Advocate Encourages Doubters To Use Jail Form To Meet With Sheriff’s : “Get Involved! Organize!”

Doctor Filling Syringe in Prison

(11-15-19) Earlier this month, I posted a blog entitled: Advocate Creates Medical Form & Handbook Telling You What To Do If Someone You Love Is Arrested.  It offered readers a sample form that could be used to inform jail officials about the medical needs of someone who has been arrested. Mark Gale, who created the form, also prepared a handbook that described what needed to be done in the Los Angeles area if someone was jailed.

Dear Pete,

I want to follow up on your blog. I agree with several readers who commented on your Facebook page that there are far too many jails across our nation that either do not deliver medications and treatment, or simply ignore their constitutional obligation to provide at least a minimal adequate level of health care to all who are detained.

Their cynicism and frustrations are well-founded, but they don’t solve the problem.

My message to them is “Get Involved! Organize!”

The Inmate Medication Information Form is not just a well-intentioned informational form to assist clinicians with continuity of care, it is a well-defined simple advocacy tool that can be used to begin a dialogue with the Sheriffs and Custody Commanders who run your local jail.  You are being handed a reason to call for a meeting.  Don’t pass up the opportunity.

Enlist a small committee of advocates and call for a meeting with those who are responsible for your jail system.

Bring copies of the Form and the Guide to this meeting and arrive with a solution!

No responsible elected official or department head would dare refuse a simple request for a meeting.

When you call for the ability for families to share medical/psychiatric information with jail clinicians you can also advocate for the initiation of services not being delivered or the upgrading of existing services. Take the blog with you and ask: “If Los Angeles County and 14 other jails throughout California can do this, why can’t we?”

Among those counties you will find both large, mid-size, and small counties all with different levels of resources.  Not utilizing these tools (at least the Form) is simply unacceptable.

Adapting the full handbook to your county’s protocols is a much larger and time-consuming project, but one that is not only necessary, but furthers a partnership between the local National Alliance on Mental Illness advocates and local Sheriff’s Departments.  By the time you are done with this work you will have met with Jail Mental Health, Custody, Sheriff Commanders and other leadership as partners numerous times.

By offering positive solutions, you can develop important advocacy relationships and, hopefully, further meetings with those in charge.  Could those meetings lead to Crisis Intervention Team training for Custody planning, or Educational-Based Incarceration programs for inmates with serious mental illness, or rehabilitative programming in addition to implementing these tools?

I am happy to assist other NAMI advocates (we did it in NAMI Mid-Hudson County in NY!) in approaching local Sheriff’s Departments as to the positive implications of implementing these tools.  It is not uncommon now in Los Angeles to have jail clinicians reach out to families or community psychiatrists for clarification of the information faxed in on the forms.  This should be common practice.  The Form constitutes a “historical course of illness” record that can be utilized should that person return to the criminal justice system in the future.

Good luck!

Mark Gale, Criminal Justice Chair, NAMI Los Angeles County Council



Here’s Mark’s guide to what parents and others should do if someone they love is arrested.

My Family Member Has Been Arrested – What Do I Do?

A step-by-step guide to help families cope with the criminal justice system in Los Angeles County when a family member who suffers from a brain disorder (mental illness) is arrested.


  •   If your family member/friend calls you and says that he/she has been arrested, help him/her stay calm and offer your help and support.
  •   If your family member/friend is being held in a city jail, remind him/her of the right to have an attorney present if being questioned by police officers or detectives.
  •   If he/she is already at the Inmate Reception Center (IRC) adjacent to the Men’s Central Jail (MCJ) or Century Regional Detention Facility (CRDF), he/she will be screened for mental illness, as well as other health concerns upon arrival. It is very important that they be direct and honest to benefit as much as possible from this screening process. Assure your family member that it is OK to discuss his/her physical and mental condition, diagnosis, medications, etc., with the staff conducting the screening, which includes Sheriff’s nursing staff and Jail Mental Health Service (JMHS) staff. It is important your family member feels safe to speak openly with the mental health screeners.
  •   Call the local city jail (not the County Jail) that is holding your family member and ask for the Watch Commander. Inform him that your family member suffers from a mental illness and describe the diagnosis and any other concerns you might have. Inquire as to your relative’s status and estimated length of stay at this facility. Ask if he/she is expected to be released directly from the city jail. If he/she is going to be released directly from the city jail (this sometimes occurs for minor offenses), ask for the time and place so you can be there to pick them up. If your relative is severely ill, ask if the city police could take him/her to a psychiatric hospital for a “5150” involuntary three-day hold for treatment and evaluation.
  •   If your relative is not going to be released directly from the city jail, ask that he/she be transferred as quickly as possible to the Los Angeles County Jail IRC.
  •   Be sure to get the following information:
    1. The expected date and time of departure to the IRC;

