Davidson County General SessionsDavidson County General Sessions

Mental Health CourtMental Health CourtJJustice A. A. Birch Criminal Court Buildingustice A. A. Birch Criminal Court Building

Nashville, TennesseeNashville, Tennessee

HonorableHonorableDaniel B. EisensteinDaniel B. Eisenstein

General Sessions CourtGeneral Sessions CourtJudge Division IIJudge Division II

PresidingPresiding

Mental Health Court StaffMental Health Court Staff

CynthiaCynthiaAdministrative AssistantAdministrative Assistant

TakishaTakishaCase ManagerCase Manager

StevenSteven Program ManagerProgram Manager

ToniaToniaCase ManagerCase Manager

TrishTrishCase ManagerCase Manager

Our HistoryOur History

July 2000 received four-year Edward July 2000 received four-year Edward Byrne Memorial GrantByrne Memorial Grant

Court Operational in January 2001Court Operational in January 2001 Becoming the fifth Mental Health Becoming the fifth Mental Health

Court in the NationCourt in the Nation September 2004 incorporated into September 2004 incorporated into

General Sessions Court yearly budgetGeneral Sessions Court yearly budget

Our MissionOur Mission

Identify individuals entering the Identify individuals entering the criminal justice system who suffer criminal justice system who suffer from serious and persistent mental from serious and persistent mental illness.illness.

Develop effective intervention Develop effective intervention strategies by offering diversion, strategies by offering diversion, expedited case review and expedited case review and implement appropriate treatment implement appropriate treatment strategies for diversion or probation.strategies for diversion or probation.

Program DescriptionProgram Description Provide a single point of contact within Provide a single point of contact within

the Criminal Justice System for defendants the Criminal Justice System for defendants suffering from mental illness.suffering from mental illness.

Address problems of criminal defendants Address problems of criminal defendants who are mentally ill, developmentally who are mentally ill, developmentally disabled and dually diagnosed. disabled and dually diagnosed.

Alleviate over crowded conditions in the Alleviate over crowded conditions in the jail.jail.

Decrease the length of incarceration for Decrease the length of incarceration for the mentally ill. the mentally ill.

Review over 400 cases per yearReview over 400 cases per year

Courtroom StaffCourtroom Staff

JudgeJudge Public DefenderPublic Defender District AttorneyDistrict Attorney Mental Health Specialist/Case WorkersMental Health Specialist/Case Workers Psychiatrist & PsychologistPsychiatrist & Psychologist Courtroom SecurityCourtroom Security Community Service Agency Community Service Agency

RepresentativesRepresentatives Health Services RepresentativesHealth Services Representatives

ProcedureProcedure Offense - ArrestOffense - Arrest Referrals made by Referrals made by

Judge, Attorney, Family Judge, Attorney, Family Member, Public Member, Public Defender, District Defender, District Attorney or OtherAttorney or Other

Jail interview by Case Jail interview by Case Manager Manager

Defendant volunteers Defendant volunteers to participate in to participate in Program Program

Defendant placed on Defendant placed on MH court docketMH court docket

Case reviewed by Case reviewed by Judge in courtJudge in court

Treatment plan Treatment plan developed including developed including physical examinationphysical examination

One year intensive MH One year intensive MH court supervisioncourt supervision

Graduation ceremony Graduation ceremony held after defendant held after defendant successfully successfully completes MH court completes MH court supervisionsupervision

Mayor Karl DeanMayor Karl DeanMental Health Court Graduation CeremonyMental Health Court Graduation Ceremony

Mental Health Court Mental Health Court Davidson County Drug Court CollaborationDavidson County Drug Court Collaboration

Implemented January 2009 Implemented January 2009 with a $635,000 with a $635,000 Congressional GrantCongressional Grant

Serves dually diagnosed Serves dually diagnosed criminal defendants criminal defendants

90 day inpatient program 90 day inpatient program at the Davidson County at the Davidson County Drug Court facility followed Drug Court facility followed by intensive outpatient by intensive outpatient supervision through the supervision through the Mental Health Court Mental Health Court

Judge Seth NormanJudge Seth Norman Presides over Drug CourtPresides over Drug Court

RecidivismRecidivism

Prior to Mental Prior to Mental Health Court Health Court recidivism rate was recidivism rate was 77% 77%

After graduation After graduation from MH Court from MH Court Program recidivism Program recidivism rate is less than rate is less than 10%10%

0

10

20

30

40

50

60

70

80

BeforeMH CT

AfterGrad MHCT

Our ParticipantsOur ParticipantsJune 2006 – June 2009June 2006 – June 2009

Dual Diagnosis Dual Diagnosis 83%83%

Schizophrenia Schizophrenia 35%35%

Personality Personality Disorder 36%Disorder 36%

Bipolar Disorder Bipolar Disorder 31%31%

DepressionDepression 23%23%

Mental Mental RetardationRetardation

11%11%0

10

20

30

40

50

60

70

80

90Dual Diagnosis

Schizophrenia

PersonalityDisorder

BiPolar Disorder

Depression

MentalRetardation

Mental Health Court Program ResultsMental Health Court Program ResultsJune 2006 – June 2009June 2006 – June 2009

1300 referrals since 1300 referrals since 20062006

650 entered program650 entered program 279 Graduated279 Graduated 147 Currently Active 147 Currently Active

as of June 2009as of June 2009 163 Terminated163 Terminated 61 Other61 Other Most participants Most participants

have an average of 4 have an average of 4 pending chargespending charges

Graduated

Active

Terminated

Other

Bureau of Justice StatisticsBureau of Justice StatisticsSpecial ReportSpecial Report

December 2006December 2006

Mental Health Problems of Prison and Jail InmatesMental Health Problems of Prison and Jail Inmates 64% of local 64% of local

jail inmates jail inmates reported reported symptoms of symptoms of a mental a mental disorder disorder including including depression, depression, mania or a mania or a psychotic psychotic disorder disorder within the within the previous 12 previous 12 monthsmonths 0

10

20

30

40

50

60

70

StatePrison

FederalPrison

LocalJail

Any MentalProblemRecentHistorySymptoms

Judge Daniel B. EisensteinJudge Daniel B. EisensteinGeneral Sessions Court, Division IIGeneral Sessions Court, Division II

Justice A. A. Birch BuildingJustice A. A. Birch Building408 2408 2ndnd Avenue North Avenue North

Nashville, Tennessee 37219Nashville, Tennessee 37219(615) 880-3360(615) 880-3360

daneisenstein@jis.nashville.org