Implementation of MISSION-Criminal Justice in a Treatment Court: Preliminary Outcomes Among Individuals With Co-occurring Disorders

UMMS Affiliation

Department of Psychiatry, Division of Addiction Psychiatry; Implementation Science and Practice Advances Research Center

Publication Date


Document Type



Criminology and Criminal Justice | Health Services Administration | Health Services Research | Law and Psychology | Mental Disorders | Psychiatry | Substance Abuse and Addiction


OBJECTIVE: Mental health courts provide an alternative to incarceration and address both mental health and criminal justice needs. Many individuals within these treatment courts also have co-occurring substance use disorders. This pilot study examined the preliminary effectiveness of Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking-Criminal Justice (MISSION-CJ), an intervention that targets co-occurring disorders and criminal justice risk factors within a mental health court.

METHODS: Participants (N=97) were enrolled in mental health court and MISSION-CJ community wraparound services.

RESULTS: Participants were primarily male with an average age of 34, had spent an average of more than 5 years incarcerated, and had an average of 13.94 years of illegal drug use; 91% had experienced depression. Preliminary 6-month outcomes showed significant reduction in nights incarcerated (p < 0.002), illegal drug use (p < 0.003), trauma symptoms (p < 0.004), and behavioral health symptoms (p < 0.006).

CONCLUSIONS: Preliminary findings suggest promise for delivery of MISSION-CJ to participants in a mental health court.


Dual diagnosis, co-occurring disorders, alternative to incarceration, mental health court

DOI of Published Version



Psychiatr Serv. 2019 Jul 24:appips201800570. doi: 10.1176/appi.ps.201800570. [Epub ahead of print] Link to article on publisher's site

Journal/Book/Conference Title

Psychiatric services (Washington, D.C.)

Related Resources

Link to Article in PubMed

PubMed ID