Stepping Up Initiative

Since May 2015, 400 counties have passed resolutions to join Stepping Up, a national initiative to reduce the number of people with mental illnesses in jails.

Recognizing the critical role local and state officials play in supporting change, the National Association of Counties (NACo), The Council of State Governments (CSG) Justice Center, and the American Psychiatric Association Foundation (APAF) are leading this unprecedented national initiative.

NACo, the CSG Justice Center, and APAF are working with partner organizations to build on the foundation of innovative and evidence-based practices already being implemented across the country, and to bring these efforts to scale. These partners have expertise in the complex issues addressed by Stepping Up and include sheriffs, jail administrators, judges, community corrections professionals and treatment providers, consumers, advocates, behavioral health directors, and other stakeholders.

Reducing the Number of People with Mental Illnesses in Jail: Six Questions County Leaders Need to Ask serves as a blueprint for counties to assess their existing efforts to reduce the number of people with mental illnesses and co-occurring substance use disorders in jail by considering specific questions and progress-tracking measures. 

Here are the six questions county leaders need to ask:

  1. Is your leadership committed?
  2. Do you have timely screening and assessment?
  3. Do you have baseline data?
  4. Have you conducted a comprehensive process analysis and service inventory?
  5. Have you prioritized policy, practice, and funding?
  6. Do you track progress?

More Resources

Incarceration and Mental Illness

Aided by a national initiative aimed at reducing the number of people with mental illnesses in jails, the Mahoning County Sheriff’s Office, Mahoning County Mental Health and Recovery Board and local providers have partnered to provide additional services to inmates with mental illnesses.

Jails: Inadvertent Health Care Providers

Jails: Inadvertent Health Care Providers

This report from The Pew Charitable Trusts explores how jails administer their health care programs and whether these programs further county public health and safety goals.