scholarly journals Drug Testing Policies and Practices: Predicting Successful Outcomes Among Juveniles Participating in Pretrial Diversion Programs

2021 ◽  
Author(s):  
Chelsea W. Harris ◽  
Lindsey E. Wylie
Keyword(s):  
Drug Testing ◽  
Diversion Programs ◽  
Successful Outcomes ◽  
Testing Policies ◽  
Pretrial Diversion ◽  
Policies And Practices

Monitoring and improving antipsychotic adherence in outpatient forensic diversion programs

CNS Spectrums ◽  
2019 ◽  
Vol 25 (2) ◽  
pp. 136-144
Author(s):  
Jonathan M. Meyer
Keyword(s):  
Psychiatric Treatment ◽  
Antipsychotic Treatment ◽  
Diversion Programs ◽  
Schizophrenia Spectrum Disorders ◽  
Antipsychotic Therapy ◽  
Complete Mental Health ◽  
Severely Mentally Ill ◽  
Pill Counts ◽  
Long Acting ◽  
Pretrial Diversion

Outpatient diversion programs present an opportunity for severely mentally ill defendants to receive psychiatric treatment and have alleged offenses dismissed by the court. Moreover, the successful completion of pretrial diversion is associated with fewer post-program arrest and jail days. The target patient population for such programs is typically people with schizophrenia spectrum disorders, but the care of such patients in outpatient settings presents challenges for monitoring treatment fidelity, specifically antipsychotic adherence, as low adherence rates are associated with increased rates of recidivism. Presented here is a review of evidence-based strategies that must be employed to track antipsychotic adherence in outpatient diversion programs, including pill counts, use of long-acting injectable antipsychotics, and determination of plasma antipsychotic levels to assess adherence and the adequacy of antipsychotic treatment. Antipsychotic therapy remains the foundation of schizophrenia treatment, but only through the use of all available modalities can clinicians maximize the odds that schizophrenia patients in pretrial diversion maintain psychiatric stability and successfully complete mental health court mandates.

scholarly journals NCAA Drug Testing Policies and Penalties: The Role of Team Performance

2018 ◽  
Vol 11 (1) ◽  
pp. 24-39
Author(s):  
Kelly P. Elliott ◽  
Timothy B. Kellison ◽  
Beth A. Cianfrone
Keyword(s):  
Team Performance ◽  
Drug Testing ◽  
Testing Policies

The Criminal/Legal Experiences of Individuals with Mental Illness along the Sequential Intercept Model: An Eight-Site Study

2020 ◽  
Vol 48 (1) ◽  
pp. 76-95 ◽  
Author(s):  
Erin B. Comartin ◽  
Victoria Nelson ◽  
Scott Smith ◽  
Sheryl Kubiak
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Legal System ◽  
Exploratory Study ◽  
Treatment Engagement ◽  
Diversion Programs ◽  
Specialty Courts ◽  
Criminal Legal System ◽  
Using Data ◽  
Policies And Practices

Studies suggest that up to 44% of individuals in the criminal/legal system have a severe mental illness (SMI), and although diversion programs have been established, a significant portion still end up incarcerated. The Sequential Intercept Model is a framework designed to reduce the overrepresentation of individuals with SMI in the criminal/legal system by identifying points of interception to prevent individuals from entering or moving further into the system. Although studies assess programs in each intercept, none has evaluated how individuals process through all intercepts. Using data from eight counties ( N = 1,160), this exploratory study assesses criminal/legal involvement across each intercept between individuals identified with ( n = 880) or without ( n = 280) SMI. Findings indicate longer stays in jail, low rates of treatment engagement and enrollment in specialty courts, and poorer diversion outcomes for individuals with SMI. Recommendations for research, policies, and practices are proposed to advance Smart Decarceration efforts.

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