Dr. Insel discusses a new report that compares the number of people with serious mental illness who are incarcerated vs. the number being treated in hospitals. From the Treatment Advocacy Center  on the treatment of people with serious mental illness. According to this report, there are now 10 times more people with serious mental illness in state prisons (207,000) and county jails (149,000) than there are in state mental hospitals (35,000). The report includes a state-by-state assessment of treatment of people with mental illness in jails and prisons. In 44 of the 50 states, the largest single “mental institution” is a prison or jail. The Cook County Jail in Chicago, Shelby County Jail in Memphis, and Polk County Jail in Des Moines each hold more individuals with serious mental illness than do all the state mental hospitals combined in those states.

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