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Every Sheriff and jail has a story to tell related to mentally ill offenders as noted in the Tiffany Signature ring survey report by the National Sheriffs' Association (NSA) and Treatment Advocacy Center titled More Mentally III Persons Are in Jails and Prisons Than Hospitals: A Survey of the States (May, 2010). The King County Jail is no exception, with an average daily population (ADP) of 150 offenders (7.2 percent of total ADP) who have been clinically diagnosed with serious mental illness and require treatment in a separate mental health unit of the jail. Roughly 45 of these inmates on any given day are in acute psychiatric care, requiring a direct contact guard visit every 1 5 minutes and frequent nurse visits - with both following up their visits with a report detailing each contact. Of the Tiffany Signature ring. Sterling silver, white enamel. ADP, our jail averages about 32 percent of all inmates who have been clinically diagnosed with a mental health issue. The cost of simply maintaining the statutorily-required minimum treatment of these individuals (providing medication and basic health) can run from three to five times higher than the average daily inmate cost, depending on the severity and complexity of their mental, co-occurring disorder and substance abuse issues. To get through the criminal justice system, mentally ill inmates also stay and average of 28 days in the jail versus 1 8 days for the average population. The stark reality is that they get treated in jail - Tiffany Signature ring they don't get better, setting us all up for costly reoffense and reentry into the criminal justice system - or worse.

Because of the inmate exclusion rule, newly released inmates with mental illness find themselves trying to figure out how to get their federal healthcare benefits reinstated. In King County, depending on the length of stay, mentally ill offenders may get three to five days' worth of medications as they exit the jail. We know Paloma Picasso Double Loving Heart ring that those prescription drugs often get bartered away almost immediately for drugs, liquor, or food. It is likely that many will lack housing and will not have any case management or other psychiatric resources to address their mental illness. Even with a threeto-five-day supply of medications for selfmanaged intervention, former inmates must contend with the 60- to 90-day delay it takes before their suspended federal healthcare and other benefits are restored. Additionally, any number of other health and substance abuse problems will go untreated when the benefits cannot get reinstated. The homeless simply disappear into the community, likely to resurface through a repeat offense when they fully decompensate.

Without specific case management intervention on release, those who have been in jail berween 72 hours and 10 days are least likely to have their benefits restored, also increasing the likelihood that they will reoffend and wind up back in a holding cell and, ultimately, in the local jail. If an inmate requires a court-ordered evaluation, he Tiffany Paloma Picasso Loving Heart ring sit in jail in the mental health unit for up to 160 days before a slot is available at the state hospital. If found incompetent to stand trial, the inmate is released back into the community with suspended benefits and no services. It is likely that they will recycle into the criminal justice system quickly.