Bojs Mental Health Treatment in State Prisons 2000
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U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics Special Report July 2001, NCJ 188215 Mental Health Treatment in State Prisons, 2000 By Allen J. Beck, Ph.D. and Laura M. Maruschak BJS Statisticians On June 30, 2000, 1,394 of the Nation’s 1,558 State public and private adult correctional facilities reported that they provide mental health services to their inmates.* Nearly 70% of facilities housing State prison inmates reported that, as a matter of policy, they screen inmates at intake; 65% conduct psychiatric assessments; 51% provide 24-hour mental health care; 71% provide therapy/counseling by trained mental health professionals; 73% distribute psychotropic medications to their inmates; and 66% help released inmates obtain community mental health services. One in every 8 State prisoners was receiving some mental health therapy or counseling services at midyear 2000. Nearly 10% were receiving psychotropic medications (including antidepressants, stimulants, sedatives, tranquilizers, or other anti-psychotic drugs). Fewer than 2% of State inmates were housed in a 24-hour mental health unit. This report is based on the 2000 Census of State and Federal Adult Correctional Facilities, an enumeration of all 84 Federal facilities, 1,320 State facilities, and 264 private facilities in operation on June 30, 2000. For the first time, the 2000 census included items related to facility policies on mental health screening and treatment. *Excluded from this report are locally operated jails and Federal confinement facilities. Highlights Nearly all State adult confinement facilities screen inmates for mental health problems or provide treatment Percent of facilities Mental health screening and treatMental Confine- Community- ment services were more frequently health policy ment based reported by State confinement faciliAny 95% 82% ties (95%) than by community-based Screen at intake 78 47 facilities (82%). Conduct psychiatric assessments Provide 24-hour care Provide therapy/counseling Distribute psychotropic medications Assist releasees 79 63 84 30 20 35 83 72 49 51 Community-based facilities, in which at least 50% of the inmates regularly depart unaccompanied, were less likely to report mental health screening (47%), assessment (30%), and therapy/counseling (35%). 1 in 10 State inmates receiving psychotropic medications; 1 in 8 in mental health therapy or counseling Facility characteristic All Percent of inmates receiving Therapy/ Psychotropic counseling medications 13% 10% Public Private 13 10 10 7 Confinement Community-based 13 9 10 5 Males only Females only Both 12 27 14 9 22 13 On June 30, 2000, an estimated 150,900 State inmates were in mental health therapy/counseling programs; 114,400 inmates were receiving psychotropic medications; and 18,900 were in 24-hour care. Maine, Montana, Nebraska, Hawaii, and Oregon approximately 20% of the State inmates were receiving psychotropic medications. In 5 States 155 State facilities specialized in psychiatric confinement, but general confinement facilities provided a majority of treatment Number of facilities Number of inmates Percent receiving 24-hour care Therapy/counseling Psychotropic medications Mental health Other confinement functions 155 1,403 217,420 961,387 7% 19 0% 9 17 7 12 facilities reported mental health/ psychiatric confinement as their primary function; 143 reported it as a specialty among other functions. About two-thirds of all inmates receiving therapy/counseling or medications were in facilities that didn’t specialize in providing mental health services in confinement. Inmates screened at admission and placed in general confinement or specialized facilities State