Researchers estimate that nearly 17% of people admitted to jail have serious mental disorders—rates three times higher for men and five times higher for women than in the general population. Nearly 70% of adults in jails have a substance use disorder, and almost three-quarters of jail inmates with serious mental illnesses (72%) have co-occurring substance use disorders. The impact of this overrepresentation is not only extremely detrimental to the inmates who need and deserve treatment for their recovery, but it also causes extra stress on their families, the criminal justice system itself, public safety, and government spending.
The substantial number of individuals who are served by the behavioral health system that are also involved in the criminal justice system have complex needs that cannot be adequately resolved by one system alone, prompting the need for effective partnership and collaboration between the two systems. Treatment providers and criminal justice professionals must work together to keep these individuals out of the criminal justice system and advance their recovery.
Recognized in their respective fields as leaders, psychiatrists and judges are natural candidates to identify and implement cross-systems strategies to reduce the overrepresentation of persons with mental illnesses in the criminal justice system, and inspire their colleagues to follow suit. To capitalize on these strengths, APF has partnered with the Council of State Governments Justice Center (CSG Justice Center)—a national nonprofit organization focused on criminal justice that serves policymakers at the local, state, and federal levels from all branches of government—to foster collaboration and leadership among psychiatrists and judges committed to addressing this issue.
Judges Criminal Justice/Behavioral Health Leadership Initiative (JLI)
The JLI was initiated in 2004 to bring judges from all levels of state judiciaries together to improve judicial understanding of, and responses to, individuals with mental illnesses in our nation's courts. In 2012, the JLI expanded its focus to include justice-involved individuals with behavioral health issues, and the organization is now the Judges’ Leadership Initiative for Criminal Justice and Behavioral Health. The JLI's mission is to stimulate, support, and enhance efforts by judges to take leadership roles to improve judicial, community, and systemic responses to justice-involved people with behavioral health needs.
Psychiatric Leadership Group for Criminal Justice (PLG)
As the JLI created a forum for judges to convene, the PLG was formed to provide an opportunity for psychiatric leaders to come together and advise judges on behavioral health issues that they may confront in the courtroom. Members are knowledgeable about service and treatment interventions that have been associated with both reductions in impairments and contact with the criminal justice system. They provide mentorship and advice to other psychiatrists seeking guidance on how best to address the needs of people involved in the criminal justice system.
From 2010 to the present, APF has worked with the CSG Justice Center to support the work of the PLG and JLI. The groups have worked together to develop a training module for judges on mental disorders in the courtroom. The module has been presented to enthusiastic audiences in Illinois and Wisconsin, and in 2012, the JLI prepared pairs of judges and psychiatrists to present it. Beginning in 2013, the training was supplemented with video case studies and a discussion guide for interactive skill building.
The PLG and JLI also created a two-page bench card to help judges recognize the signs of possible mental disorders among individuals in the courtroom and to respond sensitively and productively.
The PLG and JLI are also developing a workshop at the Institute on Psychiatric Services in October 2013 focusing on the importance of partnering with the criminal justice system in applying emerging research and evidence-based practices to address the needs of people who are involved in the criminal justice system.
The training module for judges, "Judicial Work at the Interface of Mental Health and Criminal Justice" is now accepting applications from judges who see criminal cases who wish to take the four-hour interactive training. Learn more.
If you are interesting in learning more or getting involved with the ongoing efforts of the PLG, please click here.
From time to time, the APF comes across relevant articles and news. We will list them here.
The Treatment of Persons with Mental Illness in Prisons and Jails: A State Survey