![]() ![]() There exists a need for additional, methodologically rigorous studies to better understand the effectiveness of MHCs. Four major questions guided our review: (a) How do they work? (b) Does a theoretical basis exist to explain how they work? (c) What is the nature of the evidence? and (d) What are the characteristics of the mentally ill who choose not to participate in MHC programs and of those who are negatively terminated? Though studies have shown reductions in assessed outcomes, a lack of methodologically strong evaluations significantly limits the strength of those results. Such a review is critical given the existence of 300 MHCs in the United States (Council of State Governments Justice Center, 2011) with more in development. The primary purpose of this article is to provide a narrative review of recent evidence on the empirical status of MHCs and suggest directions for future social work research. Mental health courts (MHCs) are problem-solving courts that attempt to redirect individuals with mental illness into treatment rather than incarceration (Wolff, 2003). The share of costs varies greatly depending on the type of diversion. Developing a multiple-intercept jail diversion program requires significant up-front investment. Post- booking bond and docket diversion cost $238 and $205 per person, respectively the majority of costs were incurred by the courts for court decisions. ![]() Pre-booking diversion cost $370 per person 90% of costs were incurred by community mental health agencies for short-term monitoring and screening (>80% of activities). The start-up cost for the program was $556,638.69. An activity- based costing algorithm was developed to which parameter values were applied. Intercept 1 Overview Begins when law enforcement responds to a person with mental or substance use disorders. Data on staff costs, client contacts, planning, and implementation were collected for three types of diversion: pre-booking police, post-booking bond, and post-booking docket. The Sequential Intercept Model (SIM) Intercept 1: Law Enforcement Intercept 1: Law Enforcement The primary activity at Intercept 1 is law enforcement and emergency services responses to people with mental and substance use disorders. The current study used data on a model jail diversion program in San Antonio, Texas, to address this research gap. This summary of Sequential Intercept Model (SIM) mappings reflects the top 10 gaps and priorities key local stakeholders identified across Oregon. Although much has been published about program models and their successes, little detail is available to policy makers and community stakeholders on the resources required to start and implement a jail diversion program and which agencies bear how much of the burden. The SIM helps communities identify resources and gaps in services at each intercept and develop local strategic action plans. Jail diversion programs for people with mental illness are designed to redirect offenders with mental illness into community treatment. The Sequential Intercept Model (SIM) details how individuals with mental and substance use disorders come into contact with and move through the criminal justice system. ![]()
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