Eighth Judicial District Court Mental Health Court Program Chief Judge Elizabeth Gonzalez

Key: Medication Maintenance Mental Health Court Program intended for: chronic thought-disordered individuals Involved in criminal justice system Key: Medication Maintenance

Eligibility Requirements Serious Mental Illness (SMI) including: Schizophrenia Schizoaffective Disorder Bipolar Disorder Major Depression Disorder or  Chronic Severe Anxiety.  

FY17 MHC Census __________________ Recidivism: 2014 EJDC MHC Study FY17 Current Participants: 141 FY17 Graduates: 19 __________________ Recidivism: 2014 EJDC MHC Study Felony Reduction: 89% Misdemeanor Reduction: 83% Arrest Reduction: 78% Citation Reduction: 86%

Benefits to Participants Mental health counseling (individual and group);   Medication stabilization;  Residential placement (as appropriate);  Individual and group substance abuse counseling; Vocational Training/SSI Application;  and  Incentives for goal accomplishment (including food, shopping, and movie gift cards).  

Treatment Includes: Counseling sessions (Individual and Group); Medication management; Case management;  Probation supervision (GM/Felony only);  Residential placement (as appropriate);  Regular random drug testing (as appropriate); and  Regular court reviews.  

MHC Funding NRS 176.0613 $537,652 General Fund $927,938 Average Program Length = 1-3 years Depending on program compliance $5,995 - $11,000 (Subject to Insurance/Medicaid Reimbursement and needs of participants)

Ethnicity of Participants Caucasian 42% African American 34% Hispanic 16% Asian/Pacific Islander 2% Multi-Racial 4% Other 2%

MHC Participants by Age

Assisted Outpatient Treatment AOT is court-ordered treatment for individuals who have a history of medication noncompliance; the participant remains in the community with wraparound services, to ensure compliance and stabilization. AOT Increases: Treatment Compliance Long-term voluntary compliance AOT Reduces: Incidence and duration of hospitalization Homelessness Arrests and incarcerations Victimization Violent episodes Assisted Outpatient Treatment

Cost of Assisted Outpatient Treatment 252 participants have been accepted into the program As of April there was 70 active participants Average monthly cost to house an AOT client with no income: Intensive Supportive Living: $6,990.01 Long Term Care: $3,335.11 Supportive Living Arrangement: $2,514.83 Inmate daily cost in Clark County Detention is $135 per day/ $4,050 per month. Daily cost in a NV state psychiatric inpatient facility is $850 per day/ $25,500 per month. Cost of Assisted Outpatient Treatment

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