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Abstract

I. Introduction

II. The Jail Experience and Its Psychological Effects

III. Detaining Mentally Ill People in Jails ... A. The Prevalence of Mental Illness in Jails ... B. The Criminalization Hypothesis ... C. Importance of Addressing Mental Health Concerns in the Criminal Justice System ... D. Criminal Justice System or Mental Health System?

IV. Alternatives to Detaining Mentally Ill People in Jails ... A. Secure Mental Hospitals ... B. General Hospitals ... C. Private Hospitals and Mental Health Facilities ... D. Other Institutions ... E. Emergency Protective Custody Facilities

V. Statutory Restrictions for Detaining Mentally Ill People in Jails ... A. Legislation Prohibiting the Detention of the Noncriminal Mentally Ill in Jails ... B. Legislation Permitting the Detention of the Noncriminal Mentally Ill in Jails Pending Transfer to Other Facilities ... C. Legislation Providing for the Emergency Detention of Noncriminal Mentally Ill People in Hospitals or Community Mental Health Centers ... D. Legislation Providing for the Emergency Detention of Noncriminal Mentally Ill People in Approved Facilities ... E. Legislation Providing for Emergency Protective Custody Units for the Evaluation and Treatment of the Noncriminal Mentally Ill

VI. Nebraska Legislative Bill 257—The Development of Emergency Facilities for the Temporary Detention of Noncriminal Mentally Ill Dangerous People ... A. Counties with Cities of the First Class Must Contract with Medical Facilities for the Placement of Noncriminal Mentally Ill People ... B. Noncriminal Mentally Ill People May Not Be Detained in Jails in Counties with Cities of the First Class ... C. Noncriminal Mentally Ill People May Be Temporarily Held in Jails in Counties without Cities of the First Class ... D. CMHCs Must Collect Data on Detainees

VII. The Lancaster County Crisis Center Program ... A. The Lancaster County Crisis Center Screening Process ... B. Evaluation and Treatment within the Crisis Center ... C. Data from the Lancaster County Crisis Center ... D. Data from Lancaster County Corrections and the Lincoln Regional Center Before and After the Opening of the Crisis Center

VIII. Conclusions and Recommendations

IX . Appendix

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