title: Public policy and limits of diversion programs for reducing jail exposure of persons with serious mental illness.
abstract: OBJECTIVE
  Diverting potential arrestees with serious mental illnesses from the criminal justice system to mental health services has become a mainstay of public policy. Federal funding for local diversion and mental health court programs mandates that recipients of funds focus on "nonviolent misdemeanants," allowing more serious offenders to proceed through the justice system. This study explored the potential effects of applying such exclusions to a group of arrestees with serious psychiatric illnesses.
  
  
  METHODS
  Data on charges in a cohort of mental health service recipients (N=13,816) were analyzed.
  
  
  RESULTS
  Episodes of felony arrest, including some involving violence toward others, outnumbered misdemeanors. Under federal funding policies, many such cases would be processed through the justice system.
  
  
  CONCLUSIONS
  Expanding inclusion criteria is necessary if diversion is to significantly affect incarceration rates among persons with mental illnesses. Policy makers should heed the accumulating evidence in this area in determining priorities for funding.
authors.affiliation: Departmentof Criminal Justice and Criminology, Universityof Massachusetts, Lowell, MA 01854, USA. william_fisher@uml.edu
authors.forename: William H
authors.initials: WH
authors.lastname: Fisher
authors.forename: Albert J
authors.initials: AJ
authors.lastname: Grudzinskas
authors.forename: Kristen M
authors.initials: KM
authors.lastname: Roy-Bujnowski
authors.forename: Nancy
authors.initials: N
authors.lastname: Wolff
mesh_terms: D000293:Adolescent; D000328:Adult; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003416:Criminal Law / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D011329:Prisoners / Q000523:psychology / Q000706:statistics & numerical data; D011330:Prisons / Q000706:statistics & numerical data; D011640:Public Policy; D055815:Young Adult