title: Influence of Criminal Justice Involvement and Psychiatric Diagnoses on Treatment Costs Among Adults With Serious Mental Illness.
abstract: The impact of criminal justice involvement and clinical characteristics on the cost of public treatment services for adults with serious mental illnesses is unknown. The authors examined differential effects of justice involvement on behavioral health treatment costs by primary psychiatric diagnosis (schizophrenia or bipolar disorder) and also by substance use diagnosis among 25,133 adult clients of Connecticut's public behavioral health system in fiscal years 2006 and 2007. Justice-involved adults with schizophrenia had the highest costs, strongly driven by forensic hospitalizations. Addressing the cross-system burdens of forensic hospitalizations may be a sensible starting point in the effort to reduce costs in both the public behavioral health and justice systems.
authors.affiliation: Dr. Robertson, Dr. Swanson, Dr. Easter, and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (e-mail: allison.gilbert@duke.edu ). Dr. Lin and Dr. Frisman are with the School of Social Work, University of Connecticut, West Hartford. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
authors.forename: Allison G
authors.initials: AG
authors.lastname: Robertson
authors.affiliation: Dr. Robertson, Dr. Swanson, Dr. Easter, and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (e-mail: allison.gilbert@duke.edu ). Dr. Lin and Dr. Frisman are with the School of Social Work, University of Connecticut, West Hartford. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Swanson
authors.affiliation: Dr. Robertson, Dr. Swanson, Dr. Easter, and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (e-mail: allison.gilbert@duke.edu ). Dr. Lin and Dr. Frisman are with the School of Social Work, University of Connecticut, West Hartford. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
authors.forename: Hsiuju
authors.initials: H
authors.lastname: Lin
authors.affiliation: Dr. Robertson, Dr. Swanson, Dr. Easter, and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (e-mail: allison.gilbert@duke.edu ). Dr. Lin and Dr. Frisman are with the School of Social Work, University of Connecticut, West Hartford. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
authors.forename: Michele M
authors.initials: MM
authors.lastname: Easter
authors.affiliation: Dr. Robertson, Dr. Swanson, Dr. Easter, and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (e-mail: allison.gilbert@duke.edu ). Dr. Lin and Dr. Frisman are with the School of Social Work, University of Connecticut, West Hartford. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
authors.forename: Linda K
authors.initials: LK
authors.lastname: Frisman
authors.affiliation: Dr. Robertson, Dr. Swanson, Dr. Easter, and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (e-mail: allison.gilbert@duke.edu ). Dr. Lin and Dr. Frisman are with the School of Social Work, University of Connecticut, West Hartford. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
authors.forename: Marvin S
authors.initials: MS
authors.lastname: Swartz
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000191:economics* / Q000628:therapy*; D003237:Connecticut; D003416:Criminal Law / Q000191:economics* / Q000706:statistics & numerical data; D005554:Forensic Medicine / Q000191:economics / Q000706:statistics & numerical data; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D012559:Schizophrenia / Q000191:economics* / Q000628:therapy*; D019966:Substance-Related Disorders / Q000191:economics* / Q000628:therapy