Abstract
Mental Health Treatment Courts (MHTC) address the overrepresentation of individuals with mental health disorders in the criminal justice system and strive to minimize the "revolving door" cycle of arrest/incarceration/release/re-arrest. A qualitative research group interview design was conducted with program graduates resulting in a three stage model. Participant’s motivation was initially to avoid jail, but over time participants begin to make intentional choices leading to mental health recovery. Participants also described the importance of their relationship with the staff and the judge as well as the need for trust, understanding, and respect throughout the program. Recommendations for future research and program development are discussed.
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Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Innovations & Research, 2, 17–24.
Anthony, W. A., Cohen, M. A., Farkas, M., & Gagne, C. (2002). Psychiatric Rehabilitation. Boston: The Center for Psychiatric Rehabilitation.
Bales, W. D., Nadel, M., Reed, C., & Blomberg, T. G. (2017). Recidivism and inmate mental illness. International Journal of Criminology and Sociology, 6, 40–51.
Bandura, A. (1997). Self-efficacy: The exercise of control. San Francisco, CA: W. H. Freeman.
Boothroyd, R. A., Mercado, C. C., Poythress, N. G., Christy, A., & Petrila, J. (2015). Clinical outcomes of defendants in mental health court. Psychiatric Services, 56(7), 829–834.
Bullard, C. E., & Thrasher, R. (2016). Evaluating mental health court by impact on jurisdictional crime rates. Criminal Justice Policy Review, 27(3), 227–246.
Burns, P. J., Hiday, V. A., & Ray, B. (2013). Effectiveness 2 years post exit of a recently established mental health court. American Behavioral Scientist, 57(2), 189–208.
Cosden, M., Ellens, J. K., Schnell, J. L., & Yamini-Diouf, Y. (2005). Efficacy of a mental health treatment court with assertive community treatment. Behavioral Sciences and the Law, 23(2), 199–214.
Council of State Government Justice Center. (2016). Mental Health Treatment Courts. Retrieved from https://www.csgjusticecenter.org/mental-health-court-project/.
Gagliardi, G. J., Lovell, D., Peterson, P. D., & Jemelka, R. (2004). Forecasting recidivism in mentally ill offenders released from prison. Law and Human Behavior, 28(2), 133–155.
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine.
Hora, P., Schma, W., & Rosenthal, J. (1999). Therapeutic jurisprudence and the drug court movement: Revolutionizing the criminal justice system’s response to drug abuse and crime in America. Notre Dame Law Review, 74(2), 499.
James, D. J., & Glaze, L. E. (2006). Bureau of Justice Statistics, Special Report: Mental health problems of prison and jail inmates. Retrieved from http://www.bjs.gov/index.cfm?ty=pbdetail&iid=5946.
Lurigio, A. J., & Snowden, J. (2009). Putting therapeutic jurisprudence into practice: The growth, operations, and effectiveness of a mental health court. Justice System Journal, 30(2), 196–218.
Lynch, S. M., DeHart, D. D., Belknap, J. E., Green, B. L., Dass-Brailsford, P., Johnson, K. A., et al. (2014). A multisite study of the prevalence of serious mental illness, PTSD and substance use disorders of women in jail. Psychiatric Services, 65(5), 670–674.
McNiel, D. E., & Binder, R. L. (2007). Effectiveness of a mental health court in reducing criminal recidivism and violence. The American Journal of Psychiatry, 164(9), 1395–1403.
McNiel, D. E., Sadeh, N., Delucchi, K. L., & Binder, R. L. (2015). Prospective study of violence risk reduction by a mental health court. Psychiatric Services, 66(6), 598.
Moore, M., & Hiday, V. (2006). Mental health court outcomes: A comparison of re-arrest and re-arrest severity between mental health court and traditional court participants. Law and Human Behavior, 30, 659–674.
Onken, S. H., Craig, C. M., Ridgway, P., Ralph, R. O., & Cook, J. A. (2007). An analysis of definitions and elements of recovery: A review of the literature. Psychiatric Rehabilitation Journal, 31(1), 9–22
Robst, J. (2017). Disposition of charges, out-of-home mental health treatment, and juvenile justice recidivism. International Journal of Offender Therapy and Comparative Criminology, 61(11), 1195–1209.
Sanford, J. S., & Arrigo, B. A. (2005). Lifting the cover on drug courts: Evaluation findings and policy concerns. International Journal of Offender Therapy and Comparative Criminology, 49(3), 239–259.
Smith-Acuna, S. (2011). Systems theory in action: Applications to individual, couples, and family therapy. Hoboken: Wiley.
Snedker, K. A., Beach, L. R., & Corcoran, K. E. (2017). Beyond the ‘Revolving Door?” Incentives and criminal recidivism in a mental health court. Criminal Justice and Behavior, 44(9), 1141–1162.
Steadman, H. J., Osher, F. C., Robbins, P. C., Case, B., & Samuels, S. (2009). Prevalence of serious mental illness among jail inmates. Psychiatric Services, 60(6), 761–765.
Steadman, H. J., Redlich, A. D., Callahan, L., Robbins, P. C., & Vesselinov, R. (2011). Effect of mental health courts on arrests and jail days: A multisite study. Archives of General Psychiatry, 68(2), 167–172.
Strauss, A. & Corbin, J. M. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Thousand Oaks: Sage Publications.
Wexler, D., & Winick, B. (Eds.). (1996). Law in a therapeutic key: Developments in therapeutic jurisprudence. Durham: Carolina Academic Press.
Wolff, N. (2002). Courts as therapeutic agents: Thinking past the novelty of mental health courts. Journal of the American Academy of Psychiatry and the Law, 30(3), 215–226.
Yerushalmi, H., & Lysaker, P. H. (2014). The recovery approach to rehabilitation: Implementation in supervision. Journal of Social Work Practice, 28(1), 59–73.
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Funding was provided by University of Scranton.
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Lee Ann Eschbach, Rebecca Spirito Dalgin were funded to complete an evaluation of the program in this study in 2017. Elizabeth Pantucci has no conflicts of interest on this project.
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Full IRB approval was granted for this study and informed consent was obtained from all individual participants in this study.
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Eschbach, L.A., Dalgin, R.S. & Pantucci, E. A Three Stage Model for Mental Health Treatment Court: A Qualitative Analysis of Graduates’ Perspectives. Community Ment Health J 55, 590–598 (2019). https://doi.org/10.1007/s10597-018-0346-5
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DOI: https://doi.org/10.1007/s10597-018-0346-5