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Supervisors weigh jail health costs and alternative custody plan as county seeks ways to reduce incarceration spending
Summary
Supervisors discussed rising jail health care costs and the county's push for an Alternative Custody Program (ACP). CEO Dave Rickert and Supervisor Plummer highlighted high per‑inmate medical spending, substance use and behavioral‑health needs; supervisors urged pursuing ACP and other interventions to reduce recidivism and costs.
Board members used Aug. 12 staff reports and board reports to discuss rising costs for in‑custody medical care and to press forward on an Alternative Custody Program (ACP) the county is pursuing.
Supervisor Matt Plummer told the board the county’s contracted jail health provider, Wellpath, reported a significant increase in health spending per inmate over two years, driven in part by high rates of substance use disorder, chronic disease and prescription psychotropic medication among the incarcerated population. Plummer…
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