The Treatment Advocacy Center (TAC) released a report this week that indicated the rising number of mentally ill inmates in American correctional facilities. Jails and prisons currently hold more mentally ill people than state hospitals in America.

Vox reported on the published study and the study found that 356,268 inmates have a severe mental illness, and there has been a major push for deinstitutionalization since the 1950s. Deinstitutionalization is the movement to remove the mentally ill from long-stay mental facilities and place them into community-based treatment centers.

Forty-four states and Washington D.C. have correctional facilities that house more mentally ill people than each of those states’ largest mental health facility. The TAC report outlined many problems caused by housing mentally ill inmates: