Calling for Help: A Kentucky Program Makes Mental Health Consultants Available to Jails 24/7

By Milligan, Connie; Sabbatine, Ray | Behavioral Healthcare, August 2006 | Go to article overview
Save to active project

Calling for Help: A Kentucky Program Makes Mental Health Consultants Available to Jails 24/7

Milligan, Connie, Sabbatine, Ray, Behavioral Healthcare

It has become axiomatic that local jails are the front line in many communities for the assessment of acute mental illness. According to the U.S. Department of Justice, serious mental illness affects up to 16% of the incarcerated population. (1) Jails often become the de facto venue for initial assessment and treatment of individuals with serious mental illness, some of whom are arrested multiple times over a short period.

For jails, housing this population increases costs, particularly in taking steps to prevent suicides. Jails are required to provide safe management often without adequate mental health consultation or intervention. For individuals with mental illnesses, these safe management techniques may result in long periods of suffering in solitary confinement.

Across the nation, good solutions to these problems have been limited. In Kentucky, an innovative program, the Kentucky Jail Mental Health Crisis Network, provides all jails in the state with access to a system of care that identifies mental health and suicide risk and offers 24/7 mental health consultation and intervention. Since this program is fully funded through the state legislature, detention centers may use this program without incurring additional costs. More importantly, data suggest that the program has resulted in an 80% reduction in deaths of in mates in custody.

Program Development

In February 2002, a series in the Louisville Courier-Journal revealed that 17 individuals had committed suicide while in custody in the previous 30-month period, and two others had died while in restraints. (2) The Kentucky legislature responded by passing legislation that required four hours of mental health training for all detention center personnel. However, it soon became clear that services, not simply more training, were required.

Through Bluegrass Regional Mental Health-Mental Retardation Board, Inc., a large community mental health center (CMHC) in central Kentucky, the authors developed a comprehensive program to address the greater needs of the state's detention centers. The main objective was to offer immediate access to mental health consultation. In 2003, using Bluegrass's emergency and assessment call center, a Telephonic Triage program was developed and piloted with five jails. Using a toll-free telephone number with 24/7 access to licensed mental health professionals, the Telephonic Triage program uses standardized protocols to guide a mental health triage risk assessment. The identified risk level corresponds to clearly delineated best-practice jail risk-management protocols.

Based on positive responses from the pilot program jails, the Telephonic Triage program became the focal point for the development of other service components that would enhance and unify the state jails' response to people with mental illness. Standardized screening forms were developed to ensure identification of risk when someone enters a jail. Additional face-to-face services were organized through the Department of Mental Health's 14 community mental health-mental retardation regional boards to ensure the safety of and appropriate response to people with mental illness. Finally, a telephonic and electronic infrastructure was developed to create an integrated network between jails and mental health centers that centralizes the flow and collection of data.

In 2004, a funding proposal for the newly created Kentucky Jail Mental Health Crisis Network was presented to the Kentucky legislature. With the leadership of State Senate Majority Leader Dan Kelly, the program received designated funding through a $5 increase in court costs. Participation is voluntary, and 90% of the state's 86 detention facilities are enrolled in the program with others interested in joining.

Program Components

The Kentucky Jail Mental Health Crisis Network's components are based on the tenants of proper inmate classification and the recommendations of Lindsay M.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this article

Cited article

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited article

Calling for Help: A Kentucky Program Makes Mental Health Consultants Available to Jails 24/7


Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?