prison systems typically screen inmates for mental disorders at a reception/diagnostic center prior to placement in a State facility. As of June 30, 2000, 161 facilities reported serving this function, including at least 1 in every State. Nearly all of these facilities (153) reported that they either screened inmates or conducted psychiatric evaluations to determine inmate mental health or emotional status. In addition, 155 facilities (in 47 States) reported mental health/psychiatric confinement as a special function. Only three States North Dakota, Rhode Island, and Wyoming lacked a special psychiatric confinement facility. In these States inmates needing special confinement separate from other inmates are placed in State hospitals, prison infirmaries, or in special needs units within general confinement facilities. Mental health services most commonly provided in maximum/ high-security confinement facilities Facility policies relating to mental health screening, assessment, and treatment vary by type of facility and security level. Community-based facilities, in which 50% or more of their inmates are regularly permitted to depart unaccompanied, are less likely (82%) than State confinement facilities (95%) to have policies related to mental health screening and care (table 1). On each mental health policy considered, about half or fewer of the community-based facilities reported having such a policy. The most common policy for community-based facilities was providing assistance to released inmates to obtain mental health services in the community (51%). The least common was providing 24-hour mental health care to inmates (20%). Table 1. Mental health screening and treatment in State correctional facilities, by type of facility, June 30, 2000 Mental health policy Total Any screening/treatment Screen inmates at intake Conduct psychiatric assessments Provide 24-hour mental health care Provide therapy/counseling Distribute psychotropic medications Help released inmates obtain services No screening/treatment Not reported All facilities Number Percent Confinement Community-based facilities facilities Number Percent Number Percent 1,558 100.0% 1,109 100.0% 449 100.0% 1,394 1,055 990 776 1,073 1,115 1,006 91.8% 69.5 65.2 51.1 70.6 73.4 66.2 1,047 855 864 693 926 910 790 95.4% 77.9 78.8 63.2 84.4 83.0 72.0 347 200 126 83 147 205 216 82.2% 47.4 29.9 19.7 34.8 48.6 51.2 125 8.2% 50 4.6% 75 17.8% 39 12 27 Note: Excludes 84 Federal facilities and 26 privately operated facilities in which at least half of the inmates were under Federal authority. Includes facilities in which 50 percent or more of their inmates are regularly permitted to depart unaccompanied and those facilities whose primary function is community corrections, work release, or prerelease. Table 2. Mental health screening and treatment in State confinement facilities, by facility security level, June 30, 2000 Mental health policy Total Facility security level Medium Minimum/low Maximum/high Number Percent Number Percent Number Percent 299 100.0% 489 100.0% 316 100.0% 296 261 264 189 283 285 253 99.0% 87.3 88.3 63.2 94.6 95.3 84.6 482 402 409 358 444 432 363 99.0% 82.5 84.0 73.5 91.2 88.7 74.5 265 190 190 144 196 190 172 86.6% 62.1 62.1 47.1 64.1 62.1 56.2 No screening/treatment 3 1.0% 5 1.0% 41 13.2% Not reported 0 Any screening/treatment Screen inmates at intake Conduct psychiatric assessments Provide 24-hour mental health care Provide therapy/counseling Distribute psychotropic medications Help released inmates obtain services 2 10 Note: Excludes five confinement facilities without a designated security level. Among confinement facilities, the most common forms of treatment were therapy/counseling (84%) and distribution of psychotropic medications (83%). At least three-quarters