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Fractured The mental health care system in North Carolina has been failing for years. Perhaps nowhere is that more evident than those who get caught up in the criminal justice system, out of sight, therefore out of mind for the general public and policymakers. But their plight — and the brokenness of the mental health system — affects everyone in the state.
Fractured

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Fractured

Fractured

From WFAE

The mental health care system in North Carolina has been failing for years. Perhaps nowhere is that more evident than those who get caught up in the criminal justice system, out of sight, therefore out of mind for the general public and policymakers. But their plight — and the brokenness of the mental health system — affects everyone in the state.

Most Recent Episodes

The wait inmates with mental illness endure because they're too sick for trial

Crisis describes North Carolina's mental health system. It is harder to access mental health care here than most other states, and that affects everyone — particularly the most vulnerable. Like inmates who are too sick to stand trial. They often wait months in custody for the treatment they need just to be well enough to go to court.

The wait inmates with mental illness endure because they're too sick for trial

Listen · 15:15

'Life sentence on the installment plan'

For those living with severe mental illness, the chances of becoming homeless can be high. Once homeless, they're more likely to end up behind bars. Going to jail can start a downward spiral. Many lose jobs or benefits — even health care. Some will cycle between jail and the streets for years — often for minor crimes like trespassing. Last week, WFAE — with support from the PBS series, "FRONTLINE" — examined the problem of inmates who wait in custody for months because they're too sick to stand trial. This week we focus on inmates who cycle in and out of jail, serving what many in the court system call a "life sentence on the installment plan."

The Abyss: Inmates with mental health and substance abuse disorders cycle through jails relentlessly

WFAE — with support from the PBS series, "FRONTLINE" — has been examining the problem of inmates living with mental illness. This week we focus on ways to help former inmates stay out of jail. And the ways the system fails to do that.

The Abyss: Inmates with mental health and substance abuse disorders cycle through jails relentlessly

Listen · 10:05

How North Carolina got the math wrong on mental health

WFAE's "Fractured" series has reported on the struggles of inmates living with mental illness. But it isn't just inmates who wait. On average, North Carolinians who go to an emergency room in crisis wait 16 days for a state psychiatric hospital bed.

The mental health crisis in North Carolina's emergency rooms

WFAE has been examining North Carolina's broken mental health system, especially as it affects people in the criminal justice system. This week, we start to look at the impact this system has on others, such as children, who wait for weeks or months in hospital emergency departments because there's simply no place for them to go. And people who head to emergency rooms in crisis, only to find the average wait for a state psychiatric hospital is more than two weeks.

How the mental health system affects North Carolina's jails and the people that work there

North Carolina's jails are on the frontlines of the mental health crisis. Jail staff have to tend to inmates with mental health issues, even though they're not fully equipped to do so. That can take a high toll on those jails — and the people who work there.

How the mental health system affects North Carolina's jails and the people that work there

Listen · 11:48

When criminal justice systems have to deal with mental illness

The vast majority of violent crimes aren't committed by people living with mental illness. But when people struggling with mental illness are charged with violent crimes, it poses a dilemma. When a defendant receives treatment and improves while awaiting trial in custody, prosecutors must decide whether they'll ask for a prison sentence or allow defendants to be released to the community with no guarantee they'll continue their care.

Kids, trauma and mental health

The more trauma children endure, the more likely they are to develop a host of medical and social problems, including learning disabilities and addictions. They are also more likely to end up in the juvenile justice system and eventually in jail. In this installment of the series "Fractured," WFAE looks at the intersection of childhood trauma and the justice system.

How North Carolina hopes to cut the waits for state psychiatric hospital beds

WFAE has been exploring the crisis brewing in North Carolina's mental health system. That includes a shortage of state hospital beds.

How North Carolina hopes to cut the waits for state psychiatric hospital beds

Listen · 12:48

The Miami model

As WFAE has been reporting in our series, "Fractured," locking up defendants with serious mental illness can make their mental health worse. It's expensive, and it's often not very effective at reducing crime. If former inmates don't get treatment when released, they're likely to get arrested again. But in Miami, Florida, public officials are taking a different approach to the issue — jail diversion.

Fractured

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