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Parole is allowed under a Virginia rule that enables the state to release people over 60 who have served at least ten years. More than a thousand inmates have been eligible under this geriatric provision, but only 40 have been released since 2001. One key question: Where would they go?

Virginia has about 30,000 inmates in state prisons, served by 14 psychiatrists. Segregation, restraining chairs and solitary confinement are other means by which mental health patients in state prisons receive treatment.

The state of Virginia spends an average of $5,300 a year per inmate for medical care in prisons, and that cost has been rising 5-7 percent per year, but taxpayers may not be getting their money’s worth, and people locked up for minor crimes could be paying with their lives.