In October 2003, Human Rights Watch issued a 215-page document, "Ill-Equipped: U.S. Prisons and Offenders with Mental Illness," that cited data from APA’s 2000 report "Psychiatric Services in Jails and Prisons." These data indicated that "perhaps as many as 1 in 5 prisoners was seriously mentally ill, with up to 5 percent actively psychotic at any given moment" (Psychiatric News, December 5, 2003).