Information was collected by means of observations, interviews with staff, and sampling of records between April 1989 and December 1991. Results indicated the need for changes in intake and initial assessments, information and referral systems, the identification and management of mentally ill offenders, and personnel communication and cooperation. Specific recommendations include the establishment of clear goals and objectives for intake and initial assessment, specific staff time and private space for intake, and the handling of each prisoner as an individual. In addition, at least one staff member of each intake team should be trained in the identification of mental disorders; social work and related services should be routinely available during the reception process. Other needed changes include computerization of inmate records, a review of systems for gathering and transferring records, basic training on mental disorders for all personnel, separate accommodations for mentally ill offenders where possible, and improved communication and cooperation among staff. Appended instruments and sampling information