JMHCP Grantee (2010) -- San Francisco Superior Court: Behavioral Health Court

Quick Facts:

Date accepted first participant:
January/2003
Mental health docket frequency:
Twice weekly
Number of participants per year:
101-200
Clinical eligibility criteria:
  • The court accepts participants with only Axis I diagnoses
  • Clinical exclusion criteria:
  • Primary substance use disorders
  • Legal eligibility criteria:
    • Misdemeanors
    • Misdemeanor probation violations
    • Felonies (property)
    • Felonies (nonviolent)
    • Felonies (violent)
    • Felony probation violations
    • Excluding: Homicide, Sex Offenses
    Case disposition upon successful program completion:
    • Participants' charges may be dismissed upon successful completion
    • Participants' charges may be reduced upon successful completion
    • Participants' time under supervision may be reduced
    • Participants' records may be expunged
    Case disposition upon unsuccessful program completion:
  • Participants are returned to the court of original jurisdiction for case processing
  • Court and service components funded by:
  • Federal funds
  • State funds
  • Municipal funds
  • State mental health funds
  • Municipal mental health funds
  • Private foundation grants
  • JMHCP Grantee Information

    Grant Year
    2010

    JMHCP Grantee (2010) -- San Francisco Superior Court: Behavioral Health Court

    Contact:

    Name:
    Maria McKee
    Title:
    Director of Collaborative Justice Courts
    Address:
    400 McAllister Street, Room 205
    San Francisco, CA 94102
    Email:
    mmckee@sftc.org
    Phone:
    415-551-5746

    JMHCP Grantee (2010) -- San Francisco Superior Court: Behavioral Health Court

    General: Jurisdiction, History, and Planning

    Grantee Year:
    Urban
    Level of government at which court operates:
    County
    Other collaborative criminal justice/mental health initiatives in community:
    San Francisco Drug Court; Offender Treatment Program; Community Justice Center
    Date accepted first participant:
    January/2003
    Mental health docket frequency:
    Twice weekly
    Number of participants per year:
    101-200
    Planning and oversight/advisory group:
  • The court had a planning committee that ceased meeting after the court's creation
  • Oversight group members:
  • Line-level law enforcement official
  • Community mental health service provider
  • Substance abuse treatment provider
  • Judicial officer (e.g. a judge or magistrate)
  • Court administrator / program director
  • Prosecutor
  • Public defender
  • Corrections officer
  • Eligibility Criteria

    Clinical eligibility criteria:
  • The court accepts participants with only Axis I diagnoses
  • Clinical exclusion criteria:
  • Primary substance use disorders
  • Establishment of clinical eligibility criteria:
  • They were established in consultation with mental health treatment providers
  • Legal eligibility criteria:
    • Misdemeanors
    • Misdemeanor probation violations
    • Felonies (property)
    • Felonies (nonviolent)
    • Felonies (violent)
    • Felony probation violations
    • Excluding: Homicide, Sex Offenses
    Effect of criminal history on eligibility:
    • Defendants with prior serious felony convictions can only be admitted with the express consent of the District Attorney
    Degree to which crime victims are involved in court processes:
    Victims are notified about victim's services available in the community
    Reasons for lack of victim involvement in court processes:
  • The court's rules regarding participant confidentiality limit victims' rights to notification and participation in the court program
  • Court Team and Training

    Personnel who participate in case staffings:
  • Judicial officer (e.g. judge or magistrate)
  • Prosecutor
  • Defense attorney
  • Treatment provider or case manager employed by community mental health service provider
  • Community supervision officer (probation or parole)
  • Job orientation:
    Staff are oriented on-the-job
    Ongoing training:
  • Yes, there is funding support for staff to attend training sessions.
  • Training topics:
    • Overview of mental illness (e.g. recognizing symptoms or medications)
    • Integrated mental health and substance abuse treatment
    • Graduated sanctions and the role of coercion
    • Local mental health services and community treatment capacity
    • Treatment engagement
    • Cultural competence
    • Gender-specific treatment and services
    • Trauma issues
    • Substance abuse treatment

