MEDIKO started its Telepsychiatry program for the first time in the history of jails in Virginia in 2005. We have documented more than 20,000 Telepsychiatry sessions by and between our psychiatrists and the inmate patients. Combine this with the devoted presence of our onsite qualified mental health professionals, and this model makes our program rock solid both financially and legally. Our mental health program has solved and defeated many challenges that jail managers face today with increasing numbers of inmate patients who are incarcerated with mental illness.