of the facilities reported screening inmates at intake and conducting psychiatric assessments. Nearly two-thirds of confinement facilities reported that 24-hour mental health care was available to inmates either on or off facility grounds. Mental health screening and treatment policies were more frequently reported by maximum/high-security facilities than by minimum/low-security facilities (table 2). Almost all maximum-security confinement facilities (99%) reported conducting screening and providing 2 Mental Health Treatment in State Prisons, 2000 some form of treatment. The most common (95%) was the distribution of psychotropic medications and providing mental health therapy/counseling. Overall, 125 facilities reported that they did not provide any mental health services to inmates. Of these facilities, 75 were community-based and 41 were minimum/low-security confinement facilities. The absence of mental health policies within these facilities may reflect the confinement and treatment of mentally ill inmates elsewhere within the State systems. On June 30, 2000, fewer than 1.8% of all State inmates were held in facilities in which mental health services were not available. Based on inmate self-reports, at midyear 2000 State prisons held 191,000 mentally ill inmates In the Special Report Mental Health Treatment of Inmates and Probationers (NCJ 174463), BJS estimated that 16.2% of State prisoners were mentally ill. Drawing from inmate surveys conducted in 1997, BJS found that 10.1% of State inmates reported a mental or emotional condition and 10.7% said they had stayed overnight in a mental hospital or program. Though these estimates depend on inmate self-reports, they provide an overall measure of the need for mental health treatment in State prisons. Assuming these percentages have not changed since the surveys were conducted, an estimated 191,000 inmates in State prisons were mentally ill as of midyear 2000. 13% of State inmates receiving mental health therapy; 10% receiving psychotropic medications The 2000 prison census findings reveal a great diversity in the amount and type of treatment being provided among State correctional facilities. Overall, 1.6% of all inmates (or about 10% of all those identified as mentally ill) were receiving 24-hour care in special housing or a psychiatric unit (table 3). Inmates in public facilities (1.8%) and confinement facilities (1.8%) were somewhat more likely than those in private facilities (1.1%) and communitybased facilities (0.3%) to be receiving 24-hour care. Nearly 13% of State inmates (or about 79% of those mentally ill) were receiving mental health therapy or counseling services from a trained professional on a regular basis. The percent receiving therapy was the highest in female-only confinement facilities (with more than 1 in 4 female inmates receiving therapy) and in maximum/high-security facilities (with nearly 1 in 6 inmates in therapy) (table 4). Table 3. Inmates receiving mental health treatment in State correctional facilities, by facility characteristic, June 30, 2000 Facility characteristic Total Reporteda Estimatedb Number of inmates receiving — Therapy/ Psychotropic 24-hour mental counseling medications health care Number Percent Number Percent Number Percent 17,354 18,900 1.6% 137,395 150,900 12.8% 105,336 114,400 9.7% Facility operation Public Private 16,429 734 1.8% 1.1 118,933 7,763 12.8% 11.4 92,414 5,158 9.8% 7.5 Authority to house Males only Females only Both 13,161 834 3,168 1.5% 1.4 4.5 102,235 15,262 9,199 11.7% 26.5 13.9 75,664 8.5% 12,536 21.5 9,372 13.2 Type of facility Community-based Confinement 177 16,986 0.3% 1.8 4,320 122,376 8.7% 12.9 2,458 95,114 4.8% 9.8 11,485 1.3% 109,009 12.8% 82,929 9.6% Facility functionc General confinement Special