1. Criminal Records of Persons Served in the Public Mental Health System

2. Criminal Records of Persons Served in the Public Mental Health System
Alison Cuellar
Lonnie Snowden
Toby Ewing

3. Goals Exploratory Study Feasibility of data linkage
Utility for system planning and analysis

4. Key Questions Among persons served in the public mental health system…
What is the frequency and severity of criminal involvement ?
What are the MH treatment patterns before and after arrest?

5. Procedure
Link Data
Public Mental Health System (Medi-Cal) to 2001
DOJ criminal history to 2001
Los Angeles Only

6. Public Mental Health Data
Types of MH services received, treated diagnosis, severity, demographics
DOJ
Type and dates for offense, disposition, re-offending
Compare timing of MH service use and DOJ contact
Inpatient, outpatient, crisis

7. Arrest Patterns

9. Treatment Patterns before and after Arrest
Many not receiving MH treatment prior to arrest
28% received service 1 month prior to arrest
47% received service 6 months prior to arrest
Virtually no difference in the chance of receiving any service before vs. after arrest
More likely to receive inpatient or crisis service after arrest
Not more likely to receive outpatient services

10. Limitations Successful pilot
e.g., only treatment funded by Medi-Cal, limited information on co-occurring substance abuse
Successful pilot
General Patterns
System Planning tool