    Participant Information

    Primary sources of referrals:
    • Jail staff
    • Prosecutors
    • Defense attorneys
    Mental health screening conducted by:
    • Jail Psychiatric Services
    Mental health assessment conducted by:
  • Community mental health service provider
  • Point at which full mental health assessment conducted:
    After a participant has been accepted into court

    Terms and Duration of Participation

    Legal mechanism by which participants are accepted into court program:
  • Varies depending on charge
  • Case disposition upon successful program completion:
    • Participants' charges may be dismissed upon successful completion
    • Participants' charges may be reduced upon successful completion
    • Participants' time under supervision may be reduced
    • Participants' records may be expunged
    Case disposition upon unsuccessful program completion:
  • Participants are returned to the court of original jurisdiction for case processing
  • Terms of participation:
    They are individualized based on the clinical diagnosis
    The court uses a formal, standard written contract for all participants:
    Yes
    Minimum and maximum periods of participation:
    • No, there are no minimum or maximum periods of participation
    • Min: 12 months
    Average length of participation:
    1 year to 2 years

    Confidentiality and Informed Choice

    The court obtains written consent to release personal information:
    Yes, participants sign a single release
    Court-supervised treatment becomes part of the participants' criminal record:
    No
    The court has standard protocols for establishing legal competence of potential participants:
    Yes, the court program has a system for establishing legal competence aside from the state system
    Length of time to assess participants' legal competence
    One week
    After assessment of legal competence, length of time before assessment of clincial competence:
    One week
    Defense counsel helps potential participants decide whether to enter the court:
    Yes

    Monitoring, Supervision, Treatment, and Adherence

    Monitoring and supervision of participants primarily performed by:
    Court team members mental health background
    Services available to court participants:
    • Emergency psychiatric services (crisis stabilization)
    • Assistance in locating housing
    • Assistance in accessing benefits (e.g. Medicaid, SSI, SSDI, veterans)
    • Transportation (e.g. bus fare, rides to program-related appointments)
    • Supported employment
    • Inpatient mental health treatment
    • Outpatient mental health treatment
    • Integrated substance abuse and mental health treatment
    • Medication management
    • Individual psychotherapy
    • Group psychotherapy
    • Family therapy
    Court-supported services available after program completion:
    Yes
    Rewards and incentives applied to participants who adhere to terms of treatment plans:
    • Graduation ceremonies
    • The court does not have a standardized list of rewards / incentives
    • Priority position in the order of cases called
    • Praise from the judge
    • Increased time between status hearings
    • Food items or gift certificates from local businesses
    • Extended privileges (e.g. where people are allowed to live, whom them may visit, furloughs and leaves of absence)
    Sanctions applied to participants who do not adhere to terms of treatment plans:
  • Expulsion from the program
  • Modifications in treatment plan (e.g. more frequent appointments with a case manager, adjustment to medications, increased drug screening, etc.)
  • The court does not have a standardized list of sanctions.
  • Judicial reprimands
  • Journal assignments
  • Increased frequency of status hearings
  • Increased supervision intensity (e.g. meetings with a probation officer or case manager, drug testing, visits to court on a normal docket day)
  • Restriction of privileges (e.g. curfew, travel)
  • Sustainability

    Court and service components funded by:
  • Federal funds
  • State funds
  • Municipal funds
  • State mental health funds
  • Municipal mental health funds
  • Private foundation grants
  • Has the court received media coverage?
    Yes
    Is there published research on the court program?
    McNeil, D. & R. Binder. “Effectiveness of a Mental Health Court in Reducing Criminal Recidivism and Violence,”American Journal of Psychiatry, 169:9, September 2007, p. 1395-1403.
    About this information:

    A program representative provided this information details through a detailed survey.

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