What Can We Say About the Outcomes of Jail Diversion Programs Henry J. Steadman, Ph.D. NASMHPD’s Forensic Division Annual Meeting September 12, 2005.

Slides:

Advertisements

Similar presentations

Mn Juvenile Justice & Mental Health Initiative Mental Health Screen Best Practices From: Blueprint for Change.

Advertisements

Louis de la Parte Florida Mental Health Institute Integrated Data Systems and Program Evaluation University of South Florida Diane Haynes.

Lee County Triage Center and Low Demand Shelter Ann Arnall, Deputy Director Lee County Human Services

Criminal Justice, Substance Abuse & Mental Health Reinvestment Grant

Yamhill County: Evidence-Based Decision Making (EBDM)

Presented By: Aki Nearchou, LBSW & Brian Fuller, PH.D. KCMHSAS

Mental Illness & the Law: A Guide for Legal Professionals Insert the names of the presenting staff from the CSB and/or the DBHDS state hospitals/Central.

“Trans-Institutionalization” (Criminalization of the Mentally Ill) Source: US Dept. of Health Human Services & Dept of Justice statistics.

VA Programs for Justice-Involved Veterans

CIT Center School of Urban Affairs and Public Policy

Reducing the Involvement of Persons With Mental Illness & Co-Occurring Disorders in the Criminal Justice System Through Jail Diversion Programs Henry J.

Tracking and Measuring Outcomes in King County, WA Genevieve Rowe Mental Health, Chemical Abuse and Dependency Services Division

Chicago Police Crisis Intervention Team NAMI of Greater Chicago NAMI of Greater Chicago.

Jail Diversion in North Carolina February / or

Alternatives to Incarceration and Care Coordination May 12, 2015.

CIT: TO LEGISLATE OR NOT TO LEGISLATE…that is the question

1 Diversion and Jail Discharge Strategies Presentation by Ron Honberg, NAMI National Alliance to End Homelessness Conference Washington, DC July 18, 2006.

Downtown Community Court Canadian Criminal Justice Association CONGRESS 2009 Halifax, Nova Scotia October 30, 2009 Honourable Judge Tom Gove Provincial.

Cross-Systems Mapping Transforming Services for Persons with Mental Illnesses and/or Substance Abuse Disorders in Contact with the Criminal Justice System.

Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.

Westmoreland County Torrance Service Area Plan Presentation.

Nathaniel Assertive Community Treatment New York County Alternatives to Incarceration Program Bradley Jacobs Deputy Director, Behavioral Health Programs.

Improving Access to Healthcare for Youth in the Juvenile Justice System Prepared by Prepared for Presentation to California Association of Probation Institution.

Onondaga County DMC Final Report December 13, 2011 Center for Community Alternatives Emily NaPier Juanita Gamble Co-Coordinators.

The Perfect Storm Professional Cultures Collide to Form Successful CIT Community Partnerships 2014 CIT International Conference Monterey, California East.

State of CT Judicial Branch Court Support Services Division Major Initiatives Update Presented to the Criminal Justice Policy Advisory Commission September.

MISSION To make jail the last resort for people with severe mental illnesses and co-occurring substance use disorders ama 2.

Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level.

The Portfolio Strategy What is the “portfolio strategy?” Why are some school systems attracted to it? Is the portfolio strategy improving student achievement?

Mental Health Crises & Police Contact in Midtown Detroit Bart W. Miles, PhD MSW Assistant Professor Wayne State University School of Social Work Center.

PREPARED BY NPC RESEARCH PORTLAND, OR MAY 2013 Florida Adult Felony Drug Courts Evaluation Results.

ASCA PBMS Implementation Is your agency ready to participate in PBMS? Let’s look at the issues.

EVALUATING THE IMPACT OF ADDING THE RECLAIMING FUTURES APPROACH TO JUVENILE TREATMENT DRUG COURTS: RECLAIMING FUTURES/JUVENILE DRUG COURT EVALUATION Josephine.

Crisis Intervention Teams (CIT) NC-NAMI Conference Marriott Hotel - Downtown Greensboro, NC March 9, 2007 Presented by Bob Kurtz, Ph.D. 919 /

Building Justice and Behavioral Health Collaboration in Beaver County, Pa Mental Health and Justice Collaboration Conference March 1,

OFFENDER REENTRY: A PUBLIC SAFETY STRATEGY Court Support Services Division.

Adolescence and Substance Use by Rick Sampson, American Institutes for Research ( ) An Overview.

Broward Sheriff’s Office Department of Detention and Community Control In-Custody Behavioral Services Division Presentation for the Florida Partners in.

Figure 1 K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Dual Eligibles: The Basics Barbara Lyons, Ph.D. Director, Kaiser Commission on.

ELEVENTH JUDICIAL CRIMINAL MENTAL HEALTH PROJECT Miami-Dade County, Florida.

Law Enforcement Responses to People with Mental Illnesses: Improving Outcomes Brought to you by the National Council and the Council of State Governments.

Crisis Intervention Team

Your Vote Counts, Preferences For The Future. Should courts, prosecutors, defenders, probation officers and detention services be provided with increased.

Performance Based Measures System (PBMS) PBMS was established by ASCA to enable agencies to: Measure agency and facility performance against correctional.

Community Policing and Collaboration: Implications of a Flat World William Wells Center for the Study of Crime Southern Illinois University Carbondale.

Improving Outcomes for Young Adults in the Justice System Challenges and Opportunities.

Analyses of Calls for Service (911) Involving Drugs 1 Council of State Governments Justice Center Calendar Year Total Citywide Calls Calls in LEAD Zone.

FORT BEND COUNTY SHERIFF’S OFFICE Crisis Intervention.

Improving Access to Mental Health Services: A Community Systems Approach Leslie Mahlmeister, MBA PhD Student Department of Political Science Wayne State.

