I spent 24 years working in the prison system and you simply would not believe how many of the inmates are on some type of medications for mental health issues. The psychiatrist and mental health staff are overloaded with cases and stay busy all the time. This is all well and good while they are incarcerated. They are called up to the clinic every day where a nurse gives them their medication and makes sure that they have swallowed it. But eventually almost all of these inmates will be released, many of them without families, homes or jobs to go to. And suddenly it's up to THEM to find mental health care on their own, get the proper medications, and take them they way they're supposed to! Very few of them do. So it's no wonder that so many of them "fall through the cracks".