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flag Alabama's mental health crisis delays psychiatric care for accused criminals, worsening jail deaths and legal violations.

flag Alabama continues to face severe delays in psychiatric care for men charged with crimes, despite a 2018 federal consent decree mandating timely evaluations and treatment. flag The waitlist for the state’s only secure facility, Taylor Hardin Secure Medical Facility, has surged to 273—up from about 60 in 2017—with many waiting over a year and more than 30 exceeding two years. flag The state’s mental health infrastructure has deteriorated, with 10 psychiatric facilities closed since the 1990s and only 504 inpatient beds remaining, one of which serves men facing criminal charges. flag Court-ordered treatment is often not provided within required timelines, contributing to deaths like that of Fernando Clark, who died in jail after being arrested for petty theft. flag Nationally, adult psychiatric hospital beds have dropped to a record low, with over half occupied by justice-involved individuals, and states like Nevada now face legal penalties for similar failures.

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