title: Beyond the bridge: evaluating a novel mental health program in the New York City jail system.
abstract: OBJECTIVE
  We evaluated Beyond the Bridge, a novel mental health program in the New York City jail system designed to provide residentially based cognitive behavioral therapy in jail mental observation units.
  
  
  METHODS
  We used propensity score matching and a dose-response analysis. Outcome measures included reduction in violent incidents and fights, reduction in uses of force by corrections officers, reduction in time spent on suicide watch and incidents of self-injurious behavior, and increased length of community survival.
  
  
  RESULTS
  There were significant reductions in all outcomes when we compared program participants (n = 218) with an earlier cohort of patients residing on the mental observation unit before programming began (n = 413). However, when we compared program participants with a cohort of other patients residing on the units at the same time but who chose not to participate (n = 267), only time spent on suicide watch unit (rate ratio [RR] = 0.72; 95% confidence interval [CI] = 0.59, 0.89) and recidivism (RR = 0.70; 95% CI = 0.59,0.83) were significantly reduced.
  
  
  CONCLUSIONS
  This evaluation and the model we piloted may provide useful information for other settings contemplating similar interventions.
authors.affiliation: Sarah Glowa-Kollisch, Daniel Selling, and Homer Venters are with the Bureau of Correctional Health Services and Sungwoo Lim is with the Bureau of Epidemiology Services, New York City Department of Health and Mental Hygiene, New York, NY. Cynthia Summers is with the Guttmacher Institute, New York, NY. Louise Cohen is with Public Health Solutions, New York, NY.
authors.forename: Sarah
authors.initials: S
authors.lastname: Glowa-Kollisch
authors.forename: Sungwoo
authors.initials: S
authors.lastname: Lim
authors.forename: Cynthia
authors.initials: C
authors.lastname: Summers
authors.forename: Louise
authors.initials: L
authors.lastname: Cohen
authors.forename: Daniel
authors.initials: D
authors.lastname: Selling
authors.forename: Homer
authors.initials: H
authors.lastname: Venters
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000458:organization & administration; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D009519:New York City; D011329:Prisoners / Q000523:psychology; D011330:Prisons / Q000458:organization & administration*; D015397:Program Evaluation; D055815:Young Adult