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Adapting a Substance Abuse Court Diversion Model for Felony Offenders with Co-occurring Disorders: Initial Implementation

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Abstract

Treatment Alternatives for Dually Diagnosed (TADD) was developed to address the need for criminal justice diversion of seriously mentally ill substance-using felons and persistent misdemeanants. The population served by the TADD program and key elements of the program are described, including identification, screening and assessment, specialized court processing and judicial oversight, case management monitoring, joint case conferencing between community and monitoring staff, enforcement, and key stakeholder collaboration. One hundred and thirteen clients diverted by the TADD program were followed for six months. A description is provided of these clients, the community services accessed, as well as the monitoring of clients drug use. During six months of program involvement 87% remained connected to the diversion team, 80% remained in community treatment and the majority took advantage of the rich service environment created through TADD's case management linkage services. The majority of these clients tested drug-free during this six-month period.

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References

  1. Beck, AJ, Karnberg, JC, Harrison, PM: Prison and jail inmates at midyear 2001. NCJ 191702. Washington, DC, U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics, 2002.

    Google Scholar 

  2. Ditton, PM: Mental health and treatment of inmates and probationers. NCJ 174463. Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics, 1999.

    Google Scholar 

  3. Lamb, HR, Weinberger, LE: Persons with severe mental illness in jails and prisons: A review. Psychiatric Services 49(4):483-492, 1998.

    Google Scholar 

  4. U.S. Census Bureau: 2000 Census. Washington, DC, U.S. Department of Commerce, 2001.

  5. Broner, N, Borum, R, Whitmire, L, et al: A review of screening instruments for cooccurring mental illness and substance use in criminal justice programs, in Serving mentally ill offenders and their victims: Challenges and opportunities for mental health professionals. Edited by Landsberg, G, Rock, M, Berg, L, et al. New York, Springer, 2002.

    Google Scholar 

  6. Cox, JF, Morschauser, PC, Banks, S et al: A five-year population study of persons involved in the mental health and local correctional systems: Implications for service planning. The Journal of Behavioral Health Services and Research 28(2):177-187, 2001.

    Google Scholar 

  7. Schellenberg EG, Wasylenki D, Webster CD, et al: A review of arrests among psychiatric patients. International Journal of Law Psychiatry 15:251-64, 1992.

    Google Scholar 

  8. Teplin, LA: The prevalence of severe mental disorder among male urban jail detainees. American Journal of Public Health, 80:290-293, 1990.

    Google Scholar 

  9. Teplin, LA: Psychiatric and substance abuse disorders among male urban jail detainees. American Journal of Public Health 84:292-293, 1994.

    Google Scholar 

  10. National Institute of Justice: 1999 Annual Report on Drug Use Among Adult and Juvenile Arrestees. Washington, DC, U.S. Department of Justice, Office of Justice Programs, National Institute of Justice, 2000.

  11. Taylor, BG, Fitzgerald, N, Hunt, D, et al: ADAM preliminary 2000 findings on drug use and drug markets, adult male arrestees. NCJ 189101. Washington DC, U.S. Department of Justice, Office of Justice Programs, National Institute of Justice, 2001.

    Google Scholar 

  12. Liu, R: Seriously mentally disordered offenders and recidivism: Effect of POC treatment on reducing SMD offenders' return to custody rate. Office of Research Correctional Planning and Research Branch, California Department of Corrections, 1999.

  13. Solomon, P, Draine, J, Marcus, SC: Predicting incarceration of clients of a psychiatric probation and parole service. Psychiatric Services 53:50-56, 2002.

    Google Scholar 

  14. Solomon, P, Draine, J: Jail recidivism in a forensic case management program. Health and Social Work 30:167,168, 1995.

    Google Scholar 

  15. Broner, N, Lamon, SL, Mayrl, DW, et al: Arrested adults awaiting arraignment: Mental health, substance abuse, and criminal justice characteristics and needs. Fordham Urban Law Journal, 30(2):663-721, 2003.

    Google Scholar 

  16. Mateyoke-Scrivner, A, Webster, JM, Staton, et al: Criminal history, physical and mental health, substance abuse and services use among incarcerated substance abusers. Journal of Contemporary Criminal Justice 19(1):82-97, 2003.

    Google Scholar 

  17. Shern DL, Felton CJ, Hough RL, et al: Housing outcomes for homeless adults with mental illness: Results from the second-round McKinney program. Psychiatric Services 48:239-241, 1997.

