Implementation of MISSION-Criminal Justice in a Treatment Court: Preliminary Outcomes Among Individuals With Co-occurring Disorders
Department of Psychiatry, Division of Addiction Psychiatry; Implementation Science and Practice Advances Research Center
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
Psychiatric services (Washington, D.C.)
Pinals DA, Gaba A, Clary KM, Barber J, Reiss J, Smelson DA. (2019). Implementation of MISSION-Criminal Justice in a Treatment Court: Preliminary Outcomes Among Individuals With Co-occurring Disorders. Psychiatry Publications. https://doi.org/10.1176/appi.ps.201800570. Retrieved from https://escholarship.umassmed.edu/psych_pp/888