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Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

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Page 1: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Partners in Crisis: 2011 Annual Conference

1

Improving Responses to People with Mental Illnesses in the Criminal Justice System:

Getting to the Next Level

Page 2: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

• National non-profit, non-partisan membership association of state government officials

• Represents all three branches of state government

• Provides practical, non-partisan advice informed by the best available evidence

2

Criminal Justice/Mental

Health Consensus Project

Criminal Justice/Mental

Health Consensus Project

Reentry Policy Council and NRRC

Reentry Policy Council and NRRC

Justice Reinvestment

Justice Reinvestment

Page 3: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

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Criminal Justice/Mental Health Consensus Project Report (2002)

Page 4: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Support of Learning Sites

• Five Mental Health Court Learning Sites• Six Law Enforcements Learning Sites

– Houston (TX) Police Department– Los Angeles (CA) Police Department– Madison (WI) Police Department– Portland (ME) Police Department– Salt Lake City (UT) Police Department– University of Florida Police Department

Council of State Governments Justice Center

Page 5: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Product Development

Council of State Governments Justice Center

APF Module on Working With Defendants with Mental Illnesses

Fred Osher
Want to involve Lorrie Rickman-Jones here
Page 6: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Presentation Overview

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Page 7: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Growth in Spending on Corrections in MI

Spending on corrections increased 57 percent over the past 10 years

One out of every three state workers is employed by the Michigan Department of Corrections

As a share of general fund expenditures, corrections grew from 16.2 to 22.6 percent

Source: Data analyzed by Citizen’s Research Council.

Page 8: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Wisconsin Recidivism Rates Increasing

Percent Returned to Prison Percent Returned to PrisonWithin Two Years

2000 2005

Male 37% 41%

Female 23% 29%

Age at release

17-21 (443) 38% 55%

21-25 (1574) 34% 45%

25-30 (1750) 35% 41%

30-35 (1356) 39% 40%

35-40 (1203) 37% 42%

40-50 (1995) 33% 36%

50-60 (517) 22% 29%

60+ (109) 8% 17%

Page 9: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Prison Population Growth Unsustainable

Page 10: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

San Mateo County is set to sign off on a contract with San Jose mental health specialists to care for its seriously-mentally ill jail inmates.The cost? $1.7 million. This right after the county pulled $49 million out of its reserves and slashed other services by $27.3 million to balance its budget.

The $1.7 Million Jail Bed By Chris Roberts |  Monday, Jun 27, 2011  

Page 11: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Incarceration & Crime Trends

Incarceration Rate

2000-2007

Violent Crime Rate

2000-2007

NY

-16%

TX

-8%

FL

+16%

CANo

Change

NY

-25%

TX

-6%

FL

-11%

CA

-16%

Page 12: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level
Page 13: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level
Page 14: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level
Page 15: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Corrections in the Crosshairs

• Growth in prison and jail populations is not fiscally sustainable.

• Current level of investment not yielding adequate outcomes.

• Public is unappreciative of investments currently being made.

• Policymakers are without the comprehensive, timely, independent information to help them understand how to get more for their money

Page 16: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Presentation Overview

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Page 17: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

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Assigning the Right People to the Right Programs

… state funding for community corrections programs has increased, but a lack of admission criteria for these programs makes them less cost-effective at diverting offenders …

Page 18: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Residential Programs in One Large State Had Varied Impacts on Recidivism, but Usually Made Low Risk Offenders Worse

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* Results for all participants

Page 19: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Treatment Effects for High Risk Offenders in HWH/CBCFs Tend to Produce Better Outcomes for Most Programs

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* Results for all participants

Page 20: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Re-Offense Rates by RiskDistribution by Risk Level

Assessing for Risk: Validating the Risk Assessment Instrument in Wisconsin

Re-offense refers to a new offense

Page 21: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Assign High-Risk Populations to Most Intensive Community-Based Supervision and Treatment

Criminogenic Risk

Clin

ical

Nee

d

Low

High

High

Low

Page 22: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level
Page 23: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Justice Reinvestment in Ohio

Page 24: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Justice Reinvestment in North Carolina

Page 25: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

TOUGH SMARTHold offenders accountable for the

harm they caused and prevent them from reoffending

Ensure that dollars have the greatest impact on crime

at the least cost

• Long sentences to punish and incapacitate serious, violent & repeat offenders

• Probation supervision & cost-effective sanctions/treatment for nonviolent offenders

• Mandating supervision for the 15,000 felons currently released from prison unsupervised

• Ensuring swift and certain sanctions for violations of supervision

• Increasing sentences for repeat B&E offenders on the second conviction

• Focusing supervision & treatment on offenders that will benefit the most

• Increasing access to treatment in the community

• Providing second chance incentives for first time felony drug offenders

North Carolina’s criminal justice system embodies this framework with:

The Justice Reinvestment Act (H 642) strengthens this framework by:

Justice Reinvestment in North Carolina

Big PictureJustice Reinvestment in North Carolina

Page 26: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Actual Population

JR Impact

Status Quo Forecast

Page 27: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Presentation Overview

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Page 28: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

County Level Case Study

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N (%)

Offense Category No Psych Meds Psych Meds

Felony 507 (37.3) 56 (45.5)

Misdemeanor 745 (54.9) 64 (52.0)

Other 106 (7.8) 3 (2.4)

Total 1358 (100) 123 (100)

Page 29: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Average Length of Stay in Days

Release Type No Psych Meds(N = 981)

Psych Meds(N = 88)

Bonded Out 9 35

Court Order 21 57

To Prison 87 67

To Other Agency 33 77

Other 83 12329

Comparing Lengths of Stay for New Arrest/Pretrial

Percent of All Release Types within Group

Release Type No Psych Meds (N = 981)

Psych Meds (N = 88)

Bonded Out 33 25

Court Order 34 32

To Prison 4 3

To Other Agency 11 10

Other 10 17

Not Released 8 13

Page 30: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Comparing Lengths of Stay: A Closer Look

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Average Number of Days

Blue: No Psych MedsRed: Psych Meds

Length of Stay by Release Type and Offense Category

Page 31: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Recap: CJ/MH Diversion Flow

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Arrest

Court -- Initial Appearance

Detained Pending Pretrial / Disposition

Trial / Sentencing

Booked: 5,261

Pretrial Conference

Bond

65 Participants

in MHC

Jail Process

Court Process

LE Process

Medical and MH Screen

MI ≈ 1,052 using 17% estimate

≈ 800 using psych med proxy 3

24

34Other Referral Sources:Bail Commissioner:1Family: 1Treatment Team: 2Self: 4

Page 32: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Getting to the Next Level in Florida: Key Elements

• Screen / Assess for Criminogenic Risk / Mental Illness

• Use results to inform services / supervision.

• Ensure availability/effectiveness of services

• Respond effectively to compliant/noncompliant behavior

Page 33: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Presentation Overview

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Page 34: Partners in Crisis: 2011 Annual Conference 1 Improving Responses to People with Mental Illnesses in the Criminal Justice System: Getting to the Next Level

Thank You

CONTACT

Michael [email protected]

wwww.justicecenter.csg.org

The presentation was developed by members of the Council of State Governments Justice Center staff. Because presentations are not subject to the same rigorous review process as other printed materials, the statements made reflect the views of the authors, and should not be considered the official position of the Justice Center, the members of the Council of State Governments, or the funding agency supporting the work.