function Reception/diagnostic center Community corrections Medical treatment Mental health Alcohol/drug treatment Boot camp/youthful offenders Otherd 1,029 2.5 107 0.3 332 17.0 3,335 47.5 0 0.0 176 1.3 699 2.1 6,362 2,588 164 3,373 1,323 720 3,153 14.7 7.4 13.2 46.7 7.7 6.3 9.4 5,392 11.7 1,662 4.6 430 22.1 3,277 45.3 761 4.5 488 4.4 2,631 7.9 a Includes inmates receiving mental health treatment in Florida for whom only statewide totals were reported. b National totals were estimated by multiplying the reported percentages by the total number of persons in State custody on June 30, 2000. c Facilities could report more than one function. Primary function was the category with the largest number of inmates on June 30, 2000. d Includes transfer facilities, juvenile confinement, protective custody, sex offender treatment, and death row. Table 4. Inmates receiving mental health treatment in State confinement facilities, by facility characteristic, June 30, 2000 Facility characteristic Totala Number of inmates receiving — Therapy/ Psychotropic 24-hour mental counseling medications health care Number Percent Number Percent Number Percent 16,986 1.8% 122,376 12.9% 95,114 9.8% Facility operation Public Private 16,270 716 1.8% 1.3 116,296 6,080 13.0% 10.8 90,721 10.0% 4,393 7.7 Authority to house Males only Females only Both 13,064 830 3,092 1.5% 1.5 5.9 100,371 14,744 7,261 11.9% 27.1 14.3 74,736 8.7% 12,119 22.1 8,259 15.2 Security level Maximum/high Medium Minimum/low 6,928 9,608 448 2.4% 1.8 0.4 44,637 65,726 11,593 14.9% 12.6 9.3 35,069 11.5% 52,208 9.8 7,355 5.8 Facility sizeb 1,500 or more 750-1,499 250-749 100-249 Fewer than 100 6,298 5,140 4,582 888 78 1.4% 1.6 3.5 3.3 2.3 59,970 41,953 16,831 3,309 313 12.8% 13.0 13.4 12.4 11.0 45,283 9.3% 31,816 9.9 14,866 11.6 2,867 10.9 282 8.8 a Excludes inmates in mental health treatment in Florida for whom only statewide totals were reported. b Based on the average daily population between July 1, 1999, and June 30, 2000. Mental Health Treatment in State Prisons, 2000 3 Facilities also reported that nearly 10% of all inmates (an estimated 114,400 inmates nationwide) were receiving psychotropic medications. The use of these drugs (including antidepressants, stimulants, sedatives, and tranquilizers) was the most common in facilities specializing in mental health confinement (45%), medical treatment facilities (22%), and female-only confinement facilities (22%). General confinement facilities provided most mental health treatment The 2000 census identified 155 facilities that specialize in mental health/ psychiatric confinement. Twelve of these facilities reported that their primary function (identified by the largest number of inmates) was mental health confinement (table 5). In some States these facilities are used to house mentally ill inmates separately from the general population; in other States they are used to remove inmates in response to acute episodes for a short term. The most severely mentally ill may be transferred to outside agencies (such as State mental hospitals and secure psychiatric hospitals) for long-term treatment. Facilities with mental health confinement as their primary function are typically smaller than other facilities. Between July 1, 1999, and June 30, 2000, these facilities had an average daily population of 690 inmates, compared to an average of 1,460 in facilities that provide specialized care but hold other inmates as well. On June 30, 2000, these 12 facilities held more than 8,124 inmates, and, on average, were operating at about 88% of their rated capacity. The majority of inmates receiving therapy/counseling and medications were housed in facilities without a mental health specialty. Nearly 70% of all inmates receiving therapy and 65% of those receiving