Robertson Allison G, Swanson Jeffrey W, Lin Hsiuju, Easter Michele M, Frisman Linda K, Swartz Marvin S
Dr. Robertson, Dr. Swanson, Dr. Easter, and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (e-mail:
Psychiatr Serv. 2015 Sep;66(9):907-9. doi: 10.1176/appi.ps.201500134. Epub 2015 May 15.
The impact of criminal justice involvement and clinical characteristics on the cost of public treatment services for adults with serious mental illnesses is unknown. The authors examined differential effects of justice involvement on behavioral health treatment costs by primary psychiatric diagnosis (schizophrenia or bipolar disorder) and also by substance use diagnosis among 25,133 adult clients of Connecticut's public behavioral health system in fiscal years 2006 and 2007. Justice-involved adults with schizophrenia had the highest costs, strongly driven by forensic hospitalizations. Addressing the cross-system burdens of forensic hospitalizations may be a sensible starting point in the effort to reduce costs in both the public behavioral health and justice systems.
刑事司法介入及临床特征对患有严重精神疾病的成年人公共治疗服务成本的影响尚不清楚。作者在2006财年和2007财年对康涅狄格州公共行为健康系统的25,133名成年客户进行了研究，考察了司法介入对行为健康治疗成本的差异影响，该影响是根据主要精神疾病诊断（精神分裂症或双相情感障碍）以及物质使用诊断来衡量的。患有精神分裂症且涉及司法问题的成年人成本最高，这主要是由法医住院治疗导致的。解决法医住院治疗的跨系统负担可能是降低公共行为健康和司法系统成本的合理切入点。
