Florida jails lack critical mental health services and treatments for inmates, ultimately posing a risk to the community and the inmate upon release, according to research by a 麻豆原创 doctoral student.
The problem was identified by Orville Clayton, who graduates this week with a Ph.D. in public affairs in the health services management and research track. As part of his dissertation, he studied the state of mental health services in jails across the聽state and ways to diagnose and address the conditions of inmates.
鈥淚ndividuals with mental health illnesses who are not adequately treated pose 鈥� harm to the community to which many will return if they are not stabilized during the period of incarceration,鈥� Clayton said.
The goal of his research is to help the correctional system identify ways to address mental illnesses in inmates. Moving forward, he suggests training jail security on mental health issues, creating a continuity of care system that involves community partners and inmates鈥� families to obtain relevant information, developing a systematic manner to assess the quality of mental health services offered in jails, and implementing an approach to treatment that considers genetic, psychological and social factors that may influence one鈥檚 mental health.
His interest in mental health services in jails stems from a 25-year career as a health-care provider and administrator in the correctional system. He currently works as the mental health director at the Seminole County jail, which聽has taken steps over the years to expand its mental health services.
The Seminole County jail offers screenings, assessments, medication administration and management, specialized housing, individualized and group counseling and psychoeducation, case management and limited discharge planning, he said.
鈥淎t a time when many jails provided limited and certainly isolated mental health services, [former] Sheriff Don Eslinger [of Seminole County] initiated many partnerships with community providers 鈥� to develop sustainable mental health services within a continuum of care that included the jail,鈥� Clayton said.
Over Clayton鈥檚 professional career and throughout his research, he鈥檚 come to understand the importance of addressing mental illnesses in inmates, but he鈥檚 also come to understand that a lack of resources often prevents more mental health services from being available.
鈥淢ental health care is not cheap, especially when it concerns dealing with hospitalization,鈥� said Robert Hugh Potter, a 麻豆原创 professor in criminal justice. 鈥淲e don鈥檛 have many certified mental health diagnostics in jails except in very large jail systems.鈥�
Many jails, including in Seminole County, are considered medium-sized jails with the capacity for 250-999 inmates, according to the Bureau of Justice Statistics, meaning they do not benefit from the same resources as large jail systems.
鈥淭his research demonstrated for me the importance of shared knowledge as a prerequisite to identify service gaps and implement practical and sustainable solutions,鈥� said Clayton, who will continue his work at the Seminole County jail after graduation.