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NAMI believes that all people with mental health conditions deserve access to supports that promote wellness. NAMI supports comprehensive re-entry policies and programs for people with mental illness who are returning to their community after a period of incarceration.
People with mental illness are overrepresented in our nation’s criminal justice system. Of the over 2 million people held in our nations jails and prisons, nearly 2 in 5 have a history of mental illness (37% in state and federal prisons and 44% held in local jails). Of those who are incarcerated, 95% will one day be released and will face a variety of challenges as they re-enter their communities. Health care often takes the backburner as they deal with more pressing needs, like housing, food security, reconnecting with family members and finding employment.
Re-entry — the period of return to a community from incarceration — can be marked by heightened stress, isolation and hardship. For people with mental illness and substance use disorders (SUD), there is increased vulnerability and risk. Nationally, about 80% of individuals released from prison in the U.S. each year have a chronic medical, substance use, or psychiatric condition.
Due to the lack of timely access to critical services and supports for their health or mental health condition, these individuals are at a higher risk of repeated incarceration. In fact, the risk of death by suicide or opioid overdose, dramatically increases in the first days and weeks after an individual is released from jail or prison. According to one study, the risk of a fatal drug overdose is 129 times higher for individuals returning to the community than for the general population.
Successful re-entry begins in the weeks and months before someone is released. Gaining access to housing, social supports (food, employment, education) and community supports (family, friends, social networks) are all critical for successful reintegration. Access to mental and physical health care is equally important. Research suggests that those who have health care coverage upon re-entry are more likely to engage in services and supports that reduce recidivism.
Public policies should encourage comprehensive re-entry planning, including:
These policies will more effectively address mental health care needs immediately before and during re-entry — and help save lives.
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