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Journal ArticleDOI

Effectiveness of a Mental Health Court in Reducing Criminal Recidivism and Violence

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TLDR
It is shown that participation in the mental health court program was associated with longer time without any new criminal charges or new charges for violent crimes and maintenance of reductions in recidivism and violence after graduates were no longer under supervision of themental health court.
Abstract
Objective: In response to the large-scale involvement of people with mental disorders in the criminal justice system, many communities have created specialized mental health courts in recent years. However, little research has been done to evaluate the criminal justice outcomes of such courts. This study evaluated whether a mental health court can reduce the risk of recidivism and violence by people with mental disorders who have been arrested. Method: A retrospective observational design was used to compare the occurrence of new criminal charges for 170 people who entered a mental health court after arrest and 8,067 other adults with mental disorders who were booked into an urban county jail after arrest during the same interval. A matching strategy based on propensity scores was used to adjust analyses for nonrandom selection into mental health court. Results: Propensity-weighted Cox regression analysis, controlling for other potential confounding variables (demographic characteristics, clinical variables, and criminal history), showed that participation in the mental health court program was associated with longer time without any new criminal charges or new charges for violent crimes. Successful completion of the mental health court program was associated with maintenance of reductions in recidivism and violence after graduates were no longer under supervision of the mental health court. Conclusions: The results indicate that a mental health court can reduce recidivism and violence by people with mental disorders who are involved in the criminal justice system.

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Citations
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A Handbook for the Study of Mental Health: Work and Unemployment as Stressors

TL;DR: According to stress theory, when events and strains accumulate in people's lives, they can overwhelm people's psychosocial resources and abilities to cope and then generate symptoms of psychological disorder as discussed by the authors.
Journal ArticleDOI

Diversion down under - Programs for offenders with mental illnesses in Australia.

TL;DR: An overview of mental health courts and diversion programs operating for offenders with mental illnesses in Australia can be found in this article, where some of the problems associated with diversionary options are discussed and recommendations for reform made.
Journal ArticleDOI

Measuring the Prevalence of Current, Severe Symptoms of Mental Health Problems in a Canadian Correctional Population Implications for Delivery of Mental Health Services for Inmates

TL;DR: Greater efforts must be made to bridge the gap between correctional and mental health care systems to ensure inmates in correctional facilities can access and receive appropriate mental health health care services.
Journal ArticleDOI

Predictors of Mental Health Court Graduation

TL;DR: In this paper, the authors examined what participants brought to MHC, their processing in MHC and their behaviors during MHC to find the strongest impact on graduation, increasing the odds of failure to graduate and reducing, if not eliminating, the direct effects on completion of the risk factors participants brought into court.
References
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Journal ArticleDOI

The central role of the propensity score in observational studies for causal effects

Paul R. Rosenbaum, +1 more
- 01 Apr 1983 - 
TL;DR: The authors discusses the central role of propensity scores and balancing scores in the analysis of observational studies and shows that adjustment for the scalar propensity score is sufficient to remove bias due to all observed covariates.
Journal ArticleDOI

Nonparametric Estimation of Average Treatment Effects under Exogeneity: A Review

TL;DR: In this article, the authors review the state of the art in estimating average treatment effects under various sets of assumptions, including exogeneity, unconfoundedness, or selection on observables.
Journal ArticleDOI

Propensity score estimation with boosted regression for evaluating causal effects in observational studies.

TL;DR: Propensity score weights estimated using boosting eliminate most pretreatment group differences and substantially alter the apparent relative effects of adolescent substance abuse treatment.
Journal ArticleDOI

Estimation of Causal Effects using Propensity Score Weighting: An Application to Data on Right Heart Catheterization

TL;DR: In this paper, the authors consider methods for estimating causal effects of treatments when treatment assignment is unconfounded with outcomes conditional on a possibly large set of covariates, and apply these methods to data on the effects of right heart catheterization (RHC) studied in Connors et al.
Book

Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence

TL;DR: Rethinking Risk Assessment as discussed by the authors is a pioneering investigation that challenges preconceptions about the frequency and nature of violence among persons with mental disorders, and suggests an innovative approach to predicting its occurrence.
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The results indicate that a mental health court can reduce recidivism and violence by people with mental disorders who are involved in the criminal justice system.