Implementing the Essential Elements of a Mental Health Court: The Experiences of a Large Multijurisdictional Suburban County

Abstract

Mental health courts developed in the USA in the late 1990s as one means to reduce the involvement of people with mental illness in the criminal justice system. In response to the growth in number of mental health courts, the Council of State Governments led an initiative to identify essential elements of mental health courts to guide their development and implementation. This paper applies these essential elements to a municipal mental health court in a multijurisdictional, suburban county. While this court met most essential elements, they faced a number of challenges. The primary ones included not being able to advance from hearing municipal cases only to state misdemeanor and felonies, not having the resources to expand program capacity for municipal cases, and participants not being able to always access needed mental health treatment, rehabilitation, and support services. The paper concludes with implications for behavioral health administrators and direct service staff in implementing the essential elements of mental health courts.

Factors Associated with Mental Health Court Nonparticipation and Negative Termination

“…Unless there is a serious initial violation, judges tend to be willing to give defendants additional chances, often with modifications to their conditions. Dirks- Linhorst and Linhorst (2010) and Linhorst et al (2010) provide additional information about the MMHC.…”

Recidivism Outcomes for Suburban Mental Health Court Defendants

“…Monitoring included monthly visits before the court, weekly telephone calls to the MMHC case managers, and written verification from community mental health providers of compliance with treatment. A more detailed description of the MMHC, including its history, can be found elsewhere (Linhorst et al 2009). …”

An Analysis of Readmissions to a Mental Health Court

“…Place (Thompson, Osher, & Tomasini-Joshi, 2007), challenges exist to fully implementing those elements (Linhorst et al, 2010), and substantial differences exist across them (Redlich et al, 2006).…”