    Google Scholar 

  18. Goldfinger SM, Schutt RK, Tolomiczenko, GS, et al: Housing placement and subsequent days homeless among formerly homeless adults with mental illness. Psychiatric Services 50(5):674-9, 1999.

    Google Scholar 

  19. Abram, KM, Teplin, LA: Co-occurring disorders among mentally ill jail detainees: Implications for public policy. American Psychologist 46(10):1036-1045, 1994.

    Google Scholar 

  20. U.S. Department of Health and Human Services: Results from the 2001 National Household Survey on drug abuse: Vol. I. Summary of National Findings. NHSDA Series H-17, DHHS Publication No. SMA 01-3758. Rockville, MD, DHHS, Substance Abuse and Mental Health Services Administration, Office of Applied Studies, 2002.

  21. Goldfinger SM, Schutt RK, Seidman LJ, et al: Self-report and observer measures of substance abuse among homeless mentally ill persons, in the cross section and over time. The Journal of Nervous and Mental Disease 184:667-672, 1996.

    Google Scholar 

  22. Kessler, RC, Costello, EJ, Merikargas R, et al: Psychiatric Epidemiology: Recent Advances and Future Directions, In Mental Health, United States, 2000. Edited by Manderscheid, RN, Henderson, MJ. Washington DC, US Department of Health and Human Services, Substance Abuse Mental Health Services Administration, 29-42, 2001.

    Google Scholar 

  23. Drake, RE, Mercer-McFadden, C, Mueser, KT, et al: Review of integrated mental health and substance abuse treatment for patients with dual disorders. Schizophrenia Bulletin, 24(4):589-608, 1998.

    Google Scholar 

  24. RachBeisel, J, Scott, J, Dixon, L: Co-occurring severe mental illness and substance use disorders: A review of recent research. Psychiatric Services 50(11):1427-1434, 1999.

    Google Scholar 

  25. Swartz, MS, Swanson, JW, Hiday, VA, et al: Violence and severe mental illness: The effects of substance abuse and nonadherence to medication. American Journal of Psychiatry 155(2):226-231, 1998.

    Google Scholar 

  26. Swartz, MS, Swanson, JW, Wagner, HR, et al: Can voluntary outpatient commitment reduce hospital recidivism? Findings from a randomized controlled trial in severely mentally ill individuals. American Journal of Psychiatry, 156(12):1968-1975, 1999.

    Google Scholar 

  27. Borum, R, Swanson, J, Swartz, M, et al: Substance abuse, violent behavior and police encounters among persons with severe mental disorder. Journal of Contemporary Criminal Justice 13:236-250, 1997.

    Google Scholar 

  28. Mechanic, D: Mental health policy at the millenium: Challenges and opportunities. In Mental Health, United States, 2000. Edited by Manderscheid, RN, Henderson, MJ. Washington DC, US Department of Health and Human Services, Substance Abuse Mental Health Services Administration, 2001.

    Google Scholar 

  29. Wolff, N: Interactions Between Mental Health and Law Enforcement Systems: Problems and Prospects for Cooperation, Journal of Health Policy and Law 23:133-36, 1998.

    Google Scholar 

  30. Peters, RH, Murrin, MR: Effectiveness of treatment-based drug courts in reducing criminal recidivism. Criminal Justice and Behavior 27(1):72-96, 2000.

    Google Scholar 

  31. Belenko, S: Research on Dug Courts: A Critical Review. National Center on Addiction and Substance Abuse at Columbia University, 1998.

  32. Lattimore, PK, Schlenger, W, Strom, K, et al: Evaluation of the criminal justice diversion program for individuals with co-occurring disorders: Final report. N. Carolina: Research Triangle Institute, December 2002.

  33. Cowell, AJ, Stewart, AM, Ng, SW: Cost Effectiveness of Four Criminal Justice Diversion Programs. N. Carolina, Research Triangle Institute, December 2002.

    Google Scholar 

  34. Steadman, HJ, Cocozza, JJ, Veysey, BM: Comparing outcomes for diverted and non-diverted jail detainees with mental illness. Law and Human Behavior 23(6):615-627, 1999.

    Google Scholar 

  35. Broner, N, Landsberg, G, Mayrl, D, et al: SAMHSA jail diversion KDA program initiative evaluation of New York City's LINK jail diversion programs: A final report. New York, NY, School of Social Work, Institute Against Violence at New York University, May 2002.

  36. Hoff, RA, Baranosky, MV, Buchanan, J, et al: The effects of a jail diversion program on incarceration: A retrospective study. Journal of the American Academy of Psychiatry Law 27(3):377-386, 1999.

    Google Scholar 

  37. Lattimore, K, Broner, N, Sherman, R, et al: A comparison of pre-booking and post-booking diversion programs for mentally ill substance using individuals with justice involvement. Journal of Contemporary Criminal Justice 19(1):30-64, 2003.

    Google Scholar 

  38. Young, D, Belenko, S: Program retention and perceived coercion in three models of mandatory drug treatment. Journal of Drug Issues 32(1):297-328, 2002.

    Google Scholar 

  39. Policy Research Associates: Research Study of the New York City Involuntary Out-patient Commitment Pilot Program: Final Report, Delmar, NY, December 1998.

  40. Dynia, P, Sung, H: The safety and effectiveness of diverting felony drug offenders to residential treatment as measured by recidivism. Crime Justice Policy Review 11(4):299-311, 2000.

    Google Scholar 

  41. Broner, N, Swern, AJ, Nguyen, H: Adapting a substance abuse alternative-to-prison model for felony defendants with co-occurring mental illness and substance use disorders. Community Mental Health Report 1:19-20,25-26, 2003.

    Google Scholar 

  42. Lang, MA, Belenko, S: Predicting retention in a residential drug treatment alternative to prison program. Journal of Substance Abuse Treatment 19(2):145-160, 2001.

    Google Scholar 

  43. Broner, N, Borum, R, Gawley, K: Criminal justice diversion of individuals with co-occurring mental illness and substance use disorders: An overview. In Serving Mentally Ill Offenders and Their Victims: Challenges and Opportunities for Mental Health Professionals. Edited by Landsberg, G, Rock, M, Berg, L, et al. New York, NY, Springer. 83-106, 2002.

    Google Scholar 

  44. Broner, N, Franczak, M, Dye, C, et al: Knowledge transfer, policymaking and community empowerment: A consensus model approach for providing public mental health and substance abuse services. Psychiatric Quarterly 72(1):79-102, 2001.

    Google Scholar 

  45. Steadman, HJ, Morris, SM, Dennis, DL. The diversion of mentally ill persons from jails to community-based services: A profile of programs. American Journal of Public Health 85(12):1630-1635, 1995.

    Google Scholar 

  46. Draine, J, Solomon, P: Describing and evaluating jail diversion services for persons with serious mental illness. Psychiatric Services, 50(1):56-61, 1999.

    Google Scholar 

  47. Griffin, PA, Steadman, HJ, Petrila, J. The use of criminal charges and sanctions in mental health courts. Psychiatric Services, 53(10):1285-1289, 2002.

    Google Scholar 

  48. Steadman, HJ, Barbera, SS, Dennis, DL: A national survey of jail diversion programs for mentally ill detainees. Hospital and Community Psychiatry 45(11):1109-1113, 1994.

    Google Scholar 

  49. Watson, A, Hanrahan, P, Luchins, D, et al: Mental health courts and the complex issue of mentally ill offenders. Psychiatric Services 52(4):477-481, 2001.

    Google Scholar 

  50. Burnam, MA, Morton, SC, McGlynn, EA, et al: An experimental evaluation of residential and nonresidential treatment for dually diagnosed homeless adults. Journal of Addictive Disorders 14(4):111-134, 1995.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Research Triangle Institute (RTI) International. Adjunct Associate Professor, New York University, New York, NY

    Nahama Broner (Senior Research Psychologist) & Huy Nguyen (Research Analyst, Research Triangle Institute (RTI) International, New York, NY)

  2. Counsel to the District Attorney, Kings County (NY) Office of the District Attorney, New York, NY

    Anne Swern

  3. Department of Psychiatry, Downstate Medical Center, State University of New York, New York, NY

    Stephen Goldfinger (Professor and Vice Chair)

Authors
  1. Nahama Broner
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  2. Huy Nguyen
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  3. Anne Swern
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  4. Stephen Goldfinger
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Correspondence to Nahama Broner.

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Broner, N., Nguyen, H., Swern, A. et al. Adapting a Substance Abuse Court Diversion Model for Felony Offenders with Co-occurring Disorders: Initial Implementation. Psychiatr Q 74, 361–385 (2003). https://doi.org/10.1023/A:1026039527354

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  • DOI: https://doi.org/10.1023/A:1026039527354

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