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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
Session: Evidence-based Practice for Mental Health Services Consumers with Criminal Justice System Involvement
4046.0: Tuesday, December 13, 2005: 8:30 AM-10:00 AM
Oral
Evidence-based Practice for Mental Health Services Consumers with Criminal Justice System Involvement
Individuals with mental illness who are involved in the criminal justice system have high morbidity. How to best treat this population is the topic of current discussion in the literature. The purpose of this session is to explore potential areas of Evidence-Based Practice (EBP) for this population. Probation is the most frequently used legal disposition. Therefore, the aggregate number of individuals with mental illness in the probation system is large. With the involvement of probation officers, there is potential for increasing service utilization of this group of people with mental illness as well as developing specialized services between both the criminal justice and the mental health systems. Although several such programs are documented in the literature, nationally people on probation use less (18.6%) mental health services than people with mental illness who are not involved in the criminal justice system (22.9%). Outpatient commitment seeks to encourage people with mental illness and criminal justice involvement in treatment. Although available in most states, it is a controversial process yet its utility is important to many communities. Given this utility, do the outcomes presented in the literature suggest that this is an EBP? Using a combination of probation and outpatient commitment and successful mental health approaches such as Assertive Community Treatment (ACT), a pilot program in Rochester, New York has developed a standardized combined approach called Forensic Assertive Community Treatment, or FACT. Similar approaches exist in various communities throughout the country, suggesting that this type of approach is an emerging EBP.
Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1) gain an understanding of the overall use of the general mental health services system by people with mental illness and criminal justice involvement, 2) understand the potential for involvement of the probation and mental health system in developing and/or implementing evidence-based mental health treatment practices, 3) consider the value of the widely available yet controversial "outpatient committment" process as an evidence-based practice, and 4) understand the components of the FACT model, an emerging Evidence-Based Practice for this population of people with mental illness and criminal justice system involvement.
Moderator(s):John Crilly, PhD, MPH, MSW
8:30 AMIs outpatient commitment an evidence-based practice? Issues and outcomes  [ Recorded presentation ]
Virgina Hiday, PhD, John Crilly, PhD, MPH, MSW, Steven Lamberti, MD
8:50 AMHow can use of probation assist dissemination of evidence-based practice?
Jeffrey Draine, MSW, PhD, John Crilly, PhD, MPH, MSW, Steven Lamberti, MD, Virgina Hiday, PhD
9:10 AMEmerging evidence-based practice for people with mental illness and involvement in the criminal justice system: The FACT model  [ Recorded presentation ]
Steven Lamberti, MD, John Crilly, PhD, MPH, MSW, Virgina Hiday, PhD
9:30 AMOverview of research on service use by people with mental disorders involved in the criminal justice system  [ Recorded presentation ]
John Crilly, PhD, MPH, MSW, Steven Lamberti, MD, Virgina Hiday, PhD
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Mental Health
Endorsed by:Socialist Caucus; Statistics
CE Credits:CME, Health Education (CHES), Nursing

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA