221477 Role of treatment in behavioral health and public safety outcomes among mental health court and treatment as usual samples

Wednesday, November 10, 2010 : 11:15 AM - 11:30 AM

Pamela Robbins , Policy Research Associates, Inc., Delmar, NY
Lisa Callahan , Policy Research Associates, Inc., Delmar, NY
Henry Steadman , Policy Research Associates, Inc., Delmar, NY
This paper examines how behavioral health and public safety outcomes are affected by the type and duration of community and jail treatment in four mental health courts and between the two samples. We obtained the community and jail treatment data for all study subjects for the three years before and after their target arrest prior to entry into mental health court (MHC) or target jail booking (TAU). Accessing hospitalization records was impossible in two sites, but we were informed that in those two sites among our samples, fewer than 5% were hospitalized during our study period. The findings reported here are based on in-county community and jail treatment data, self-report interview measures, and public safety outcomes from FBI reports (arrests) and incarceration days (in-county jail and state prison). Treatment is measured by the type and duration of treatment. Community data are annualized for days in the community, and jail data are likewise annualized for days in jail or prison. An underlying premise of mental health courts is that enrollees are more likely to be connected to community treatment following release from jail. Implicit in this assumption is that this treatment engagement will be associated with better behavioral health and public safety outcomes. We first examine whether or not the MHC sample receives more treatment following court enrollment compared with the TAU jail sample. The second set of questions address the effect of treatment on behavioral health (e.g. CSI, ITAQ, homelessness) and public safety (e.g. arrests, incarceration days) outcomes.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Social and behavioral sciences

Learning Objectives:
1. Compare the level of treatment utilization of mental health court participants with a treatment as usual jail sample in the period after target arrest. 2. Assess if the level of treatment engagement is related to subsequent arrests and incarceration days in both the MHC and TAU samples. 3. Assess if the level of treatment engagement is related to subsequent illegal substance use, homelessness, and mental illness symptomotology.

Keywords: Criminal Justice, Mental Health Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in mental health services research since 1976. I have directed numerous studies funded by federal, state, and private entities and have many publications in refereed journals.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.