Integrating a Co-occurring Disorders Intervention in Drug Courts: An Open Pilot Trial

Little research has focused on systematically integrating clinical treatment within existing drug court procedures. This could be particularly useful for clients with substance use disorders, who comprise those on court dockets and often have co-existing mental health issues. This article reports on...

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Bibliographic Details
Published inCommunity mental health journal Vol. 55; no. 2; pp. 222 - 231
Main Authors Smelson, David, Farquhar, Ian, Fisher, William, Pressman, Karen, Pinals, Debra A., Samek, Barbara, Duffy, Mary-Kate, Sawh, Leon
Format Journal Article
LanguageEnglish
Published New York Springer US 01.02.2019
Springer Nature B.V
Subjects
Adult
Alcohol use
Community and Environmental Psychology
Community Mental Health Services - methods
Comorbidity
Courts
Criminal justice
Criminal Law - methods
Criminals
Diagnosis, Dual (Psychiatry)
Drug abuse
Drug courts
Drug use
Employment
Female
Health problems
Humans
Intervention
Male
Massachusetts
Medical treatment
Medicine
Medicine & Public Health
Mental Disorders - rehabilitation
Mental health
Mental health services
Middle Aged
Original Paper
Outpatient treatment
Pilot Projects
Psychiatry
Substance abuse
Substance use disorder
Substance-Related Disorders - rehabilitation
Wraparound programmes
Young Adult
Massachusetts
Co-occurring disorders treatment
Drug courts
Alternatives to incarceration
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Summary:Little research has focused on systematically integrating clinical treatment within existing drug court procedures. This could be particularly useful for clients with substance use disorders, who comprise those on court dockets and often have co-existing mental health issues. This article reports on the preliminary outcomes of integrating MISSION-Criminal Justice (MISSION-CJ), a co-occurring mental health and substance use wraparound intervention, within two Massachusetts drug courts. In this open pilot, clients completed intake and 6-month follow-up assessments. The participants were primarily Caucasian (86%), male (82%), had at least 2 prior arrests, and received outpatient treatment for mental health (54%), alcohol use (51%), or drug use (88%) prior to enrolling in MISSION-CJ. Six-month follow-up data suggested that participants showed statistically significant reductions in average number of nights spent in jail, alcohol use, and drug use, as well as an increase in full time employment.
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ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-018-0255-7