The Los Angeles County Sheriff's Department

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The Los Angeles County Sheriff 's Department is tasked with providing health care services to all incarcerated prisoners within a jail system which at present exceeds 18,500 inmates. Correctional Treatment Center (CTC) provides care and treatment for inmates requiring inpatient medical and or psychiatric care in this 196-bed rated medical unit located in the Twin Towers Correctional Facility in downtown Los Angeles. The inmate population is in poor health, largely due to the lifestyle choices of the inmates which often include substance abuse, violence, and living on the streets of Los Angeles. They require the same basic medical care that all residents of Los Angeles County require, including routine illness to advanced medical issues such as tuberculosis (TB), AIDS/HIV+, heart disease, diabetes, dialysis, paraplegics, and acute mental health problems. Additionally, problems associated with aging are becoming common as the jail population increasingly includes older inmates. In the wake of chronic overcrowding in the county lockups, the Sheriff 's Department has been struggling to provide adequate care for thousands of inmates, many of whom have never been treated, with illnesses ranging from tuberculosis to AIDS to schizophrenia. Reported rates of tuberculosis in jails and prisons are more than six times higher than those for the general population. Jails and prisons concentrate individuals at high risk for TB or noncompliance with therapy, including those who are
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