Our department provides psychiatric services to the Charlottesville-Albemarle Regional Jail and has been doing so since 2002. About 18% of all jail inmates have a significant mental illness, including substance abuse, mood and anxiety disorders, and even severe psychotic disorders such as schizophrenia, and yet many jails in Virginia provide no specific psychiatric services. The jail environment can be a challenging one, as the clinician has to balance treatment issues with security concerns and has to liaison with correctional staff, community services workers (such as Region Ten Community Services Board), and also with the court system.
Residents rotate through this site as an elective. Fellows use this as a part of a correctional experience.