The news that GEOCare, a private for-profit company, is hovering around the prisoner mental health honeypot in North Carolina is an extremely worrisome development. Mental health in prisons tends to fall at or near the very bottom of the list of priorities in prison management– and likewise in prison budgets– not least because a large percentage of the typical prison population suffer from mental health issue. This covers everything from anxiety and depression, to self-harm, insomnia, suicide attempts, psychosis, borderline personality disorder, uncontrollable anger and violent impulses associated with schizophrenia, bipolar disorder, and eating disorder. To be honest, if a prisoner is not suffering from some sort of despair related condition whilst incarcerated in the US prison system, they are doing remarkably well.