Letters: Jail-health center connection for the mentally-ill homeless

by Keith Barton

RE "The Cycle for Mentally Ill Homeless Must End" (May 30):

I agree with Elmer Smith that jail is not the answer for homeless people with mental illness.

But jails can be part of the solution if they work with health-care providers in their community. Many homeless people pass through the jail each year. By linking these inmates with community health centers, which can provide ongoing care, jails can stabilize inmates' health and help ensure that they take their mental health medications.

Some evidence suggests that this can reduce recidivism and jail costs.

This community-based approach to inmate care may improve both public health and safety, and some municipalities, including Washington, D.C., have started using this approach.

Philadelphia's leaders have an opportunity to forge connections between the jail and community health centers that will benefit inmates

and taxpayers alike, and help reduce the number of mentally ill who are homeless.

Keith Barton, Medical Director
Community Oriented Correctional Health Services
Oakland, Calif.

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Download Affiliations between Health Centers and Local Correctional Facilities to Provide Continuity of Care for Offenders, a manual describing the legal relationships possible between health care centers and local correctional facilities. Produced by COCHS with Feldesman Tucker Leifer Fidell LP, legal counsel for the National Association of Community Health Centers.
Download Contracting for Health Care Service in Local Jails and Juvenile Detention Facilities: Achieving a Community-Based Standard of Care, a guide for procuring community-based health care services in correctional facilities. Produced by COCHS with Feldesman Tucker Leifer Fidell LP, legal counsel for the National Association of Community Health Centers.
Please visit our partner sites: Community Oriented Correctional Health Services (COCHS), Juvenile Offenders Community Health Services (JOCHS) and COCHS M.A.P.Tool©.