psychotropic medication were in general confinement or community-based facilities. Table 5. Characteristics of State correctional facilities providing mental health services, June 30, 2000 Characteristic Number of facilities Average daily population 1,500 or more 750-1,499 250-749 100-249 Fewer than 100 Mean Number of inmates held on June 30, 2000 Number of inmates receiving treatmentb In 24-hour care In therapy/counseling Psychotropic medications Percent of inmates In 24-hour care In therapy/counseling Psychotropic medications Rated capacityc Percent of capacity occupiedd Facilities that specialize in mental Other facilities Communityhealth/psychiatric confinementa Total Primary Secondary Confinement based 155 12 143 961 442 44 54 37 13 7 1,400 2 1 5 3 1 690 42 53 32 10 6 1,460 169 310 278 157 47 928 3 3 32 114 290 130 217,420 8,124 209,296 902,976 58,411 13,739 38,992 34,426 3,335 3,373 3,277 10,404 35,619 31,149 3,308 83,828 60,976 116 3,876 2,170 6.8% 19.2 16.6 217,682 99.9% 47.5% 46.7 45.3 9,255 87.8% 5.3% 18.2 15.6 208,427 100.4% 0.4% 11.2 8.0 899,528 100.4% 0.2% 8.1 4.4 61,664 94.7% a Facilities could report more than one function. Primary function was the category which applied to the largest number of inmates on June 30. Secondary function includes all other facilities that reported mental health/psychiatric confinement as a facility function. b Excludes inmates in mental health treatment in Florida for whom only statewide totals were reported. c Rated capacity is the maximum number of beds or inmates assigned by a rating official. d Percent of capacity occupied is the ratio of number of inmates held to the rated capacity on June 30, 2000. In four States Louisiana, Nebraska, Maine, and Wyoming facilities reported that at least a quarter of all State inmates were receiving mental health therapy or counseling services. Among all States, only Hawaii, which In 5 States nearly 20% of inmates receiving pyschotropic medications operates an integrated prison and jail system, reported that fewer than 5% of their inmates were receiving mental Excluding States in which fewer than 90% of inmates were in facilities report- health therapy/counseling. ing on mental health items, the census Among all correctional facilities, the found that the use of psychotropic Louisiana State Penitentiary in Baton medications was most common in Rouge reported the largest number of Hawaii, Maine, Montana, Nebraska, inmates in therapy (1,736), followed by and Oregon (with nearly 20% of all the California Men’s Colony in San Luis inmates) and least common in Obispo (1,721), the California Medical Alabama, Arkansas, and Michigan (with fewer than 5% of inmates receiv- Facility in Vacaville (1,300), and the Indiana Wabash Valley Correctional ing medications) (appendix table B). Facility (1,021) (appendix table C). In contrast, most inmates receiving 24-hour mental health care (80%) were receiving that care in a specialized confinement facility. 4 Mental Health Treatment in State Prisons, 2000 Appendix table A. Mental health screening and treatment in State correctional facilities, June 30, 2000 Number of facilities, by type of policy Distribute Help released Provide 24- Provide Conduct psychotropic inmates obtain hour mental therapy/ psychiatric assessments health care counseling medications services Total* Screen inmates at intake 1,558 1,055 990 776 1,073 1,115 1,006 125 39 Northeast Connecticut Maine Massachusetts New Hampshire New Jersey New York Pennsylvania Rhode Island Vermont 233 20 8 25 8 43 69 44 7 9 154 17 6 20 4 27 31 36 7 6 163 17 5 17 5 24 52 29 7 7 152 13 3 15 4 14 66 32 0 5 173 18 7 21 7 23 53 29 7 8 178 16 7 20 7 30 43 40 7 8 167 16 6 20 7 25 40 39 7 7 5 0 0 0 0 3 0 2 0 0 3 0 0 2 0 0 0 0 0 1 Midwest Illinois Indiana Iowa Kansas