The United States has been long considered a country of immigrants. Throughout U.S. history the implementation of immigration policies has oscillated from lenient to highly restrictive. Currently, the Department of Homeland Security manages the largest detention system in the world. In December 2019, the National Detention Standards that govern the level of care in detention were revised. These revisions grant more oversight to private detention companies, including mental health treatment options and the use of solitary confinement. This is concerning given the amount of suicides that have occurred in detention. Despite an increasing trend in funding for detention centers, mental health resources are scarce and increasingly remiss in detention centers. Individuals held in civil detention are subject to deteriorating mental health due to the locations of detention centers, solitary confinement and high costs associated with outbound calls and visitations.