Five years after the Mental Health (Offenders) Inquiry Committee, commissioned by Chief Justice Bryan Sykes, urged the Jamaican Ministry of Health to establish dedicated facilities for mentally ill individuals in conflict with the law, no such space has been identified. Hundreds of these individuals remain detained in correctional institutions, often for decades, with half still awaiting trial. The committee, comprising representatives from the judiciary, human rights organizations, and health and correctional services, highlighted the systemic failure to address the therapeutic needs of these detainees. Dr. Kevin Goulbourne, consultant psychiatrist and director of Mental Health and Substance Use at the ministry, recently confirmed that efforts are ongoing to create a more humane environment outside the prison system. The 2020 report emphasized that correctional facilities are ill-equipped to handle mental health care, a responsibility historically shifted from Bellevue Hospital to the Department of Correctional Services in the 1970s. Justice Georgiana Fraser, the committee chair, stressed the urgency of designating appropriate facilities, noting that many detainees have not been tried or found guilty. The report also criticized successive health ministers for failing to address this issue. Goulbourne acknowledged the challenges, including the lack of early assessments and the absence of a forensic psychiatric unit. Health Minister Dr. Christopher Tufton emphasized the need for collaboration between health, justice, and security sectors to improve mental health support for incarcerated individuals. Chief Justice Sykes has called for systemic reforms to ensure timely court appearances and appropriate care for mentally disordered defendants, who currently cannot be discharged without a trial verdict.