Seattle University Collaborative Projects - International Academy of ...

for advice in this situation. Our recommendation is usually to use mental health legislation. Wewill discuss the human rights basis for this recommendation.90. Jail and Mental Illness: Designing a Care System based onEmpirical Evidence and Program EvaluationTrends of Jail Recidivism and Mental Illness and Substance Abuse among thoseEntering JailChristina D. Kang-Yi, University of Pennsylvania (ckangyi@upenn.edu)Laura Murray, University of Pennsylvania (lamurray@gse.upenn.edu)Amy B. Wilson, Case Western Reserve University (abw38@case.edu)Trevor Hadley, University of Pennsylvania (thadley@upenn.edu)About 13 million people are admitted to jail in the U.S. each year (US Department of Justice,2011). Previous research has found that over 50% of those entering jail return within a year. Therecidivism rate was lowest among persons with serious mental illness, while the rate was highestamong those with dual diagnoses of serious mental illness and substance abuse disorder (Wilsonet al., 2011). These findings have increased the awareness of the importance of mental healthinterventions for persons with serious mental illness and substance abuse. Our study replicatesprevious studies using more recent jail and Medicaid claims data from Philadelphia County inthe U.S. to examine if there have been any changes in the trend of jail recidivism in relation tomental illness and substance abuse. The length of jail stay, risk factors for jail entry and jailrecidivism pattern of people with mental illness or substance use disorders compared with thosewithout the conditions are examined. Individuals who entered or left the Philadelphia PrisonSystem in the years 2007 through 2011 and individuals eligible for Medicaid or County FundedMental Health Services in Philadelphia County from 2007 through 2011 are included in thestudy.Impact of Mental Health Programs on Jail RecidivismTrevor Hadley, University of Pennsylvania (thadley@upenn.edu)Christina D. Kang-Yi, University of Pennsylvania (ckangyi@upenn.edu)Amy B. Wilson, Case Western Reserve University (abw38@case.edu)Laura Murray, University of Pennsylvania (lamurray@gse.upenn.edu)This study identifies mental health programs provided to persons with mental illness entering jailin Philadelphia County in the U.S. and examines the effect of mental health programs on jail220