Mayor Nutter announces the formation of city's first Mental Health Court

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Mayor Nutter announces the formation of city's first Mental Health Court

POSTED: Tuesday, July 7, 2009, 6:38 PM
Filed Under: News | The Mayor

Today, Mayor Michael Nutter, along with D.A. Lynne Abraham, announced the creation of Philly's brand-new Mental Health Court. Essentially, its function is to "provide alternative supervision to eligible offenders who require specialized mental health treatment with court oversight." From the press release:

Instead [of] many different judges supervising these cases, one designated judge will hear all matters pertaining to the targeted population, thereby streamlining dockets and bringing all mental health cases into one courtroom. Participants in the Mental Health Court must follow the rules and regulations of the Philadelphia Adult Probation and Parole Department and the conditions of an individualized treatment plan. All participants will be required to appear before the designated judge who will monitor their compliance and adherence to all rules and conditions.

While this is a first in Philly, it's not in Pennsylvania — 11 other counties have mental health courts. But, as the press release says, Philly's "will represent the first in the state to provide for participants’ reintegration back into the community." Which all sounds pretty good, no? Shouldn't people with mental health issues get treated differently? Though there isn't much news on the topic (except from Philebrity, strangely, which also noted the the lack of media coverage), there's a good article in the U.S. News & World Report on a mental health court in Pittsburgh, which sheds some light on exactly what differentiates it from other courts. Here's a snippet:

A soft touch is hardly standard for judges. But this is the Allegheny County Mental Health Court, an alternative to traditional criminal court, and it is precisely that sort of approach that has helped keep more and more mentally ill offenders out of jail. "Some people say, 'Is warm and fuzzy appropriate for the criminal justice system?'" says Zottola, a former county prosecutor. "But it really works."


deeney
Posted 2009-07-07 14:14:09
Problem solving courts are awkward for people on the law enforcement side because their concern is public safety, not helping people, but as the US New article points out they will come around because the simple fact is that problem solving courts work. Philly's drug court (my employer) has an extremely well documented record of efficacy in terms of cutting costs by reducing incarcerations, improving lives and improving public safety by reducing reoffense. Mental health court is an interesting proposition, as the mental health case manager for the drug court I've wondered if the same drug court type model wouldn't work for mentally ill offenders. The major issue I perceive is whether the muscle of the criminal justice system will be used to force compliance with medication through court sanctions. Mental health care provision is based on a recovery model whose basis is that everyone has the right to refuse treatment and medication. Obviously, this right of refusal comes into conflict with public safety in a certain small number of very sick and very treatment resistant people. I am actually much more interested to hear from the mental health advocacy community on this than the media, who in Philadelphia by and large have no idea what they are talking about when it comes to mental health issues, anyway.

Larry W
Posted 2009-07-07 16:12:28
Hands-down, one of these best things to come out of the Nutter administration, and it does tackle the problems we've seen with a lot of crime and law enforcement dead-on: Mental Health.

deeney
Posted 2009-07-07 16:34:47
For the record, the Philly PD has the CIT program which trains officers to deal with mental health crisis situations and they have made a lot of progress in that area of law enforcement, though, any social worker who has participated in a 302 more than once can tell you there's more work to be done with crisis responders. However, the lingering question pertaining to mental health court will likely be in regards to medication compliance, which you'll notice isn't explicitly addressed in the scant news coverage, not even in the US News article linked above. Are the courts now stipulating clients with psychotic disorders like schizophrenia to take anti-psychotic medication, even if the client resists? If so, who is responsible when the client becomes afflicted with tardive dyskinesia, a permanent and debilitating side effect of that drug class that includes Parkinson's-like tremors? Is that an acceptable piece of collateral damage in the quest to increase public safety and reduce overall rates of incarceration? I really haven't formulated an opinion yet, except to say that while the drug court model is very sucessful the mental health court model seems to be identical yet targets a different population with different needs and concerns. I'll be curious to see how it pans out, and whether or not mental health advocates wind up getting on board or taking an adversarial position.

phillygrrl
Posted 2009-07-07 17:14:06
I just want to know how old that picture is...

Mithras
Posted 2009-07-07 17:24:52
Yes, what is the deal with the picture? Is Clog trying to say something with it?
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