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Spokane District/Municipal Spokane District/Municipal Mental Health CourtMental Health Court
Sales Tax InitiativeSales Tax Initiative
The Spokane County Commissioners The Spokane County Commissioners requested a vote of the public to fund SSB requested a vote of the public to fund SSB 5763 which would fund therapeutic courts. 5763 which would fund therapeutic courts. The citizens voted in November 2005 for an The citizens voted in November 2005 for an increase in 1/10 of one percent of the sales increase in 1/10 of one percent of the sales tax to fund mental health treatment and tax to fund mental health treatment and therapeutic courts. therapeutic courts. (RCW 82.14.460)(RCW 82.14.460)
In December of 2008, this initiative was In December of 2008, this initiative was extended by the BoCC until 2014. extended by the BoCC until 2014.
Mental Health CourtMental Health Court
The Mental Health Court represents an effort to The Mental Health Court represents an effort to increase effective cooperation between the increase effective cooperation between the mental health treatment system and the mental health treatment system and the criminal justice system. criminal justice system.
The project has achieved the following The project has achieved the following outcomes for the mentally ill misdemeanant outcomes for the mentally ill misdemeanant population: population: improved access to mental health treatment services improved access to mental health treatment services improved well-beingimproved well-being reduced recidivism reduced recidivism improved public safetyimproved public safety
Mental Health CourtMental Health Court In the regular system, misdemeanant In the regular system, misdemeanant
defendants often interact with multiple defendants often interact with multiple defense attorneys, prosecutors and defense attorneys, prosecutors and judges. judges.
In the past, mentally ill offenders often In the past, mentally ill offenders often spent unnecessary time in jail and, spent unnecessary time in jail and, lacking access to mental health lacking access to mental health treatment services on release, became treatment services on release, became repeat offenders and cycled through repeat offenders and cycled through the justice system again and again.the justice system again and again.
Mental Health CourtMental Health Court
The Mental Health Court Team consists of a The Mental Health Court Team consists of a Judge, Court Manager, Prosecuting Judge, Court Manager, Prosecuting Attorneys, Defense Attorneys, MH Court Attorneys, Defense Attorneys, MH Court Evaluator, Court Case Manager, Probation Evaluator, Court Case Manager, Probation Officers and support staff. Officers and support staff.
The team interacts regularly with treatment The team interacts regularly with treatment providers, Eastern State Hospital Legal providers, Eastern State Hospital Legal Offender Unit, jail discharge staff and other Offender Unit, jail discharge staff and other important partners, including housing important partners, including housing specialists and financial resource officers.specialists and financial resource officers.
ReferralsReferrals
Referral Sheet Referral Sheet Release of Information (ROI)Release of Information (ROI) Criminal HistoryCriminal History Exclude Sex Offenders, Felonies, Exclude Sex Offenders, Felonies,
Serious Violent OffensesSerious Violent Offenses Accept Felony ReductionsAccept Felony Reductions
CriteriaCriteria
Clinical Criteria: serious and Clinical Criteria: serious and persistent mental illnesses (Axis I)persistent mental illnesses (Axis I)
Legal Criteria: low-risk, non-violent Legal Criteria: low-risk, non-violent offenses (misdemeanors or gross offenses (misdemeanors or gross misdemeanors)misdemeanors)
Spokane Mental Health Therapeutic Courts
MH Pre-Conviction MH Post-Conviction
Diagnosis of a major mental illness
Unable to complete Pre-adjudication SOC
Traditional negotiation, Defendant pleads Guilty
Amenable to treatment and capable of completing the MHTC Phases
Diagnosis of a major mental illness*
Appears for periodic Treatment Reviews
Accesses mental health/substance abuse treatment and services through Probation
Appears for Treatment Reviews & completes assignments/ requirements of each Phase
“Opts-In” to the MHTC, enters into an SOC (Stipulated Order of Continuance)
Begins 5 Phases of the MHTC & accesses services
May be returned to court for probation violations
Successfully completes Probation requirements and case(s) closed, receives certificate
Graduates from the MHTC and case is dismissed, receives certificate
2012 Charges2012 Charges383 Defendants, 898 Cases, 1082 Charges383 Defendants, 898 Cases, 1082 Charges
2012 Referrals2012 Referrals229 Total229 Total
Defendants Per JurisdictionDefendants Per Jurisdiction383 Total383 Total
Total Total DefendantDefendant
ss
In Services In Services Prior to Prior to
MHCMHC
Total Total Enrolled by Enrolled by
MHCMHC
% in Services % in Services MHCMHC
20122012 383383 183183 168168 92%92%
20112011 425425 205205 181181 91%91%
20102010 456456 217217 228228 98%98%
20092009 404404 160160 216216 93%93%
20082008 341341 127127 152152 82%82%
20072007 246246 5656 8686 58%58%6% not in services for 2012 were in BW status, incompetent or deceased
Services Obtained by MHCServices Obtained by MHC
MHTC Services BreakdownMHTC Services Breakdown
MHTC Pre-Adjudication
Individuals
MHTCPost-
Adjudication Individuals
Number of Individuals 84 315
Individuals already in MH Treatment Services 48 138
Individuals linked toTreatment Services 36 132
Individuals Graduated or Successfully Completed Probation 24 76
Referred ServicesReferred Services491 Referrals491 Referrals
EvaluationsEvaluations
DiagnosisDiagnosis
2012 MHC Defendants2012 MHC Defendantsw/ Co-Occurring Diagnosisw/ Co-Occurring Diagnosis
Defendant ContactsDefendant Contacts Individual Contacts Individual Contacts
Total Number of Court Appearances with Judge for all Individuals: 2168Total Number of MHTC In-Person Contacts with Other Court Staff: 798
2012 Average MHC Defendant Ages
AgesAges DefendantsDefendants
18 - 2918 - 29 9595
30- 3930- 39 101101
40 - 4940 - 49 101101
50 – 5950 – 59 7575
60 - 6960 - 69 2121
2012 MHC Male/Female Defendant Breakout
MaleMale FemaleFemale
199 (52%)199 (52%) 184 (48%)184 (48%)
2012 MHC Homeless Population
383 Defendants
OutcomesOutcomes
Reduce jail costs through decreasing Reduce jail costs through decreasing recidivismrecidivism
Serve the criminal system and the communityServe the criminal system and the community
Serve mentally ill offenders in an effective Serve mentally ill offenders in an effective processprocess
Recidivism for Pre-Conviction Recidivism for Pre-Conviction GraduatesGraduates
2323
84 Defendants84 Defendants
28 Re-Offences28 Re-Offences
33% Recidivism33% Recidivism
Almost Almost 70% 70% Have Not Have Not Re-OffendedRe-Offended
2008 to 2012
2005 to 2011 Jail Days2005 to 2011 Jail Days(Actual)(Actual)
DaysDays
Before MHCBefore MHC 47,53847,538
After MHCAfter MHC 24,67024,670
48% Decrease48% Decrease
845 Defendants
= $3+ Million SAVED (excluding psych medication costs)
For Further InformationFor Further Information
Judge Debra HayesJudge Debra HayesPresiding MH Court JudgePresiding MH Court [email protected]
Sandy Manfred, Sandy Manfred, MSMS
MH Court ManagerMH Court [email protected]