Michigan Minnesota Missouri Nebraska North Dakota Ohio South Dakota Wisconsin 301 48 25 30 11 70 9 28 9 3 34 4 30 190 30 17 11 9 39 1 27 2 2 34 2 16 167 30 14 12 8 43 1 0 2 2 34 3 18 140 32 14 12 9 35 1 0 0 1 26 1 9 207 31 15 10 9 40 8 27 9 2 33 3 20 210 31 13 21 10 31 9 27 9 2 32 4 21 196 34 13 23 11 32 8 27 0 2 29 3 14 25 4 4 2 0 10 0 1 0 1 0 0 3 1 0 0 1 0 0 0 0 0 0 0 0 0 South Alabama Arkansas Delaware District of Columbia Florida Georgia Kentucky Louisiana Maryland Mississippi North Carolina Oklahoma South Carolina Tennessee Texas Virginia West Virginia 730 35 15 9 6 106 83 25 17 26 28 80 52 34 15 127 61 11 527 16 12 8 2 98 54 15 12 12 12 49 37 19 14 117 44 6 497 21 12 8 2 90 45 12 11 14 11 55 30 18 14 114 34 6 338 13 12 2 3 1 38 8 11 13 5 31 25 17 15 111 31 2 514 21 12 8 2 88 41 13 10 18 8 68 33 21 15 114 34 8 535 26 12 8 3 88 47 12 11 18 9 73 37 22 15 118 30 6 471 11 12 5 4 85 48 14 11 22 2 61 20 20 14 109 29 4 59 3 3 0 2 8 6 1 0 2 9 0 4 5 0 2 14 0 17 1 0 1 0 0 2 0 5 0 1 2 3 0 0 2 0 0 West Alaska Arizona California Colorado Hawaii Idaho Montana Nevada New Mexico Oregon Utah Washington Wyoming 294 24 16 86 47 10 13 8 20 10 13 8 30 9 184 16 15 50 16 10 7 6 11 10 13 6 17 7 163 10 13 35 30 9 5 5 10 10 10 5 15 6 146 6 13 28 32 9 6 4 7 8 7 4 17 5 179 12 14 41 34 10 5 6 10 10 9 5 17 6 192 19 14 36 38 9 10 6 9 9 12 6 17 7 172 18 12 38 35 1 7 4 9 8 11 7 15 7 36 1 0 13 0 0 1 0 7 0 0 0 13 1 18 1 1 12 3 0 0 1 0 0 0 0 0 0 Region and State Total No services No data provided reported *Includes 1,295 State-operated facilities, 22 facilities under joint State and local authority, 3 facilities operated by the District of Columbia, and 238 private facilities with more than 50% of their inmates held for State authorities. Mental Health Treatment in State Prisons, 2000 5 Appendix table B. Inmates receiving mental health treatment in State correctional facilities, June 30, 2000 Region and State Total 24-hour care Number Percent 17,354 1.6% Number of inmates receiving — Inmates in custody Therapy/counseling Psychotropic medications In all In facilities Percent Number Percent Number Percent facilities reporting data* covered 137,385 12.8% 105,336 9.7% 1,178,807 1,088,023 92.3% Northeast Connecticut Maine Massachusetts New Hampshire New Jersey New York Pennsylvania Rhode Island Vermont 1,715 341 26 309 92 467 262 178 10 30 1.0 % 2.3 2.8 3.0 4.9 1.8 0.4 0.5 0.3 3.0 20,099 2,596 538 2,271 387 2,308 6,888 4,761 / 350 12.6% 17.8 33.0 21.8 20.7 9.2 10.2 13.0 / 34.9 14,840 1,659 367 1,331 228 2,541 4,539 3,891 / 284 9.2 11.4 23.5 12.7 12.2 9.4 6.7 10.6 / 28.3 171,723 16,984 1,629 10,500 2,277 27,118 71,662 36,895 3,347 1,311 160,938 14,577 1,562 10,500 1,872 27,118 67,595 36,710 0 1,004 93.7% 85.8 95.9 100.0 82.2 100.0 94.3 99.5 0.0 76.6 Midwest Illinois Indiana Iowa Kansas Michigan Minnesota Missouri Nebraska North Dakota Ohio South Dakota Wisconsin 3,843 672 354 134 218 760 32 12 84 / 1,042 43 492 1.7% 1.5 1.9 1.5 2.4 1.7 0.4 0.0 2.4 / 2.2 1.7 3.2 32,461 4,374 4,281 1,293 2,075 4,678 1,222 3,331 982 / 7,165 577 2,483 14.3% 9.9 23.5 14.3 23.1 10.5 16.4 11.9 28.0 / 15.0 22.3 20.4 21,527 2,954 2,392 1,122 1,518 2,161 1,312 1,054 691 247 4,921 420 2,735 9.3% 6.7 13.1 12.4 16.9 4.8 17.6 3.8 19.7 39.3 10.3 16.2 18.0 233,993 44,150 18,195 9,086 8,992 47,639 7,451 27,963 3,508 992 47,915 2,591 15,511 230,640 44,000 18,195 9,031 8,992 45,183 7,451 27,963 3,508 628 47,915 2,591 15,183 98.6% 99.7 100.0 99.4 100.0 94.8 100.0 100.0 100.0 63.3 100.0 100.0 97.9 South Alabama Arkansas Delaware District of Columbia Florida Georgia Kentucky Louisiana Maryland Mississippi North Carolina Oklahoma South Carolina Tennessee Texas Virginia West Virginia 7,106 556 82 2 38 191 2,070 126 201 253 580 715 187 39 399 1,638 0 29 1.6% 2.5 0.8 0.0 1.6 0.3 4.8 1.0 1.2 1.3 3.9 2.5 