Problems addressed

Effectiveness

Promising

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Promising

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Description

Mental health redirection programs seek to suspend the prosecution of persons with mental health disorders and redirect them for participation in specific programs that, while pursuing those individuals’ accountability for their actions, attempt to reduce contact with the criminal justice system with the goal of preventing a worsening of the criminal trajectory of individuals in those situations.
Redirection due to mental health problems can occur at various stages of the criminal justice process: 1) pre-arrest referral (the police agency identifies and redirects individuals with mental disorders to healthcare and community services rather than referring them to the criminal justice system); 2) post-indictment redirection (either by mental health courts or conventional courts); or 3) post-incarceration (pre-trial release or parole).

Country of application
  • United States
Evidence

A systematic review with a meta-analysis included two quasi-experimental studies of pre-arrest redirection, with four independent samples. This study presents inconclusive findings for criminal (recidivism, as measured by new arrests) and mental health outcomes (improvements in mental health, as measured by use of services such as counseling, medication use, and hospitalization due to mental illness). However, in terms of cost savings or reductions associated with the implementation of pre-arrest diversion programs, that same study included a systematic review (10 studies) suggesting that pre-arrest diversion may result in overall cost savings [1].
Another systematic review evaluated the efficacy of post-charge redirection and post-incarceration redirection programs for people with mental health problems. In a total of 43 articles from which data were extracted, all were found to reduce recidivism, and almost all were found to reduce substance abuse. However, the evidence was strongest for the post-prosecution redirection programs [2].

Bibliography

[1] Schucan Bird, K., & Shemilt, I. (2019). The crime, mental health, and economic impacts of prearrest diversion of people with mental health problems: A systematic review. Criminal behaviour and mental health, 29(3), 142-156. https://doi.org/10.1002/cbm.2112

[2] Lange, S., Rehm, J., & Popova, S. (2011). The effectiveness of criminal justice diversion initiatives in North America: a systematic literature review. International Journal of Forensic Mental Health, 10(3), 200-214. https://doi.org/10.1080/14999013.2011.598218

Information Source

Evaluated cases

Why might the cases evaluated have different levels of effectiveness in relation to their respective type of solution?
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Some cases were not included in the evidence bank due to deficiencies detected in the methodology of their impact evaluations.
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