2. The court arraignment date and address.

TIP: Medication will probably not be accessible until your relative arrives at the IRC, but you might inquire if the holding facility can obtain needed medication.


 Upon arrival at the IRC, or CRDF call the IRC at 213-473-6080 or 213-473-6100. Inquire as to your family member’s location (tower, floor and pod number) and, most importantly, his/her booking number. Female inmates are detained at the CRDF in Lynwood.

  •   This information is also readily available on the internet at Click on“Inmate & Jail Information”. Enter his/her complete legal name to bring up the booking number. Note this information for future reference.
  •   Use the links on the Inmate Information Center web page to access visiting hours, mailing address, and frequently asked questions.TIP: Inmates are sometimes booked in with/without middle name. If you are unable to locate him/her, try any names your relative has used.TIP: When visiting Twin Towers Correctional Facility (TTCF) or CRDF, always bring a few quarters for a locker to store your personal belongings while you visit your family member. Photo ID is also required. All public visits are by appointment only and visitor registration is required. Please review the General Public Visiting Guidelines.

 Click on the Inmate Medication Information Form, English Version or Spanish Version on this web page. Print, complete, and fax as instructed below. If this form is not available:

 Immediately prepare a fax requesting that your relative be screened for placement in the mental health unit. Begin this fax with your relative’s:

o Full legal name o Date of birth
o Booking number o Location

 In the body of the fax include: o His/her diagnosis

o His/her psychiatrist’s name, phone number and address
o The medications that are prescribed for your family member by name, dosage and time of day to be administered
o Whether a particular medication has proven to be ineffective or has dangerous and/or uncomfortable side effects
o Any history of suicide attempts/threats or other violent intentions in the recent past. Briefly describe the events and when they occurred.
o Any other urgent medical conditions that might require immediate attention, such as diabetes, high blood pressure, seizures, heart problems, etc., and medications currently prescribed for those conditions. Include his/her medical doctor’s name, address, and phone number for verification purposes. The medical information you provide is tremendously valuable in making an assessment and will help the mental health staff select the best treatment for your relative. There is a clear preference for maintaining effective current treatment. However, the JMHS staff must conduct its own assessment of your relative’s condition and may not necessarily prescribe exactly the same medications.

  •   IMPORTANT: Do NOT address any impending charges against your family member in this fax. Medical information only!
  •   Keep a copy of this fax for future reference. If your family member is transferred to a different facility, you will need to fax this information again.
  •   On the cover page, indicate whether your relative has provided you with a written confidentiality waiver. If your relative has not previously done so, ask that he/she be asked to sign one while in jail. The JMHS staff is prohibited by law from giving anyone information about a client’s status unless they have the client’s written consent, but the staff can receive information from relatives or friends without the client’s consent.
  •   Once your relative has been booked, fax the document described in Step Four to the appropriate numbers below. Faxes can be sent 24 hours a day, seven days a week.

o Mental Health Services:

  •   Men’s Fax: 213-972-4002
  •   Women’s Fax: 323-568-4650

o Medical Services Bureau
 Fax: 213-217-4850

 If you are sending both mental health and medical information, you must fax the information to the Mental Health Services number and the Sheriff’s Medical Services Bureau number.


The Mental Health Court Liaison Program (CLP) assists mentally ill defendants in the criminal justice system.