0.8 0.2 2.2 1.5 0.0 1.0 54,119 1,768 1,117 801 503 10,689 5,302 2,626 5,062 2,829 1,607 3,747 3,349 1,122 430 9,599 3,215 353 11.9% 8.4 10.7 14.5 21.1 14.9 12.1 21.9 27.0 14.9 10.9 13.2 14.6 5.3 6.5 7.7 10.6 12.6 41,280 1,078 424 739 213 7,764 4,659 2,296 1,626 2,344 1,935 2,783 2,716 28 1,811 7,838 2,540 486 9.1% 4.9 4.1 12.5 8.9 10.8 10.6 18.5 8.7 12.4 13.1 10.2 11.8 1.1 9.9 6.2 8.4 16.1 510,287 22,395 10,465 6,023 2,574 71,616 44,235 12,378 19,167 22,821 14,823 30,708 23,858 21,277 18,368 155,099 31,412 3,068 452,197 22,169 10,465 5,910 2,385 71,616 43,958 12,378 18,757 18,933 14,748 27,406 23,013 2,627 18,368 126,084 30,368 3,012 88.6% 99.0 100.0 98.1 92.7 100.0 99.4 100.0 97.9 83.0 99.5 89.2 96.5 12.3 100.0 81.3 96.7 98.2 West Alaska Arizona California Colorado Hawaii Idaho Montana Nevada New Mexico Oregon Utah Washington Wyoming 4,690 93 378 3,144 274 120 1 13 54 138 65 22 381 7 1.9% 2.9 1.4 2.1 1.8 3.2 0.0 0.6 0.8 2.7 0.8 1.8 2.6 0.3 30,706 286 3,874 18,863 2,213 100 547 268 599 803 2,032 306 / 815 13.5% 10.8 14.7 12.5 14.9 2.7 14.3 12.0 10.6 15.6 21.8 29.0 / 37.3 27,689 238 2,194 15,831 2,180 746 728 478 529 427 1,796 239 1,925 378 11.3% 9.0 8.3 10.5 14.2 19.8 19.1 21.4 7.7 8.5 19.6 19.8 13.1 17.3 262,804 3,248 27,005 160,727 15,655 3,761 3,961 2,368 9,296 5,158 9,933 4,824 14,682 2,186 244,248 2,657 26,360 150,884 15,339 3,761 3,813 2,233 6,914 5,028 9,181 1,210 14,682 2,186 92.9% 81.8 97.6 93.9 98.0 100.0 96.3 94.3 74.4 97.5 92.4 25.1 100.0 100.0 Note: Percents based on the number of inmates held in facilities reporting data. Totals vary by item: 1,073,455 for 24-hour care; 1,069,605 for therapy/counseling; and 1,088,023 for use of medications. /Not reported. *Based on facilities reporting use of psychotropic medications. 6 Mental Health Treatment in State Prisons, 2000 Appendix table C. The 35 largest State correctional facilities providing mental health therapy/treatment, June 30, 2000 Name Inmates State on June 30 Total Number of inmates receiving — In 24-hour In therapy/ Psychotropic care counseling medications Percent of inmates receiving — In 24-hour In therapy/ Psychotropic care counseling medications 122,635 3,278 24,557 16,451 2.8% 20.0% 13.4% Louisiana State Penitentiary, Baton Rouge CA Men’s Colony, San Luis Obispo CA Medical Facility, Vacaville Wabash Valley Correctional Facility Dixon Correctional Center LA CA CA IN IL 5,116 6,683 3,070 2,061 2,164 80 221 1,300 47 600 1,736 1,721 1,300 1,021 960 199 1,621 1,300 294 575 1.6% 3.3 42.3 2.3 27.7 33.9% 25.8 42.3 49.5 44.4 3.9% 24.3 42.3 14.3 26.6 CA Institute for Women, Corona Mule Creek State Prison Substance Abuse Treatment, Corcoran CA State Prison, Sacramento CA State Prison, Los Angeles CA CA CA CA CA 1,954 3,566 6,284 2,975 4,210 190 7 14 16 8 900 854 817 794 779 600 769 450 763 594 9.7% 0.2 0.2 0.5 0.2 46.1% 23.9 13.0 26.7 18.5 30.7% 21.6 7.2 25.6 14.1 Wasco State Prison Correctional Training Facility, Soledad CA Correctional Institution, Tehachapi ASP Complex, Eyman CA State Prison, Solano CA CA CA AZ CA 5,932 7,223 5,243 4,306 5,863 / 7 118 100 9 735 726 719 710 708 525 497 539 393 610 0.0% 0.1 2.3 2.3 0.2 12.4% 10.1 13.7 16.5 12.1 8.9% 6.9 10.3 9.1 10.4 Salinas Valley State Prison CA Rehabilitation Center, Norco Hutchison Correctional Facility Valley State Prison for Women CA State Prison, San Quentin CA CA KS CA CA 4,244 4,795 1,874 3,476 5,802 98 7 0 4 14 707 705 700 691 689 604 278 498 392 517 2.3% 0.1 0.0 0.1 0.2 16.7% 14.7 37.4 19.9 11.9 14.2% 5.8 26.6 11.3 8.9 Avenal State Prison Centinela State Prison KY State Reformatory, La Grange OR State Penitentiary, Salem Central Women's Facility, Chowchilla CA CA KY OR CA 6,555 4,569 1,520 1,926 3,445 250 2 121 43 5 686 685 683 681 675 428 11 451 527 636 3.8% 0.0 8.0 2.2 0.1 10.5% 15.0 44.9 35.4 19.6 