Inmates in the Hennepin County jail are entitled to constitutionally mandated levels of medical care and mental health services — no matter what the current sheriff or some county commissioners might prefer. After reading Sheriff David Hutchinson's commentary ("Change federal law to let county jails treat inmates properly," May 22), I felt responsible to set the record straight.
For far too long Hennepin County officials have been complicit in denying mental health treatment services to inmates, even when our judges have held hearings and ordered treatment for them. The County Board, and now apparently the sheriff, would prefer to deny this treatment, save the money and blame the state or federal governments.
The question of who should pay for this care is tricky and simple at the same time. The tricky part is that three levels of government all arguably could be responsible — federal, state and county.
The Department of Human Services State Operated Services Division must pay for treatment beds for psychiatric patients, including those ordered by a court to be transferred from a jail to a hospital. Yet the state has been neglectful in this and has failed to maintain sufficient beds to meet the needs for folks coming from hospitals and jails. So inmates all across the state of Minnesota have languished in county jails waiting for court-ordered treatment.
And, as Sheriff Hutchinson points out, if indigent inmates had Medicaid coverage during a county incarceration these costs could be passed on to the federal government. That's a very big "if" though, because the federal government currently denies this coverage and is not likely to change any time soon.
To further complicate the matter, mental health treatment cannot be provided in a jail setting, only in a hospital setting. Inmates requiring treatment must be moved to a hospital bed as there currently are no alternatives to the jail, at least in Hennepin County.
The easy part is the bottom line. Unless, or until, the state or federal government takes over responsibility for this treatment, full responsibility rests upon Hennepin County.
During the final six years (2012-2018) in my service as sheriff I made it my personal and professional mission to advocate to everyone and anyone that would listen that these inmates are legally entitled to mental health treatment even if our state refuses to maintain and operate sufficient numbers of hospital beds for Minnesotans who need them and even if the federal government refuses to cover inmates with Medicaid.