Integrating the criminal justice system into mental health service delivery: the Worcester diversion experience
Authors
Grudzinskas, Albert J. Jr.Clayfield, Jonathan C.
Roy-Bujnowski, Kristen M.
Fisher, William H.
Richardson, Maurice H.
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
2005-04-09Keywords
AdolescentAdult
*Criminal Law
Delivery of Health Care
Delivery of Health Care, Integrated
Humans
Insanity Defense
*Judicial Role
Massachusetts
Mental Competency
Mental Health Services
Outcome and Process Assessment (Health Care)
Prisoners
Psychotic Disorders
Referral and Consultation
Specialization
Substance-Related Disorders
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
The substantial number of persons with mental illness encountered in many sectors of the criminal justice system has spurred actors from various agencies within that system to take actions aimed at reducing the growth of this population. These actions have included the development of specialty police units, jail diversion programs, and other mechanisms for channeling persons with mental illness out of the criminal justice system and into mental health treatment. The courts, too, have become involved in this effort with the recent development of the "mental health court," the latest of the "specialty" or "problem solving courts." These courts have not been without their critics, however, nor are they the only feasible approach to court-based diversion. This paper identifies and explores a range of options for structuring the relationship between criminal courts and local mental health systems. Beginning with a discussion of the rationale motivating the development of mental health courts, two alternatives to this specialty court model are discussed. One involves judges dealing with defendants having mental illness and substance abuse on a case-by-case basis. The other takes advantages of linkages that may already exist between most courts and the mental health providers who conduct their forensic assessments, expanding the role of these providers to serve as boundary spanners between courts and the components of local mental health systems. Regardless of the model adopted, however, appropriate linkages must exist between the courts and relevant providers. A case study is provided that demonstrates how the status of a locale's linkages can be evaluated and how the information derived from such evaluation can be used to improve the linkages between police, courts, and health and human services agencies.Source
Behav Sci Law. 2005;23(2):277-93. Link to article on publisher's siteDOI
10.1002/bsl.648Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45215PubMed ID
15818600Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1002/bsl.648
Scopus Count
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