If you know what court your family member’s case will be heard in, please call the corresponding field office below. If you are unsure or would like other information on our programs, you may also contact our main office. The objectives of this voluntary program are to increase coordination and collaboration between the criminal justice system and mental health systems, improve access to mental health services and supports, reduce incarceration time and enhance continuity of care. When you contact the court liaison it is helpful to provide some important pieces of information.

 Please advise the liaison of:
o The attorney’s name and telephone number
o A brief statement detailing the current circumstances, diagnosis and relevant history of your family member. Be concise and to the point.
o Your family member’s name, booking number and date of birth o Where he/she is currently being held

 If your relative has a private attorney, contact him/her with our information, so he/she may contact us.

o If your relative does not have an attorney, a public defender will be assigned at the arraignment.



(626) 308-5021


(310) 419-2101

AIRPORT (West LA, Bev. Hills, S. Monica)

(310) 727-6245


(562) 247-2529


(562) 804-8219


(818) 898-2490


(626) 403-4370


(626) 403-4370


(213) 974-2963


(626) 356-5374


(310) 603-8077


(213) 305-3532


(626) 403-4370


(818) 898-2490


(626) 403-4370


(310) 222-4067


(323) 780-2075


(818) 374-2349


(626) 403-4370


(626) 403-4370



  •   If you have any difficulty with this process, call the Department of Mental Health Family Advocate at 213-738-3948 during regular business hours and ask for assistance. Or you can email their office at
  •   Don’t forget to provide your family member’s name, location, and booking number.
  •   Your family member may want to retain a private attorney or use the Public Defender’s Office. A public defender will be assigned at arraignment if your relative does not have or cannot afford a private attorney. Do not be afraid to use a public defender. Public defenders often have knowledge of the system as it pertains to those who need mental health services.
  •   If your family member decides to retain a private attorney, be sure to select one that is well versed in helping people with mental illness and understands how to access the treatment facilities and mental health services that are available.IMPORTANT CONSIDERATIONSBail: Think carefully about posting bail for your family member. No one wants a loved one to remain incarcerated for any length of time. It is an unpleasant experience for them as well as the family. However, you must ask yourself the following question. Will your family member be able to comply with the terms of the bail and appear in court when required? Also, as hard as it may seem, jail may be a safer place for a person with severe mental illness who is in crisis rather than having your loved one wander the streets with no help at all. At least in jail they will be fed, will have shelter and be given access to medication treatments.

Working with an attorney: Call the Public Defender’s office at the court where the case is being heard and ask for the name and phone number of the attorney who will be handling the case. It is more likely the attorney will be at his or her desk in the morning between 8:00 a.m. – 8:30 a.m. before court begins or later in the afternoon after 3:30 p.m. If you do not reach the attorney, be sure to leave a message requesting a return call with your name, phone number, your family member’s name and, if possible, the case number and court date. Due to the attorney-client confidentiality requirement, there will be information the attorney may not be able to share with you. Remember, it is your family member, not you, who is the attorney’s client.

Inform the attorney of your family member’s condition and any information that may be beneficial to the case. Provide the attorney with an extensive medical, psychiatric, social, and educational history of your family member in writing. Include hospitalization, diagnosis information, medication treatment, and the contact information of those doctors/clinicians and of facilities that have treated your family member in the past. This information will be very useful in pursuing the best outcome for your loved one. Attorneys are extremely busy and many will appreciate written or faxed correspondence.

For general information regarding criminal cases involving mental health issues, call the Public Defender’s Mental Health Branch at 323-226–8167.

Supporting and coping with a loved one who suffers from a brain disorder can be extremely challenging and stressful. Knowledge, as well as your love and fortitude, will be essential in helping you to become a strong and effective support system for your family member. For information about support groups and educational programs provided free of charge in your area, contact the National Alliance on Mental Illness (NAMI) at 213-386-3615 for the NAMI Los Angeles County Council, or on the internet at to find the closest affiliate.

This informational guide was written by NAMI volunteers based on their own personal experience to help families navigate the system. We are not attorneys, and this is not intended to be a substitute for professional legal advice. Please assist your family member in obtaining proper legal representation.



About the author:

Pete Earley is the bestselling author of such books as The Hot House and Crazy. When he is not spending time with his family, he tours the globe advocating for mental health reform.

Learn more about Pete.