6.5% 0.2 29.7 27.4 18.5 ASP Complex, Perryville MS State Penitentiary, Parchman North Kern State Prison Gatesville Unit ASP Complex, Florence AZ MS CA TX AZ 1,564 4,986 4,952 2,051 3,417 36 7 7 0 3 674 645 625 617 614 339 645 580 506 310 2.3% 0.1 0.1 0.0 0.1 43.1% 12.9 12.6 30.1 18.0 21.7 % 12.9 11.7 24.7 9.1 Note: Facilities were ranked based on the number of inmates receiving mental health therapy or counseling services on June 30, 2000. /Not reported. Methodology The 2000 Census of State and Federal Adult Correctional Facilities was the sixth enumeration of State institutions sponsored by the Bureau of Justice Statistics. Earlier censuses were completed in 1974, 1979, 1984, 1990, and 1995. The facility universe was developed from the 1995 census. Each department of corrections was contacted to identify new facilities and facilities that had been closed since June 30, 1995. Data were collected from all facilities, resulting in a final response rate of 100%. primarily State or Federal prisoners; were physically, functionally, and administratively separate; and operational on June 30, 2000. Overall, the census identified 84 Federal facilities, 1,295 State facilities, 22 facilities under State and local authority, 3 facilities operated by the District of Columbia, and 264 privately operated facilities. prison hospitals; drug and alcohol treatment facilities; and State-operated local detention facilities (in Alaska, Connecticut, Delaware, Hawaii, Rhode Island, and Vermont). Facilities were classified as community based if 50% or more of their inmates were regularly permitted to leave unaccompanied or if their primary The census included the following function was community corrections. types of adult correctional facilities: Such facilities included halfway houses prisons and penitentiaries; boot camps; and restitution, prerelease, work prison farms; reception, diagnostic, release, and study release centers. and classification centers; road camps, forestry and conservation camps; youthful offender facilities (except in California); vocational training facilities; Facilities were included in the census if they had separate staffs; housed Mental Health Treatment in State Prisons, 2000 7 Correctional facilities were classified as confinement facilities if fewer than 50% of the inmates are regularly permitted to leave unaccompanied. On June 30, 2000, 463 State facilities were community-based and 1,121 were confinement facilities. All Federal facilities and 26 privately operated facilities that held at least 50% of their inmates for Federal authorities were excluded from this report. Data on policies and the numbers of inmates receiving mental health treatment within these facilities on June 30, 2000, were not available. The Bureau of Justice Statistics is the statistical agency of the U. S. Department of Justice. Lawrence A. Greenfeld is the acting director. and Ellen Goldberg edited the report. Jayne Robinson administered final production. Data collection and processing for the 2000 Census of State and Federal Adult Correctional Facilities were carried out by Pam Butler and Linda Huang, with assistance from Patricia Torreyson and Bill Bryner, under the Allen J. Beck and Laura M. Maruschak supervision of Charlene Sebold, wrote this report. Paige Harrison and Governments Division, U.S. Census Erika Westry provided statistical assis- Bureau. tance and verification. Tom Hester July 2001, NCJ 188215 BJS Selected Findings summarize statistics about a topic of current concern from both BJS and non-BJS data sets. 8 Mental Health Treatment in State Prisons, 2000 This report in portable document format and in ASCII, its tables, and related statistical data are available at the BJS World Wide Web Internet site: http://www.ojp.usdoj.gov/bjs/