Transcript Mental Health Court

Mental Health Courts
Jessica Parks
Problem-Solving Courts Manager
State Court Administrative Office
Mental Health Court Locations
Mental Health Court
• Target Population for grant program (2009present)
– Misdemeanants and felons with an Axis 1
thought/ mood disorder or developmental
disability whose offense is related to their mental
illness
• Schizophrenia
• Bipolar disorder
• Major depression
Mental Health Court
• Team of Professionals
– Judge
– CMH Treatment Provider(s)
– Prosecutor
– Defense Attorney
– Program Coordinator
– Probation Officer
– CMH Liaison
– Law Enforcement
Mental Health Court Program
Structure
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Court Review Hearings
Treatment
Drug Testing
Meeting with probation officer and/or case
manager
• AA/NA/12 Step (if also drug/alcohol user)
• Medication Reviews
• Education/Employment
Mental Health Court Outcomes
Mental Health Courts Reduce
Recidivism
Mental Health Court Bills
Aspects of Particular Interest
Serious Mental Illness
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Means that term as defined in Section 100D of the mental health code, 1974 PA
258, MCL 330.1100D
(3) "Serious mental illness" means a diagnosable mental, behavioral, or emotional
disorder affecting an adult that exists or has existed within the past year for a
period of time sufficient to meet diagnostic criteria specified in the most recent
diagnostic and statistical manual of mental disorders published by the American
psychiatric association and approved by the department and that has resulted in
functional impairment that substantially interferes with or limits 1 or more major
life activities. Serious mental illness includes dementia with delusions, dementia
with depressed mood, and dementia with behavioral disturbance but does not
include any other dementia unless the dementia occurs in conjunction with
another diagnosable serious mental illness. The following disorders also are
included only if they occur in conjunction with another diagnosable serious mental
illness:
– (a) A substance use disorder.
– (b) A developmental disorder.
– (c) A "V" code in the diagnostic and statistical manual of mental disorders.
Co-occurring Disorder
• Means having 1 or more disorders relating to
the use of alcohol or other controlled
substances of abuse as well as any serious
mental illness, serious emotional disturbance,
or developmental disability.
Developmental Disability
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Means that term as defined in section 100A of the mental health code, 1974 PA 258, MCL
330.1100A.
(25) "Developmental disability" means either of the following:
(a) If applied to an individual older than 5 years of age, a severe, chronic condition that meets all of the following
requirements:
• (i) Is attributable to a mental or physical impairment or a combination of mental and physical impairments.
• (ii) Is manifested before the individual is 22 years old.
• (iii) Is likely to continue indefinitely.
• (iv) Results in substantial functional limitations in 3 or more of the following areas of major life activity:
– (A) Self-care.
– (B) Receptive and expressive language.
– (C) Learning.
– (D) Mobility.
– (E) Self-direction.
– (F) Capacity for independent living.
– (G) Economic self-sufficiency.
• (v) Reflects the individual's need for a combination and sequence of special, interdisciplinary, or generic care,
treatment, or other services that are of lifelong or extended duration and are individually planned and
coordinated.
(b) If applied to a minor from birth to 5 years of age, a substantial developmental delay or a specific congenital or acquired
condition with a high probability of resulting in developmental disability as defined in subdivision (a) if services are not
provided.
10 Essential Elements of Mental
Health Court - BJA
1. Broad-based group of stakeholders guide
planning and administration
2. Eligibility criteria allow individual
circumstances to be considered
3. Participants are identified and linked to
community services quickly
4. Terms of participation are clear, facilitate
engagement in treatment, and are
individualized
10 Essential Elements of Mental
Health Court - BJA
5. Provided legal counsel, voluntary
participation, and competency evaluations
6. Comprehensive individualized evidencebased treatment
7. Health and legal information is held
confidential
8. MHC team has specialized and ongoing
training
10 Essential Elements of Mental
Health Court - BJA
9. CJ and MH staff collaboratively monitor
participants’ adherence to court condition,
offer incentives and sanctions, and modify
treatment
10.Data are collected and analyzed and
procedures are modified
HB 4694 Section 1091 (3)
• A court that adopts a mental health court
under this section may accept participants
from any other jurisdiction in this state based
upon the residence of the participant in the
receiving jurisdiction, the nonavailability of a
mental health court in the jurisdiction where
the participant is charged, and the availability
of financial resources for both operations of
the mental health court program and
treatment services.
HB 4696 Section 1095 (3)
• The mental health court may require an
individual admitted into the court to pay a
reasonable mental health court fee that is
reasonably related to the cost of the court for
administering the mental health court as
provided in the memorandum of
understanding.
HB 4697 Section 1099 (1)
• Each mental health court shall collect and
provide data on each individual applicant and
participant and the entire program as required
by the State Court Administrative Office.
HB 4697 Section 1099A(3)
• The State Court Administrative Office may
establish an advisory committee. If
established, this committee shall be separate
from and independent of the state’s Drug
Treatment Court Advisory Committee.