Department of Psychiatry, Law, and Ethics, University of Michigan Medical School, Ann Arbor (Pinals); Department of Psychiatry, Division of Addiction Psychiatry, University of Massachusetts Medical School, Worcester (Gaba, Clary, Smelson); Massachusetts Department of Mental Health, Boston (Barber); Behavioral Health Network, Inc., Springfield, Massachusetts (Reiss).
Psychiatr Serv. 2019 Nov 1;70(11):1044-1048. doi: 10.1176/appi.ps.201800570. Epub 2019 Jul 24.
Mental health courts provide an alternative to incarceration and address both mental health and criminal justice needs. Many individuals within these treatment courts also have co-occurring substance use disorders. This pilot study examined the preliminary effectiveness of Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking-Criminal Justice (MISSION-CJ), an intervention that targets co-occurring disorders and criminal justice risk factors within a mental health court.
Participants (N=97) were enrolled in mental health court and MISSION-CJ community wraparound services.
Participants were primarily male with an average age of 34, had spent an average of more than 5 years incarcerated, and had an average of 13.94 years of illegal drug use; 91% had experienced depression. Preliminary 6-month outcomes showed significant reduction in nights incarcerated (p<0.002), illegal drug use (p<0.003), trauma symptoms (p<0.004), and behavioral health symptoms (p<0.006).
Preliminary findings suggest promise for delivery of MISSION-CJ to participants in a mental health court.
心理健康法庭提供了一种替代监禁的方式，同时满足心理健康和刑事司法需求。许多在这些治疗法庭中的人也同时存在药物滥用障碍。这项试点研究考察了通过系统整合、外展和网络犯罪司法（MISSION-CJ）来维持独立性和清醒度的初步有效性，该干预措施针对心理健康法庭中的共病障碍和刑事司法风险因素。
参与者（N=97）被纳入心理健康法庭和 MISSION-CJ 社区配套服务。
参与者主要为男性，平均年龄为 34 岁，平均被监禁超过 5 年，平均非法药物使用时间为 13.94 年；91%的人曾经历过抑郁。初步 6 个月的结果显示，监禁夜数（p<0.002）、非法药物使用（p<0.003）、创伤症状（p<0.004）和行为健康症状（p<0.006）均有显著减少。
初步结果表明，向心理健康法庭的参与者提供 MISSION-CJ 具有一定的前景。
