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Counselors urge jail access for mental-health evaluators as medication refusal and homelessness prolong hospital waits
Summary
Mental-health providers asked to evaluate inmates in-jail to reduce delays for those deemed incompetent to proceed; Katie Black, inmate mental health counselor, told the committee "we cannot force them to take" prescribed medication, and staff highlighted homelessness and lack of transportation as obstacles to continuity of care.
Unidentified Speaker 3 reported meeting with five representatives of the Mental Health Resource Center (MHRC) who seek permission to enter the jail to evaluate inmates, particularly people deemed incompetent to proceed and awaiting transfer to state hospital care. The group asked the committee to clarify judicial approval processes so MHRC evaluators can assist and reduce delays.
Katie Black, who identified herself as "the inmate mental health counselor," told the committee the jail often cannot compel inmates to take medication and that refusal keeps some people in an incompetent status while they await hospital evaluation. "We cannot force them to take it," she said. Black and others also described that many of the affected inmates are homeless and lack transportation and resources to continue medication or counseling after release, which contributes to recurring jail entries.
Committee members discussed connecting MHRC with county contacts and the jail to explore evaluations and potential housing or transportation supports. No formal policy change or judicial authorization was recorded during the meeting; members agreed to exchange contact information for follow-up.
The exchange highlighted interagency barriers to continuity of care and the limits of jail-based remedies when community resources are scarce.
