Transcript Slide 1
Spokane County District Court Mental Health Therapeutic Court Sales Tax Initiative The Spokane County Commissioners requested a vote of the public to fund SSB 5763 which would fund therapeutic courts. The citizens voted in November 2005 for an increase in 1/10 of one percent of the sales tax to fund mental health treatment and therapeutic courts. In December of 2008, this initiative was extended by the BoCC until 2014. Mental Health Court The Mental Health Court represents an effort to increase effective cooperation between the mental health treatment system and the criminal justice system. The project has achieved the following outcomes for the mentally ill misdemeanant population: improved access to mental health treatment services improved well-being reduced recidivism improved public safety Mental Health Court In the regular system, misdemeanant defendants often interact with multiple defense attorneys, prosecutors and judges. In the past, mentally ill offenders often spent unnecessary time in jail and, lacking access to mental health treatment services on release, became repeat offenders and cycled through the justice system again and again. Mental Health Court The Mental Health Court Team consists of a Judge, Court Manager, Prosecuting Attorney, Defense Attorneys, Forensic Evaluator, Court Case Manager, Probation Officers and support staff. The team interacts regularly with treatment providers, Eastern State Hospital Legal Offender Unit, jail discharge staff and other important partners, including housing specialists and financial resource officers. Referrals Referral Sheet Release of Information (ROI) Criminal History Exclude Convicted Sex Offenders, Felonies, Conviction of serious violent offenses Accept Felony Reductions Criteria Clinical Criteria: serious and persistent mental illnesses (Axis I) Legal Criteria: low-risk, non-violent offenses (misdemeanors or gross misdemeanors) Spokane County District Court Mental Health Courts MH Criminal Court MH Therapeutic Court Defendant has diagnosis of major mental illness * Defendant has diagnosis of major mental illness Defendant incapable or not amenable to completing MHTC Phases (or MHTC not feasible) Defendant is amenable to treatment and capable of completing the MHTC Phases Traditional negotiation towards resolution of case Defendant “Opts-In” to the MH Therapeutic Court & enters into SOC Probation, where appropriate, considers Defendant’s mental health issues and existing services Defendant enters Phases of the MHTC & accesses services of the Court CM Defendant appears for periodic Treatment Reviews Defendant appears for treatment reviews & completes assignments/requirements Defendant graduates from the MHTC and Case is dismissed *Documented non-criteria mental health cases are accepted into the MH Criminal Docket only, and strictly on a case-bycase basis 2009 410 Defendants, 1073 Cases, 1425 Charges Domestic Violence Theft Traffic Violations DUI DWLS Assault Trespass Harass./Mal. Mis. Resisting/Obstruction Neg. Driving Other 0 50 100 150 200 250 300 350 400 Defendants per District/Municipal 410 Total Both Courts 105, 26% County Only 122, 30% City Only 183, 44% Average defendant has 3 open cases (1-8) Felony Reduction Cases in MHC Rejected from MHC 30, 42% Rejections Violent Offenders Sex Offenders Did Not Meet Criteria Accepted in MHC 41, 58% In Services at Acceptance Total Defendants Defendants in Services at Acceptance Defendants Not in Services at Acceptance % of Defendants in Services 2009 410 160 250 39% 2008 341 127 214 37% 2007 238 56 182 24% Services Obtained by MHC Total Defendants In Services Prior to MHC Total Enrolled by MHC % in Services MHC 2009 410 160 216 92% 2008 341 127 152 82% 2007 238 56 86 60% 8% not in services for 2009 were in BW status, incompetent or deceased Referred Services 537 Referrals SA Inpatient Treatment 19 SPARC 26 SSI 32 CHAS 33 Education/Employment 37 39 M edical FSS 49 Other M H Treatment 50 DSHS 51 SM H 57 65 SA Out Patient Treatment 79 Housing 0 10 20 30 40 50 60 70 80 90 Evaluations 90 82 80 70 68 60 53 51 50 40 30 20 10 10 0 M H Court ESH M edical Facilites VA Other (Private, etc) 2009 MHC Defendants w/Co-Occurring Diagnosis MH Diagnosis Only Co-Occuring Diagnosis 64% 36% Defendant Contacts 4007 Individual Contacts County Probation In-Person Appointments 181 Court CM Appointments 601 MH Criminal Court Appearances 2409 MH Therapeutic Court Appearances 816 410 Defendants 2009 Average MHC Defendant Ages Ages Defendants 18 - 29 118 30- 39 110 40 - 49 113 50 – 59 57 60 - 69 12 70 and over 0 2009 MHC Male/Female Defendant Breakout Male Female 241 (59%) 169 (41%) 2009 MHC Homeless Population In Housing 78% Incoming Homeless 22% Outcomes Reduce jail costs through decreasing recidivism Serve the criminal system and the community Serve mentally ill offenders in an effective process Jail Stays 91 Defendants Stays Days Before MHC 251 3,395 After MHC 130 1,817 52% Decrease 54% Decrease MHTC Graduates Recidivism Total Graduates 21 Graduate Re-Offenses 2 9% For Further Information Judge Sara Derr Presiding MH Court Judge 509-477-2959 [email protected] Sandy Manfred, MS MH Court Manager 509-477-2277 [email protected] 2009 Service Providers RSN Non-RSN % in Services Prior to MHC 130 30 39% By MHC 103 113 53% Totals 233 143 92% 35% of Defendants Not Eligible for Medicaid Inmate Referrals 113 (398 Total) Judicial Officers 8 7% Other 11 10% County P.D. 23 20% City P.D. 30 27% County Jail 41 36%