While I do not agree with pretrial inmates being held under the same conditions as those who have been convicted, I do respect the way he handles criminals.The ACLU has an ongoing suit that he will almost definitely end up loosing because of his treatment of pretrial detainees and convicted criminals in the same way, and the fact that he provides inadequate care to mentally ill prisoners.
As far as mentally ill criminals, where is the judge's accountability here? Ultimately, it is the judge who hands down sentencing, therefore he shoulders the responsibility for ensuring those who are mentally ill are sent to a facility that is equipped to meet that individual's needs.