Kansas City MunicipalKansas City Municipal Mental Health Court Mental Health Court

Hon. John B. Hon. John B. Williams, JudgeWilliams, Judge

Kansas City Kansas City Municipal CourtMunicipal Court

Kansas City’s Mental Health Kansas City’s Mental Health CourtCourt

Brief History…Brief History…

2001: Appointed Commission2001: Appointed Commission Designed with municipal and circuit Designed with municipal and circuit

courtscourts

Initial Study of jail inmates at MCIInitial Study of jail inmates at MCI

History ContinuedHistory Continued

2002: Operations began with support 2002: Operations began with support from COMBAT and Mental Health from COMBAT and Mental Health Levy. Levy.

Monitoring Monitoring Defense: Legal Aid Defense: Legal Aid External EvaluationExternal Evaluation

How It WorksHow It Works

Problem-Solving Courts: Conference Problem-Solving Courts: Conference of Chief Justicesof Chief Justices

Voluntary Voluntary Diversion Program: Community-Diversion Program: Community-

BasedBased Pre-Adjudication, Pre-Trial, Pre-PleaPre-Adjudication, Pre-Trial, Pre-Plea Case dismissed Case dismissed if if client completes client completes

program program

How It WorksHow It Works

Offense; Case FiledOffense; Case Filed Detected as Detected as

potential for Mental potential for Mental Health Court from Health Court from many sources.many sources.

KCMO Police DeptKCMO Police Dept Crisis Intervention Crisis Intervention

Teams (CIT)Teams (CIT) Judge, ProsecutorJudge, Prosecutor Victim / WitnessVictim / Witness Case WorkerCase Worker AttorneyAttorney

How It WorksHow It Works

Legal Aid attorney may be assignedLegal Aid attorney may be assigned Program explained same dayProgram explained same day Determination of Eligibility: Prior criminal Determination of Eligibility: Prior criminal

history, severe and persistent mental history, severe and persistent mental illness (SPMI)illness (SPMI)

Evaluation or pleaEvaluation or plea Monthly court visitsMonthly court visits Monitoring treatment and complianceMonitoring treatment and compliance Minimum 6 months, average 11 monthsMinimum 6 months, average 11 months

Our clientsOur clientsOverall Statistics through 2008Overall Statistics through 2008

05

1015202530354045

Dual Dia

gnosis

Schiz

ophrenia

Perso

nality

Dis

order

Bipola

r Dis

order

Depre

ssion

Menta

l Ret

ardat

ion

Percentage of Clients

Mental Health Court OutcomesMental Health Court Outcomes

Nearly 2000 clients Nearly 2000 clients referred since referred since 2002; about 1,200 2002; about 1,200 entered.entered.

380 graduated; 380 graduated; 150 are currently 150 are currently

activeactive Most clients have Most clients have

about 3 pending about 3 pending chargescharges

Graduated Terminated

Opted Out

Discharge Status

Mental Health Court OutcomesMental Health Court Outcomes

The Future of Mental Health The Future of Mental Health CourtCourt

Integrate new Integrate new treatment and treatment and changes at MCIchanges at MCI

Build on City-Build on City-County County collaboration and collaboration and share expertise.share expertise.

Higher risk clientsHigher risk clients