rooms, and sheriffs as psychotherapists.
Prompt action is crucial to the wellbeing of truly mentally ill inmates; prolonging a solution is bound to give rise to progressively futile spending.