Transcript Slide 1

“Trans-Institutionalization”
(Criminalization of the Mentally Ill)
400,000
350,000
300,000
State hospital
pts
Mentally ill
prisoners
250,000
200,000
150,000
100,000
01
20
94
19
90
19
79
19
19
69
50,000
0
Source: US Dept. of Health Human Services & Dept of Justice statistics
Mentally Ill Jail Inmates (Offenses)
Bureau of Justice Statistics ( September 2006):
24%
27%
23%
26%
Violent
Property
Drug
Public-order
Mental Health Court: Criteria
(GAINS Center for People with Co-Occurring Disorders in the
Justice System):
Most are adult criminal courts
Have a separate docket dedicated to persons with mental
illnesses
Divert criminal defendants from jail into treatment
programs
Some courts monitor the defendants during treatment and
have the ability to impose criminal sanctions for failure to
comply
First such courts established in US were in Marion County,
IN (January 1997) and Broward County, FL (June 1997)
US Mental Health Courts (2006)
(Redlich AD, et al: Law Hum Behav (2006)
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Hawaii
Alaska
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Mental Health Courts-Outcomes
Herinckx HA, et al: Psych Services (2005)
Clark Co. (WA) Mental Health Court
Program (4/00-4/03)
160
2
140
120
1.5
100
80
1yr pre MHC
1
1 yr post MHC
60
40
0.5
20
0
Case
mgt hrs
Inpt
days
Outpt
days
0
Arrests
Sacramento County Jail:
Statistics
Main Jail was built in 1989 to house 1,252
inmates. Over the years, double bunking
increased the capacity to 2,432 inmates.
Additional facility: RCCC houses >2,000
sentenced and pre-trial inmates.
Approximately 57,200 bookings in 2005
Average inmate length of stay: 37 days
Approximately 16% (700) of total inmates are
followed by Jail Psychiatric Services
Jail Psychiatric Services (JPS)
JPS has provided mental health services to
inmates since 1978.
Contractual agreement between UC Davis
Department of Psychiatry and Sacramento County
Sheriff’s Department.
Multidisciplinary team which includes Psychiatrists,
Psychologists, RNs, LCSW, LVNs, and support staff
Services include: acute psychiatric triage,
medication management, inpatient LPS-certified
psychiatric unit (18 beds), group therapy,
community re-entry coordination
Jail Psychiatric Services: Inpatient
(847 admissions to JPS-Inpatient Unit from 9/04-8/05):
#admits
nonviolent charges
# admits
misdemeanor charges
# admits
prior psych hospitalization
505
243
616
59.6%
28.7%
72.8%