Thinking About A Risk-Based Registry. Sex offender risk assessments are most often employed in applied forensic settings for purposes of decision-making.

 First drug court opened in Miami-Dade, FL in 1989  Goal is to reduce recidivism by using graduated sanctions and incentives combined with treatment.

Court Services A Continuum of Behavioral, Therapeutic and Supervision Programs.

Virginia's Evidence Based Decision Making Initiative: Pretrial and More Victoria Cochran, Deputy Secretary of Public Safety and Homeland Security, Office.

Juvenile Mental Health Court Implementing a Multi-Agency Model 1st Judicial District Implementing a Multi-Agency Model 1st Judicial District.

Maggie Bennington-Davis MD, MMM Chief Medical/Operating Officer, Cascadia Behavioral Healthcare William Nunley MD, MPH Project Coordinator Safer PDX.

Court Services Stepping Up InitiativeStepping Up Initiative Alachua County Answers The CallAlachua County Answers The Call.

Criminal Justice – Behavioral Health Partnerships Promoting Integrated Healthcare A Program for Governments, Hospitals, Specialty Care Providers and Advocates.

Jail Diversion Programs

Douglas County, KS Criminal Justice Intercept Practices

A Look at Statistics and Trends Based on public information available

Decriminalizing Mental Illness:

Summit County Probation Services

Crisis Intervention Team (CIT)

Overview of Crisis Intervention Team (CIT)

JUVENILE ASSESSMENT CENTER FRAMEWORK CONCEPT: AN OVERVIEW

Crisis Intervention Team Program

2017 Indiana Family Impact Seminar

Pre-Arrest Diversion A Public Health Solution to Crime Reduction and Better Public Safety PJI First Friday Webinar February 2, 2018 Jac Charlier.

The CIT Model: Can We Call It Evidence-Based?

What works across Intercepts

Presentation transcript:

What Can We Say About the Outcomes of Jail Diversion Programs Henry J. Steadman, Ph.D. NASMHPD’s Forensic Division Annual Meeting September 12, 2005

1.Frame of Reference 2.Major Developments 3.Overview of Outcome Studies

Diversion: Basic Tasks Know who you Eligibility Criteria are looking for Find themScreen/Assess Engage themServices Plan Cut a dealNegotiate the terms and conditions Make it stickLinkage

Jail Diversion Logic Model Identify and Enroll People in Target Group LinkageComprehensive/ Appropriate Community- Based Services Improved Mental Health /Individual Outcomes Improved Public Safety Outcomes Stage 1Stage 2 Diversion Stage 3

Mental Health Diversion Options Pre-Booking –Police-Based Post-Booking –Court-Based –Jail-Based

Pre-Booking Police-Based –Memphis Crisis Intervention Team (CIT) N=80 –Birmingham (AL) Community Service Officers (CSO) –LA Systemwide Mental Assessment Response Team (SMART)

Post-Booking Court-Based First appearance regular court (Bail bond) First appearance specialty court (Mental Health Court) –Drop charge → community-based treatment –Continue charge → Prosecution deferred with terms and conditions –Plead → Probation with terms and conditions –Plead → Sentence deferred with terms and conditions Disposition specialty court (Mental Health Court) Jail-Based –Case finding in jail and disposition in regular criminal court

Jail Diversion Programs (n=356) Pre-booking (n=131) Post-booking (n=225) –Mental Health Courts (n=106) –Other (n=119)

7% of U.S. counties (233/3,142) have one or more jail diversion programs.

Key Components of a CIT Program  Specialized training of a cadre of officers  Police department policy and procedures  Strong PD leadership - Headquarters - Precinct/Subdivisions  Centralized, police-friendly drop-off  Available, appropriate community-based services

Outcome Studies Overview Single Site Multi-Site Costs

Mental Health Outcome Studies/Single Site (N = 5) Petrila, Poythress, et al.: Broward County, FL Cosden et al.: Santa Barbara County, CA Trupin et al.: King County, WA Herinckx et al.: Clark County, WA Gary Bess Associates: Butte County, CA

Single Site Diversion Outcome Studies (Non-Mental Health Courts) LocationProgram TypeResults LAPolice2/151 Jailed LARegular Criminal CourtJudicially monitored Tx got “better outcomes” CTJail Diverted:  = 41 jail days over 1 year Non-diverted:  = 173 jail days over 1 year CincinnatiRegular Criminal Court/Jail Diverted and non-diverted same on arrests with more time in community for diverted Rochester, NYCourt/Jail Jail days:  = 108 → 46 Hospital days:  = 166→ 77 New York CityJailArrests of 53 subjects: 101 → 7 Housed at intake = 10% vs. 79% after 1 year

Multi-Site Diversion Outcome Studies (Non-Mental Health Courts) LocationsProgram TypeResults Memphis (TN) Birmingham (AL) Knoxville (TN) Police2% arrested 13% arrested 5% arrested Memphis (TN) Montgomery County (PA) Portland (OR) Police (n=3) Court (n=2) Jail (n=4) SAMHSA KDA Hartford/New Haven/ Bridgeport (CT) Lane County (OR) Phoenix/Tucson (AZ) New York (NY) Honolulu (HI) Wicomaco County (MD) Vs. 16% non- specialized (Chicago)

Comparison of 12-Month Outcomes (N=1185)

SAMHSA Jail Diversion KDA Cost Studies

Monthly Jail Diversion Cost Scenarios

Bottom Lines Can divert at no added public safety risk Divertees disproportionately older, women, and white More than one option per community desirable Short term (≤ 18 months) cost shifting from CJ to MH Longer term (> 18 months) expect cost savings No demonstratable relationship between volume of services received and favorable outcomes Everything depends on the “To”