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Psychiatr Serv ; 70(11): 1044-1048, 2019 11 01.
Article in English | MEDLINE | ID: mdl-31337322

ABSTRACT

OBJECTIVE: 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. METHODS: Participants (N=97) were enrolled in mental health court and MISSION-CJ community wraparound services. RESULTS: 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). CONCLUSIONS: Preliminary findings suggest promise for delivery of MISSION-CJ to participants in a mental health court.


Subject(s)
Community Mental Health Services/methods , Criminal Law/methods , Substance-Related Disorders/rehabilitation , Adult , Criminals , Diagnosis, Dual (Psychiatry) , Female , Humans , Male , Massachusetts , Mental Disorders/rehabilitation , Middle Aged , Pilot Projects , Risk Factors , Young Adult
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