The monitor overseeing court-ordered reform efforts at the New Orleans jail says progress is slow, while inmates and staff at the lockup "continue to face grave harm."

The monitor's report was filed Tuesday in federal court. It says that 361 inmates required emergency medical care in the first six months of this year and that 200 of them were injured due to fights with other inmates, self-inflicted harm or an unspecified event.

The monitor said mental health care is "virtually non-existent" at the jail while fire safety and sanitation problems remain.

The report says compliance efforts by the sheriff are disorganized and it stressed the need for the Orleans Parish Sheriff's Office, which runs the jail, to reach agreement with the city over funding of the reforms.

(Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)