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Seattle University Collaborative Projects - International Academy of ...

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It Is a Different Kind <strong>of</strong> Thing: Treatment Issues and Gender in an EmergingMental Health CourtStephanie Hartwell, <strong>University</strong> <strong>of</strong> Massachusetts Boston (stephanie.hartwell@umb.edu)Mental health courts are emerging as an alternative to incarceration for individuals with mentalhealth issues that come before the courts. They are yet another tool in the tool kit related tospecialty police training, jail diversion, and court clinics, <strong>of</strong>fering mental health services in nontraditionalsettings. While each <strong>of</strong> these tools appears to be theoretically sound, they are also lastresort measures that require empirical evidence <strong>of</strong> effectiveness and efficacy not just in general,but specifically across the populations they convene and serve. We know very little about theparticipants <strong>of</strong> mental health courts, particularly relating to their clinical, criminal history, andbackground characteristics. This paper examines all referrals and participants (N=57) in a startup(July 2011) mental health court in Massachusetts with an eye towards treatment issues andgender. There exists a vast literature on gender variation across the criminal justice system fromcrime commission to the mechanisms through which females come in to contact with thecriminal justice system (reasons for committing crime, types <strong>of</strong> crime) and are subsequentlyprocessed. Attention to gender-sensitive programming across criminal justice jail diversion toolshas been lacking. This paper examines the literature and uses a mixed method approach toexplore early trends in gender related treatment issues for mental health court participants.The Role <strong>of</strong> Housing in Mental Health Court Graduation and Post-ProgramCriminal RecidivismNahama Broner, RTI <strong>International</strong>, New York, USA (nbroner@rti.org)Studies have shown the role <strong>of</strong> homelessness in criminal justice involvement and violence, butfew have focused on the role <strong>of</strong> MHCs in providing support to attain housing stability or the role<strong>of</strong> being housed as a protective factor for post MHC completion re-<strong>of</strong>fending. Over an eight yearperiod, 770 adults were diverted through the Bronx Mental Health Court (MHC) intocommunity-based treatment and wellness supports. This presentation first describes the role <strong>of</strong>the MHC in client housing stability and the relationship <strong>of</strong> housing stability to graduation and inprogram<strong>of</strong>fending (controlling for pre-<strong>of</strong>fending, MHC entrance substance use, homelessness,demographic characteristics, and time at risk). Findings are then presented for housing stabilityand being permanently housed at MHC exit as a predictor <strong>of</strong> 12-month post-MHC criminaljustice involvement (re-arrest, re-<strong>of</strong>fense severity, and days re-incarcerated), controlling fordemographic characteristics, pre-MHC <strong>of</strong>fending, graduation, substance use at time <strong>of</strong> mentalhealth court completion, and days at risk. Given the increasing emphasis on provision <strong>of</strong> housingto criminal justice specialized court and reentry populations, it is important to undertand the role<strong>of</strong> housing in MHC and its contribution to recidivism reduction.75

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