Adapting a substance abuse court diversion model for felony offenders with co-occurring disorders: initial implementation.
Treatment Alternatives for Dually Diagnosed (TADD) was developed to address the need for criminal justice diversion of seriously mentally ill substance-using felons and persistent misdemeanants. The population served by the TADD program and key elements of the program are described, including identification, screening and assessment, specialized court processing and judicial oversight, case management monitoring, joint case conferencing between community and monitoring staff, enforcement, and key stakeholder collaboration. One hundred and thirteen clients diverted by the TADD program were followed for six months. A description is provided of these clients, the community services accessed, as well as the monitoring of clients drug use. During six months of program involvement 87% remained connected to the diversion team, 80% remained in community treatment and the majority took advantage of the rich service environment created through TADD's case management linkage services. The majority of these clients tested drug-free during this six-month period.
Broner
Nahama
N
Research Triangle Institute (RTI) International, New York, NY 10003, USA. nbroner@rti.org
Nguyen
Huy
H
Swern
Anne
A
Goldfinger
Stephen
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D019090:Case Management / Q000331:legislation & jurisprudence*; D003131:Combined Modality Therapy; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence; D015897:Comorbidity; D003415:Crime / Q000331:legislation & jurisprudence* / Q000523:psychology / Q000706:statistics & numerical data; D003416:Criminal Law / Q000331:legislation & jurisprudence; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology; D008875:Middle Aged; D009519:New York City; D010043:Outcome and Process Assessment, Health Care; D011329:Prisoners / Q000331:legislation & jurisprudence* / Q000523:psychology; D012017:Referral and Consultation / Q000331:legislation & jurisprudence; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data