TMCEC’s 2nd Mental Health Summit Criminal Justice‐Mental Health Partnerships Judge Brent A. Carr Tarrant Criminal Court Nine July 30, 2018 Shameless Course Evaluation Pandering Confinement / General Population With MH Disorder http://www.bjs.gov/content/pub/pdf/mhppji.pdf 60 50 40 30 20 10 0 Conf Pop MH Gen Pop MH Disorder 55% Disorder 26% 1 Mental Illness http://www.bjs.gov/content/pub/pdf/mhppji.pdf • Mental Illness in the Confinement Population 70 60 50 40 30 20 10 0 Local Jail State Prison Federal 64% 55% Prison 45% Scope of Mental Illness in Criminal Justice System http://www.bjs.gov/content/pub/pdf/mhppji.pdf • Approximately 4.2 of US population has a serious mental illness • Approximately 17% of the jail population has a serious mentally illness Confinement Cost • Average daily Tarrant County Jail Population: 4,000 • Tarrant County daily base cost per inmate: $75.00 • Yearly per person cost: $27,375.00 • Daily cost: $300,000.00 / Yearly cost: $110,000,000.00 2 My Programs • Tarrant County Mental Health Program (2003) • Veterans Treatment Court (2010) • Reaching Independence through Self‐Empowerment (RISE, Female Offender Human Trafficking) (2011) • Enhanced Mental Health Services (EMHS) (2015) Programs & Partnerships Tarrant County Mental Health Program and Legacy • Frustration of local mental health officials • Indifference of local justice system • Delay • Expense • Specialized Knowledge • Free Lunch Specialty Courts Identifiable Group With Common Needs and Characteristics + Available Resources to Service and Treat Group = Economy of Resources and Better Outcomes 3 Programs & Partnerships Tarrant County Mental Health Program and Legacy • Stake‐holder Group for Program Development • Judge • Prosecution • Defense Attorney • County Administration • Sheriff • District Clerk • County Clerk • Local Mental Health Agency • Service Providers • Local Advocacy Groups Programs & Partnerships Tarrant County Mental Health Program and Legacy Process • Consultant –person who developed Indianapolis program • Specialty Court Research • Identify Target Population • Diversion or Intervention • High Risk and Need vs. Low Risk and Need\ • Capacity • Staffing • Funding • CASE Method Programs & Partnerships Tarrant County Mental Health Program and Legacy We are not where we need to be but the doors are open • Significant expansion of Mental Health Court Program Resources • Jail based mental health unit • Pre adjudication mental health case management • Mental Health Coordinator • Out patient competency restoration • Enhanced Mental Health Services Docket • Incompetency management docket • Jail based competency restoration 4 Tarrant County Mental Health Diversion Program https://www.youtube.com/watch?v=ekTEEGV0RyI Admitted Graduated Terminated Active Re‐arrested Successful Recidivism (After Completion Rate Graduation) 557 456 62 32 *59* 88% *13%* Shameless Course Evaluation Pandering Reminder 5.