{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:27:24Z","timestamp":1787239644514,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T00:00:00Z","timestamp":1521590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Leonard Davis Institute at the University of Pennsylvania","award":["Recovering Inside? Ethical Challenges in Correctio"],"award-info":[{"award-number":["Recovering Inside? Ethical Challenges in Correctio"]}]},{"name":"The Thomas Scattergood Foundation","award":["The Scattergood Program for Applied Ethics of Beha"],"award-info":[{"award-number":["The Scattergood Program for Applied Ethics of Beha"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>Approximately 20% of the roughly 2.5 million individuals incarcerated in the United States have a serious mental illness (SMI). As a result of their illnesses, these individuals are often more likely to commit a crime, end up incarcerated, and languish in correctional settings without appropriate treatment. The objective of the present study was to investigate how correctional facility personnel reconcile the ethical challenges that arise when housing and treating individuals with SMI. Four focus groups and one group interview were conducted with employees ( n = 24) including nurses, clinicians, correctional officers, administrators, and sergeants at a county jail in Pennsylvania. Results show that jail employees felt there are too many inmates with SMI in jail who would benefit from more comprehensive treatment elsewhere; however, given limited resources, employees felt they were doing the best they can. These findings can inform mental health management and policy in a correctional setting.<\/jats:p>","DOI":"10.1177\/1049732318762370","type":"journal-article","created":{"date-parts":[[2018,3,22]],"date-time":"2018-03-22T01:54:35Z","timestamp":1521683675000},"page":"963-976","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["County Jail or Psychiatric Hospital? Ethical Challenges in Correctional Mental Health Care"],"prefix":"10.1177","volume":"28","author":[{"given":"Andrea G.","family":"Segal","sequence":"first","affiliation":[{"name":"University of Pennsylvania, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary","family":"Frasso","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic A.","family":"Sisti","sequence":"additional","affiliation":[{"name":"University of Pennsylvania, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,3,21]]},"reference":[{"key":"bibr1-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1177\/104973299129121794"},{"key":"bibr2-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.16989"},{"key":"bibr3-1049732318762370","volume-title":"Principles of biomedical ethics","author":"Beauchamp T. L.","year":"2013"},{"key":"bibr4-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1177\/0093854806287352"},{"key":"bibr5-1049732318762370","unstructured":"Bureau of Justice Statistics. (1995). State and federal prisons report record growth during last 12 months. Retrieved from https:\/\/www.bjs.gov\/content\/pub\/pdf\/pam95.pdf"},{"key":"bibr6-1049732318762370","volume-title":"Qualitative inquiry and research design: Choosing among five approaches","author":"Creswell J. W.","year":"2013","edition":"3"},{"key":"bibr7-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315579178"},{"key":"bibr8-1049732318762370","volume-title":"Asylums: Essays on the social situation of mental patients and other inmates","author":"Goffman E.","year":"1961"},{"key":"bibr9-1049732318762370","unstructured":"Haneberg R., Fabelo T., Osher F., Thompson M. (2017). Reducing the number of people with mental illness in jail: Six questions county leaders need to ask. Retrieved from https:\/\/stepuptogether.org\/wp-content\/uploads\/2017\/01\/Reducing-the-Number-of-People-with-Mental-Illnesses-in-Jail_Six-Questions.pdf"},{"key":"bibr10-1049732318762370","first-page":"1751","volume":"84","author":"Harcourt B. E.","year":"2005","journal-title":"Texas Law Review"},{"key":"bibr11-1049732318762370","doi-asserted-by":"crossref","unstructured":"Harcourt B. E. (2011). Reducing mass incarceration: Lessons from the deinstitutionalization of mental hospitals in the 1960s (University of Chicago Law & Economics, Olin Working Paper No. 542; University of Chicago Public Law, Working Paper No. 335). Retrieved from https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=1748796","DOI":"10.2139\/ssrn.1748796"},{"key":"bibr12-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312461452"},{"key":"bibr13-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1080\/08039480802298697"},{"key":"bibr14-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"bibr15-1049732318762370","doi-asserted-by":"crossref","unstructured":"James D., Glaze L. (2006). Mental health problems of prison and jail inmates. Retrieved from http:\/\/www.bjs.gov\/index.cfm?ty=pbdetail&iid=789","DOI":"10.1037\/e557002006-001"},{"key":"bibr16-1049732318762370","unstructured":"J.H. v. Theodore Dallas (United States District Court for the Middle District of Pennsylvania 2016)."},{"key":"bibr17-1049732318762370","volume-title":"Focus groups: A practical guide for applied research","author":"Krueger R.","year":"2009"},{"key":"bibr18-1049732318762370","volume-title":"Deinstitutionalization: Promise and problems","author":"Lamb H. R.","year":"2001"},{"key":"bibr19-1049732318762370","unstructured":"Lamb H. R., Weinberger L. E. (2005). The shift of psychiatric inpatient care from hospitals to jails and prisons. Journal of the American Academy of Psychiatry and the Law, 33, 529\u2013534. Available from http:\/\/jaapl.org\/"},{"key":"bibr20-1049732318762370","unstructured":"Lamb H. R., Weinberger L. E. (2016). Rediscovering the concept of asylum for persons with serious mental illness. Journal of the American Academy of Psychiatry and the Law, 44, 106\u2013110. Available from http:\/\/jaapl.org\/"},{"key":"bibr21-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-9125.2006.00042.x"},{"key":"bibr22-1049732318762370","doi-asserted-by":"publisher","DOI":"10.4135\/9781412984287"},{"key":"bibr23-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317719433"},{"key":"bibr24-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.16088"},{"key":"bibr25-1049732318762370","volume-title":"Criminal law","author":"Storm L.","year":"2015"},{"key":"bibr26-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1080\/09638230802052203"},{"key":"bibr27-1049732318762370","unstructured":"Torrey E., Entsminger K., Geller J., Standley J., Jaffe D. (2008). The shortage of public hospital beds for mentally ill persons. Retrieved from http:\/\/www.treatmentadvocacycenter.org\/storage\/documents\/the_shortage_of_publichospital_beds.pdf"},{"key":"bibr28-1049732318762370","unstructured":"Torrey E., Kennard A., Eslinger D., Lamb R., Pavle J. (2010). More mentally ill persons are in jails and prisons than hospitals: A survey of the states. Retrieved from http:\/\/www.treatmentadvocacycenter.org\/storage\/documents\/final_jails_v_hospitals_study.pdf"},{"key":"bibr29-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1007\/s11673-014-9560-1"},{"key":"bibr30-1049732318762370","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1702372"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732318762370","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049732318762370","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732318762370","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:43:00Z","timestamp":1777686180000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049732318762370"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,21]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1177\/1049732318762370"],"URL":"https:\/\/doi.org\/10.1177\/1049732318762370","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,21]]}}}