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It is common to hear statements such as jails/prisons are the largest warehouses/providers of service for individuals living with mental health disorders. We could add substance use disorders to these claims. Statements such as these require empirical verification. To establish the prevalence of and services provided to criminal justice-involved individuals, it is necessary to establish a reliable behavioral health surveillance (monitoring) system at various points in the criminal justice system. This paper will catalog issues associated with the development of a representative surveillance system across the United States criminal justice systems. It will explore also the utilization of existing planning tools to develop and implement such a system.