In partnership with the Washoe County Sheriff’s Office (WCSO), NaphCare, a leading correctional healthcare company, has launched the THRIVE Jail-Based Competency Treatment (JBCT) program at the Washoe County Detention Facility — the first program of its kind in Nevada.
The JBCT program delivers full competency restoration services within the detention facility to individuals whom the court has found incompetent to stand trial. By providing treatment on-site, the program prevents delays in the restoration process and reduces reliance on limited state forensic hospital beds.
The program builds on the facility’s innovative THRIVE Jail-Based Treatment Program (JBTP), which launched in September 2024 to begin intensive mental health treatment for individuals awaiting restoration at the state-operated forensic hospital. As a fully implemented JBCT program, THRIVE now provides comprehensive competency restoration services directly within the jail — something previously not permitted in Nevada. This advancement allows detained individuals to receive targeted treatment and evaluations needed to restore competency and move their legal cases forward.
“The THRIVE Jail-Based Competency Treatment program represents years of work by the Washoe County Sheriff’s Office to rethink how detention facilities respond to mental health,” said Washoe County Sheriff Darin Balaam. “This program reflects what can happen when public safety, healthcare professionals, and community partners come together with a shared goal. By expanding mental health treatment inside our facility, we’re helping individuals move forward in the legal process while supporting safer outcomes for our staff, our community, and those in our care suffering from mental health issues.”
THRIVE operates within a dedicated Jail-Based Mental Health Unit designed to increase patient participation, promote wellness, and maintain safety and security. Specially trained WCSO deputies assigned to the unit collaborate daily with NaphCare’s clinical team to create a structured, therapeutic environment focused on restoration and recovery.
Across the country, correctional facilities are experiencing a surge in court-ordered competency evaluations and restoration needs, driven by increasing numbers of individuals living with mental illness and disabilities in jail settings.
“The competency crisis has grown within correctional facilities nationwide as more justice-involved individuals are waiting for the specialized services they need to advance through the justice system,” said Dr. Caroline Parrott, NaphCare’s Vice President of Forensic Mental Health Programs and a clinical forensic psychologist.
Delays in restoration prolong detention, increase costs to taxpayers, and raise due process concerns, including the right to a speedy trial. The longer individuals wait for treatment, the longer it can take to restore competency — and in some cases, the likelihood of restoration decreases. Extended delays can also result in case dismissals, impacting victims and the broader justice system.
The JBCT program is the culmination of years of partnership and progress between NaphCare and WCSO. In March 2023, NaphCare partnered with WCSO to address lengthy delays in competency evaluations for detained individuals. With support from the Washoe County Competency Court, NaphCare began delivering high-quality, timely competency-to-stand-trial evaluations for all defendants housed at the Washoe County Detention Facility, eliminating unnecessary delays at the front end of the process.
Building on that success, NaphCare worked closely with WCSO and local and statewide stakeholders to develop and implement the THRIVE jail-based treatment model. In July 2025, Assembly Bill 467 amended Nevada Revised Statutes to authorize competency restoration treatment within jail settings for certain detained individuals, making the full JBCT program possible.
“Thanks to the efforts of Nevada’s legislators, the Governor’s office, and the support of key community and state stakeholders such as the Division of Public and Behavioral Health and WCSO,” said Dr. Parrott, “THRIVE is able to provide targeted competency restoration treatment so we can directly address barriers to competency head on. The result is faster rates of restoration without burdening the state system unnecessarily. This program is a valuable step forward for our patients and for the legal process in Washoe County.”
Individuals in the THRIVE JBCT program receive individualized mental health and medical treatment alongside specialized forensic services provided by a multidisciplinary team. In addition to the JBCT program, NaphCare continues to provide the Washoe County Forensic Evaluation Program for pre-commitment competency evaluations and specialized adult mental health evaluations, as well as comprehensive medical, mental health, dental, and pharmaceutical services, including Medication-Assisted Treatment (MAT) and Opioid Treatment Programs (OTP).
