There are more than a million prison and jail inmates in the United States who have mental illness given the harsh cutbacks in funding for community support programs. A paper from a recent issue of the Journal of Trauma and Dissociation discusses the growing need for 24 hour mental health units within prisons and jails to handle this spiralling demand. The authors contend that mental illnes has been 're-criminalized' due to the incidence of related support issues such as physical and/or sexual abuse, parental substance dependence, and parental incarceration. Prisons and jails most often do not provide services for this highly traumatized population or recognize the need for such services. Prisons are not hospitals and should not be regarded as suitable replacements for mental health facilities. The authors follow up by reporting on problems with mental health care in prisons, and on several attempts to establish 'trauma-aware' care within the legal system.