Mental Health, Addiction and Incarceration

Conversation Guide

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There is growing awareness and concern at the high rates (50 to 60 percent) of individuals with mental health challenges inside our jails and prisons. What is the appropriate response to an individual with mental health challenges who commits a crime? Does it depend on the crime? What is the role of addiction and mental illness? To what degree are mental health problems emerging because of the atmosphere in our criminal justice system?

Let's Get Started!

Living Room Conversations offers a simple, sociable and structured way to practice communicating across differences while building understanding and relationships. Typically, 4-6 people meet in person or by video call for about 90 minutes to listen to and be heard by others on one of our nearly 100 topics. Rather than debating or convincing others, we take turns talking to share, learn, and be curious. No preparation is required, though background links with balanced views are available on some topic pages online. Anyone can host using these italicized instructions. Hosts also participate. 

Introductions:
Why We're Here (~10 min)

Each participant has 1 minute to introduce themselves.

Share your name, where you live, what drew you here, and if this is your first conversation.

Conversation Agreements:
How We'll Engage (~5 min)

These will set the tone of our conversation; participants may volunteer to take turns reading them aloud. (Click here for the full conversation agreements.)

  • Be curious and listen to understand.
  • Show respect and suspend judgment. 
  • Note any common ground as well as any differences. 
  • Be authentic and welcome that from others. 
  • Be purposeful and to the point. 
  • Own and guide the conversation. 

Question Rounds:
What We’ll Talk About

Optional: a participant can keep track of time and gently let people know when their time has elapsed.

Round 1:
Getting to Know Each Other (~10 min)

Each participant can take 1-2 minutes to answer one of these questions:

  • What are your hopes and concerns for your community and/or the country?
  • What would your best friend say about who you are and what inspires you?
  • What sense of purpose / mission / duty guides you in your life?

Round 2:

Mental Health, Addiction and Incarceration (~40 min)

One participant can volunteer to read the paragraph at the top of the web page.


Take ~2 minutes each to answer a question below without interruption or crosstalk. After everyone has answered, the group may take a few minutes for clarifying or follow up questions/responses. Continue exploring additional questions as time allows..

  • How should we balance the needs of community safety with the needs of the mentally ill and/or indigent who are arrested, their family and others?
  • What is an appropriate level of community-provided support for mentally ill, addicted and indigent individuals
  • How do we provide, when appropriate, alternatives to jail for mentally ill, addicted and indigent individuals?
  • Where is mental illness and community safety on your top-10 community focus list? Why?

Round 3:
Reflecting on the Conversation (~15 min)

Take 2 minutes to answer one of the following questions:

  • What was most meaningful / valuable to you in this Living Room Conversation?
  • What learning, new understanding or common ground was found on the topic?
  • How has this conversation changed your perception of anyone in this group, including yourself?
  • Is there a next step you would like to take based upon the conversation you just had?

Closing (~5 min)

  • Give us feedback! Find our feedback form here.
  • Donate! Make more of these possible; give here.
  • Join or host more conversations! With a) this group by exchanging your emails; b) others in person and/or by video call online. Get more involved or learn how to host here.

Thank You!