The Washoe County Detention Facility is accredited by the National Commission on Correctional Health Care (NCCHC) and was a 2024 recipient of the NCCHC Pinnacle Award, the highest distinction in correctional healthcare, recognizing accreditation across jail health services, mental health services, and opioid treatment programs.
A recent Review-Journal letter to the editor mischaracterized Sen. Catherine Cortez Masto’s Southern Nevada Economic Development and Conservation Act, also known as the Clark County Lands bill. As the former executive director of the Nevada Conservation League, I wholeheartedly support this legislation, so I wanted to set the record straight.
Sen. Cortez Masto has been working on this bill for years in partnership with state and local governments, conservation groups like the NCL and local area tribes. It’s true that the Clark County lands bill would open 25,000 acres to help Las Vegas grow responsibly, while setting aside 2 million acres for conservation. It would also help create more affordable housing throughout the valley while ensuring our treasured public spaces can be preserved for generations to come.
What is not correct is that the money from these land sales would go to the federal government’s coffers. In fact, the opposite is true.
The 1998 Southern Nevada Public Lands Management Act is a landmark bill that identified specific public land for future sale and created a special account ensuring all land sale revenues would come back to Nevada. In accordance with that law 5 percent of revenue from land transfers goes to the state of Nevada for general education purposes, 10 percent goes to the Southern Nevada Water Authority for needed water infrastructure and 85 percent supports conservation and environmental mitigation projects in Southern Nevada. This legislation has provided billions to Clark County and will continue to benefit generations of Southern Nevadans. Sen. Cortez Masto’s lands bill builds upon the act’s success.
So here’s the good news: All of the money generated from land made available for sale under Sen. Cortez Masto’s bill would be sent to the special account created by the 1998 law. Rather than going to an unaccountable federal government, the proceeds would continue to help kids in Vegas get a better education, bolster outdoor recreation and modernize Southern Nevada’s infrastructure.
I know how important it is that money generated from the sale of public land in Nevada stay in the hands of Nevadans, and so does the senator. That’s why she opposed a Republican effort last year to sell off 200,000 acres of land in Clark County and other areas of the country that would have sent those dollars directly to Washington.
Public land management in Nevada should benefit Nevadans. We should protect sacred cultural sites and beloved recreation spaces, responsibly transfer land for affordable housing when needed and ensure our state has the resources it needs to grow sustainably. I will continue working with Sen. Cortez Masto to advocate for legislation, such as the Clark County lands bill, that puts the needs of Nevadans first.
Paul Selberg writes from Las Vegas.
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Las Vegas High’s baseball team claimed a 3-2 home win over Coronado on Friday.
Las Vegas (9-13-1) next hosts Rancho at 10 a.m. Saturday. Coronado (13-14) hosts Chaparral at 3:30 p.m. Monday.
Contact Alex Wright at awright@reviewjournal.com. Follow @AlexWright1028 on X.
LAS VEGAS (FOX5) — Nevada’s jobless rate is holding steady, but the state is still adding jobs.
A new report from DETR shows February’s unemployment rate unchanged at 5.3 percent, with the labor force growing by nearly 3,800 people.
MORE ON FOX5: Nevada unemployment rate rises to 5.3% in January
Nevada now has about 1.6 million nonfarm jobs, up 2.2 percent over the past year and 1,500 more jobs than in January.
“This month’s report shows a strengthening labor market,” said David Schmidt, Chief Economist. ”Compared to the report for January, the pace of job gains in the past year increased from 1.9% to 2.2%, building on what was already the fastest pace of job growth in the country. While the unemployment rate remained stable, the labor force participation rate rose to 63.7%, 1.7 percentage points higher than the national level.”
In Las Vegas, employment ticked up by 1,100 jobs in February, about 0.1 percent, and is up more than 25,000 jobs compared to last year.
Reno added 1,000 jobs on the month, while Carson City shed about 200 but is still slightly above where it was a year ago.
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