Mental Health Courts

1. Mental Health Courts Jessica Parks Problem-Solving Courts Manager State Court Administrative Office

2. Mental Health Court Locations

3. Mental Health Court • Target Population for grant program (2009-present) • 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

4. Mental Health Court • Team of Professionals • Judge • CMH Treatment Provider(s) • Prosecutor • Defense Attorney • Program Coordinator • Probation Officer • CMH Liaison • Law Enforcement

5. Mental Health Court Program Structure • 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

6. Mental Health Court Outcomes

7. Mental Health Courts Reduce Recidivism

8. Mental Health Court Bills Aspects of Particular Interest

9. Serious Mental Illness • 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.

10. 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.

11. Developmental Disability • 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.

12. 10 Essential Elements of Mental Health Court - BJA • Broad-based group of stakeholders guide planning and administration • Eligibility criteria allow individual circumstances to be considered • Participants are identified and linked to community services quickly • Terms of participation are clear, facilitate engagement in treatment, and are individualized

13. 10 Essential Elements of Mental Health Court - BJA • Provided legal counsel, voluntary participation, and competency evaluations • Comprehensive individualized evidence-based treatment • Health and legal information is held confidential • MHC team has specialized and ongoing training

14. 10 Essential Elements of Mental Health Court - BJA • CJ and MH staff collaboratively monitor participants’ adherence to court condition, offer incentives and sanctions, and modify treatment • Data are collected and analyzed and procedures are modified

15. 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.

16. 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.

17. 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.

18. 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.