The “ROC” Model: Psychiatric Evaluation, Stabilization and Restoration of Competency in a Jail Setting

Jennings, Jerry; Bell, Jimmy D.

doi:10.5772/30040

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…Based on the success of a previous pilot study with jail-based ROC in Virginia (Jennings & Bell, 2012), there was confidence that the ROC model could be replicated in California and other states. In 29 months of operation, this second ROC has demonstrated its effectiveness and cost efficiency.…”

Section: Discussionmentioning

confidence: 99%

“…The jail-based ROC model offers an innovative and cost-effective method to evaluate, treat, and stabilize persons with severe mental illness when they are first arrested and detained-and restore them to competency in the jail setting-rather than waiting indefinitely for long periods of time for available state hospital forensic beds. The ROC program was first piloted in Virginia in a successful 5year program in the late 1990s (Bell, 2003;Jennings & Bell, 2012). The ROC model has numerous advantages for state mental health systems, local courts and jails, and patients.…”

Section: The Restoration Of Competency (Roc) Modelmentioning

confidence: 99%

“…. (Wortzel et al, 2007, p. 357) A variety of interventions and approaches have been developed to address this national IST crisis, but they have shown mixed results (Jennings & Bell, 2012;Justice Policy Institute, 2011). Assisted outpatient, involuntary outpatient commitment, and court-to-community programs have had some success in removing mentally ill defendants from jails, but cannot be used for those charged with violent and dangerous crimes (Gilbert et al, 2010;Lawlor, Grudzinskas, Geller, & Genovese, 2007;Loveland & Boyle, 2007;Swartz, Swanson, Kim, & Petrila, 2006).…”

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confidence: 99%

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The ROC Program

Rice

Jennings

2014

Journal of Correctional Health Care

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In 29 months of operation, the restoration of competency (ROC) program provided treatment services to 192 incompetent to stand trial patients in a jail setting. The ROC restored competency for 55% of the patients in an average of 57 days compared to the state hospital average of 180 days. The average cost of treatment/restoration per admission was $15,568 compared to the state hospital average of $81,000. The ROC model accelerates needed treatment for mentally ill defendants, cuts demand for costly state hospital forensic beds, and assists jails in better managing inmates with severe psychiatric disorders--yielding major cost savings and improved care. In addition to preventing readmissions and negative behavioral episodes, the ROC improved the broader forensic system by eliminating the state hospital waiting list, accelerating access to psychiatric services, promoting local access for lawyers and family, and gaining stakeholder satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: The Restoration Of Competency (Roc) Modelmentioning

confidence: 99%

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confidence: 99%

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The ROC Program

Rice

Jennings

2014

Journal of Correctional Health Care

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“…The program is run by Liberty Healthcare (in independent contractor), and, in 5 years, they have reportedly evaluated and treated "over 1400 inmatepatients and completed 572 formal forensic evaluation reports for the courts." 11 Over the last 2 decades, additional states have developed JBCT programs. JBCT programs are now established in Colorado, California, Georgia, Texas, Arizona, Florida, Tennessee, and Louisiana (Ref.…”

Section: Jbct Programs In the United Statesmentioning

confidence: 99%

An overview of jail-based competency restoration

2019

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Forensic populations in the United States are increasing, driven largely by a rise in individuals determined to be Incompetent to Stand Trial (IST). Across most states, including California, the number of mentally ill inmates awaiting competency restoration has increased dramatically in recent years. Traditionally, competency restoration has taken place in state hospitals, but incompetent inmates often experience a significant wait for state hospital beds because of the rising demand for beds in such facilities. The resulting waitlists, which range from days to months, have led to states being held in contempt of court for violating limits placed on how long incompetent defendants can be held in jail. Therefore, alternatives to state hospitalization for IST patients have been developed, including jail-based competency (JBCT) restoration programs. JBCT programs provide restoration services in county jails, rather than in psychiatric hospitals. The following article will review the nature of JBCT programs and will emphasize the structure and evolution of such programs within California.

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The “ROC” Model: Psychiatric Evaluation, Stabilization and Restoration of Competency in a Jail Setting

Cited by 2 publications

References 11 publications

The ROC Program

The ROC Program

An overview of jail-based competency restoration

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