Oklahoma Faces Fines Over Jail Mental Health Care Failure

Oklahoma Still Out of Compliance on Inmate Mental Health Care

Oklahoma remains out of compliance with a court order to provide mental health treatment for inmates in county jails deemed incompetent to stand trial.

A federal judge ordered the state in March to improve care for these inmates. However, a new report reveals the state has not met those requirements.

Fines expected next year

Interim Department of Mental Health Director Gregory Slavonic told the Tulsa World he expects the state could be fined $3.5 million next year. The penalties stem from the agency’s failure to implement court-mandated reforms.

“We’re making progress, but not enough to meet the deadlines,” Slavonic said. “The system still lacks the staffing and resources to provide real treatment.”

Long-standing issues

Oklahoma’s mental health system has struggled with underfunding and overcrowding for years. Many inmates remain in jail for months while waiting for evaluations or transfers to state hospitals.

Advocates say this delay worsens conditions for mentally ill prisoners and increases jail violence.

Next steps for compliance

Slavonic said the department is working to expand treatment options and hire more qualified staff. Lawmakers have been asked to allocate additional funding in the upcoming session.

The court has given the state until early 2026 to reach compliance before imposing harsher penalties.

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