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In the United States alone, at any given time, up to 16 percent (or
250,000) adults in the criminal justice facilities will have a mental
illness. Of those, approximately 50% have been found guilty of non-violent
crimes such as trespassing or disorderly conduct. The cost to incarcerate
individuals with mental illness without also adequately treating their
illness is incalculable both personally and financially. A. Kathryn
Power, Director of the Center for Mental Health Services of SAMHSA
says it best with, “The costs include wasted lives, broken families,
troubled children as well as weakened communities and over-extended
social services.” Lancaster
County Corrections Director, Mike Thurber states, “We needed
to find a way to remove from jail and provide services for those persons
society was mad at for continually committing petty, nuisance offenses
in order to have adequate room in the jail for those persons society
is truly scared of.” Thus began the Lancaster County Mental
Health Jail Diversion Project (LCMHJDP). Through
research it was determined that individuals with mental illness
commit the majority of repeat offenses. As a result, LCMHJDP developed
two primary goals. The first was geared toward drastically reducing
or altogether eliminating the “revolving door” of being
in and out of jail for program participants. The second goal focused
upon improving the quality of life for persons in the LCMHJDP, as
well as for taxpayers of Lancaster County, Nebraska. Promoting individuals
recovery and linking them to the very mental health services and
supports that might have prevented their arrest in the first place,
provides a win-win situation for all.
Participants of the program take part in
an initial screening, an assessment, and a subsequent evaluation,
prior to the court decision. Upon a favorable “Court Decision”
the person is then released from jail and begins working with their
assigned Intensive Case Manager or ICM. The ICM works with the individual
on a number of issues such as safe housing, establishing psychiatric
care, medication management, food, clothing, transportation, and
assistance with substance abuse evaluations and entitlements such
as general assistance. Ultimately the ICM is working with the person
to make certain that they are providing for their own day-to-day
needs, as well as preparing them to transition out of the ICM model
of care and into a less intensive level of community-based service
provisions.
The issues addressed through the LCMHJDP are issues
that affect many agencies. Taxpayers, educators, businessmen and
women, home-owners, are all touched in different ways. Each of these
sectors must contribute to mental health reform for it to be successful.
Just as issues affect multiple agencies,
they impact various areas of an individual’s life. The focus
must be geared towards treating the whole person. Inappropriate
incarceration of those with mental illnesses is not effective. Individuals
re-enter their communities with the same mental and psychosocial
illnesses they had prior to being jailed, to the benefit of none.
The Lancaster County Program is being used as a model for others
to follow. For additional information please contact Travis Parker,
Lancaster County Mental Health Jail Diversion Project Director,
at (402) 441-6610 or email tparker@ci.lincoln.ne.us.
Additional information may be accessed through the following web
sites:
- The Criminal Justice/Mental Health
Consensus Project:
http://www.consensusproject.org
The web site contains a repository of information about all aspects
of jail diversion, reentry, and enhanced treatment for offenders
with mental illness.
- U.S. Department of Justice, Bureau
of Justice Assistance:
http://www.ojp.usdoj.gov/BJA/
Administers federal mental health courts program, provides resources
and information for jail diversion, publications and reports,
information about federal funding sources.
- The National Gains Center:
http://gainscenter.samhsa.gov/html/default.asp
Focused on expanding access to community based services for adult's
diagnosed with co-occurring mental illness and substance use disorders
at all points of contact with the justice system.
- Police Executive Research Forum
(PERF):
http://www.policeforum.org/
Provides information about criminal justice and mental health,
community policing and other relevant information.
- The Reentry Policy Council:
http://www.reentrypolicy.org/
Bipartisan recommendations for successful prisoner reentry practices.
This comprehensive report is beneficial as it recommends reentry
strategies that reduce the likelihood of recidivism.
- Substance Abuse and Mental Health
Services Administration (SAMHSA):
http://www.samsha.gov
Administers federal jail diversion grant program, resource information,
publications, and other helpful information about criminal justice
and mental health.
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