title: Forensic services, public mental health policy, and financing: charting the course ahead.
abstract: High-quality forensic evaluations can be critical for criminal cases brought before the court. In addition, forensic practitioners and mental health and forensic administrators have increasingly taken a broader view of the revolving door between the mental health and criminal justice systems. More attention is now paid to why individuals with mental disorders, including co-occurring substance use, come into the criminal justice system and the challenges that they face on re-entry into the community. In particular, individuals who receive care across civil, forensic, and correctional systems are at especially increased risk of disrupted health care access and coverage. With health care reform on the horizon, it is important to understand public financing and its impact on forensic services for this crossover population. This article is a review of historical and future trends in public mental health funding focused on Medicaid and other federal resources, the movement toward community-based services, and the impact of these areas on forensic practice and forensic systems. Tensions between recovery principles and legal mandates are also addressed as community services are emphasized, even in forensic contexts. This article calls forensic practitioners to action and offers suggested areas of focus for training to increase knowledge of public mental health funding, policy, and practice from a forensic perspective.
authors.affiliation: University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655. debra.pinals@umassmed.edu.
authors.forename: Debra A
authors.initials: DA
authors.lastname: Pinals
mesh_terms: D005380:Financing, Government / Q000266:history / Q000639:trends*; D005555:Forensic Psychiatry; D006291:Health Policy; D006297:Health Services Accessibility; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008484:Medicaid; D008603:Mental Health; D008605:Mental Health Services / Q000191:economics* / Q000266:history; D013219:State Government; D014481:United States