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County jail reports rising medical and psychiatric acuity, seeks psychiatric NP and highlights MOUD continuation policy

2171598 · January 1, 2025
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Summary

Superintendent and mental-health staff reported a sharp rise in unscheduled medical transports and in inmates prescribed psychotropic medications; staff recommended hiring a part‑time psychiatric nurse practitioner and said the jail is continuing MOUD (medications for opioid use disorder) when inmates arrive.

County jail leadership and mental-health clinicians reported increasing medical and psychiatric acuity among incarcerated people, including a rising number of unscheduled emergency transports, more inmates on psychotropic medication and growing demand for state-hospital transfers.

Staff said unscheduled ER transports rose from 17 in calendar year 2023 to 44 year-to-date in 2025. Mental-health staff said the portion of inmates prescribed…

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