Embedded in this month's Law and Psychiatry column is a subtle message that goes beyond the outrageous operations of the California prison system. That message is that solutions to these egregious violations of basic human decency are impossible without looking at prisons in the broader context of the entire criminal justice system. The three-judge panel in California proposed four mechanisms as remedies to overcrowding: early release, diversion of technical parole violators to community-based sanctions or local jails, similar alternate sanctions for low-risk offenders, and expansion of rehabilitation programming in prisons and communities. All four options are related to moving solutions "upstream," if you will, a criminal justice prevention strategy—prevention that relies heavily on requiring localities to assume state responsibilities. To cover persons involved with the criminal justice system who have behavioral health disorders, this would mean paying with state dollars for local jail cells, increased supervisory responsibilities for community corrections professionals, and the development of undefined expanded rehabilitation programs—all this as we await the full implementation of the Affordable Care Act (ACA) in 2014, when this justice system-involved population will produce some rather ill-defined impacts on the health care system. A major addition to Medicaid rolls under the
Prison Overcrowding in the Context of the ACA
Abstract
Embedded in this month's Law and Psychiatry column is a subtle message that goes beyond the outrageous operations of the California prison system. That message is that solutions to these egregious violations of basic human decency are impossible without looking at prisons in the broader context of the entire criminal justice system. The three-judge panel in California proposed four mechanisms as remedies to overcrowding: early release, diversion of technical parole violators to community-based sanctions or local jails, similar alternate sanctions for low-risk offenders, and expansion of rehabilitation programming in prisons and communities. All four options are related to moving solutions "upstream," if you will, a criminal justice prevention strategy—prevention that relies heavily on requiring localities to assume state responsibilities. To cover persons involved with the criminal justice system who have behavioral health disorders, this would mean paying with state dollars for local jail cells, increased supervisory responsibilities for community corrections professionals, and the development of undefined expanded rehabilitation programs—all this as we await the full implementation of the Affordable Care Act (ACA) in 2014, when this justice system-involved population will produce some rather ill-defined impacts on the health care system. A major addition to Medicaid rolls under thePreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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Prison Overcrowding in the Context of the ACA
Steadman, Henry J.
Follow Psychiatric Services
, Volume 62 (10): 1117
American Psychiatric Publishing, Inc (Journal) – Oct 1, 2011
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