Psychological Injury and Law

, Volume 10, Issue 3, pp 254–263 | Cite as

The Effectiveness of One Mental Health Court: Overcoming Criminal History

  • Julie S. CostopoulosEmail author
  • Bethany L. Wellman


The Mental Health Court (MHC) allows for defendants with mental illness to receive community-based treatment while helping to avoid further involvement in the criminal justice system. Studies have demonstrated varying degrees of success for participants’ rearrest rate and severity while in the community. The role of prior criminal behavior on success in MHC, and for up to 3 years after release from MHC, was examined. Data was gathered on 118 participants in MHC, 80 of which graduated, and 38 who were dismissed without graduating. Arrests were coded prior to entering MHC and at 3 months, 6 months, 1 year, and 3 years after release. Recidivism included arrest severity, offense type, and quantity of offenses. Significantly fewer defendants who completed MHC were rearrested at all windows of time after release. Completing MHC also predicted living more days free without rearrest. Criminal history was not consistently predictive of recidivism when failing MHC was included in the model. The severity of the charges when rearrested was predicted only by completing MHC, not by criminal history. The greater the amount of days spent in MHC was associated with rearrests for lesser crime types (such as property offenses) at 3 years for individuals who did not complete MHC. These results suggest that participation in MHC was able to reduce recidivism regardless of varying severity of criminal history. The impact of MHC was so great that length of participation reduced severity of offense type after 3 years even for those who ultimately did not complete the requirements.


Mental health court Recidivism Mentally ill offenders Therapeutic court 



The authors would like to thank the FIT Forensic Clinical Research Team for their assistance. The assistance of Dr. Barry Hensel and Tanya Johnson at Circles of Care, Blaise Trettis, Wayne Holmes, and Judge Cathleen Clarke was essential to the completion of this project.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.School of PsychologyFlorida Institute of TechnologyMelbourneUSA

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