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Economic Grand Rounds
Published Online: 13 October 2021

Drivers of County Engagement in Criminal Justice–Behavioral Health Initiatives

Alison E. Cuellar, Ph.D. [email protected], Niloofar Ramezani, Ph.D., Alex Breno, M.S., Jennifer E. Johnson, Ph.D., and Faye S. Taxman, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 73, Number 6
https://doi.org/10.1176/appi.ps.202100485
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Abstract

Several large, county-level initiatives are underway to improve behavioral health care for justice-involved clients. Unfortunately, only about a quarter of counties participate in these efforts, leaving justice-involved populations at risk of poor mental health, substance use, and judicial outcomes. This study examined characteristics of 2,922 U.S. counties and county equivalents by whether they participated in these initiatives and found that crime and socioeconomic characteristics were not associated with participation. Participating counties had significantly more robust mental health and substance use care delivery systems. Nonparticipating counties may lack the expertise and basic delivery system prerequisites needed for participation in most national initiatives, further driving geographic disparities.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 73 • Number 6 • June 2022
Pages: 709 - 711
PubMed: 34644126

History

Received: 12 August 2021
Revision received: 1 September 2021
Accepted: 9 September 2021
Published online: 13 October 2021
Published in print: June 2022

Keywords

  1. Criminal justice
  2. Jails and prisons/mental health services
  3. Outpatient treatment

Authors

Details

Alison E. Cuellar, Ph.D. [email protected]
Department of Health Administration and Policy (Cuellar), Department of Statistics (Ramezani), and Center for Advancing Correctional Excellence (Breno, Taxman), George Mason University, Fairfax, Virginia; Division of Public Health, Michigan State University, Flint (Johnson). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Dr. Cuellar are editors of this column.
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Niloofar Ramezani, Ph.D.
Department of Health Administration and Policy (Cuellar), Department of Statistics (Ramezani), and Center for Advancing Correctional Excellence (Breno, Taxman), George Mason University, Fairfax, Virginia; Division of Public Health, Michigan State University, Flint (Johnson). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Dr. Cuellar are editors of this column.
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Alex Breno, M.S.
Department of Health Administration and Policy (Cuellar), Department of Statistics (Ramezani), and Center for Advancing Correctional Excellence (Breno, Taxman), George Mason University, Fairfax, Virginia; Division of Public Health, Michigan State University, Flint (Johnson). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Dr. Cuellar are editors of this column.
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Jennifer E. Johnson, Ph.D.
Department of Health Administration and Policy (Cuellar), Department of Statistics (Ramezani), and Center for Advancing Correctional Excellence (Breno, Taxman), George Mason University, Fairfax, Virginia; Division of Public Health, Michigan State University, Flint (Johnson). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Dr. Cuellar are editors of this column.
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Faye S. Taxman, Ph.D.
Department of Health Administration and Policy (Cuellar), Department of Statistics (Ramezani), and Center for Advancing Correctional Excellence (Breno, Taxman), George Mason University, Fairfax, Virginia; Division of Public Health, Michigan State University, Flint (Johnson). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Dr. Cuellar are editors of this column.
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Notes

Send correspondence to Dr. Cuellar ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

The authors acknowledge support from grant R01 MH118680 from the National Institute of Mental Health and from grant U2CDA050097 from the National Institute on Drug Abuse Justice Community Opioid Innovation Network Coordination and Translation Center.

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