joseph poitier is the jail's chief psychiatrist. he's worked at miami-dade for the past ten years. >> jails have, in effect, become mental institutions. i would say that 20% of those who are incarcerated have a mental illness. a large part suffer from schizophrenia, bipolar disorder, and depression, severe forms of mental illness. >> the mentally ill is a very serious problem within correctional facilities today. unfortunately, there's a growing trend. a lot of the mental state hospitals have closed down and the only options to the police agencies are to bring them to the jails. that's a problem for us because those inmates are a lot more unmanageable than the regular inmate population. >> come on, take your medication. >> while the ultimate goal of the staff here is to provide proper medical care so that the inmates can cooperate with their lawyers and eventually leave the jail, maintaining safe and sanitary conditions is a daily challenge. >> usually our procedures are right now that we wake up the inmates, we go ahead and handcuf