Eighth Judicial District Court Mental Health Court Program

Eighth Judicial District Court Mental Health Court Program Chief Judge Elizabeth Gonzalez

Mental Health Court Program intended for: • chronic thought-disordered individuals • Involved in criminal justice system Key: Medication Maintenance

Eligibility Requirements Serious Mental Illness (SMI) including: • • • Schizophrenia Schizoaffective Disorder Bipolar Disorder Major Depression Disorder or Chronic Severe Anxiety.

FY 17 MHC Census • FY 17 Current Participants: 141 • FY 17 Graduates: 19 _________ • Recidivism: 2014 EJDC MHC Study • • Felony Reduction: 89% Misdemeanor Reduction: 83% Arrest Reduction: 78% Citation Reduction: 86%

Benefits to Participants • Mental health counseling (individual and group); • Medication stabilization; • Residential placement (as appropriate); • Individual and group substance abuse counseling; • Vocational Training/SSI Application; and • Incentives for goal accomplishment • (including food, shopping, and movie gift cards).

Treatment Includes: • Counseling sessions (Individual and Group); • Medication management; • Case management; • Probation supervision (GM/Felony only); • Residential placement (as appropriate); • Regular random drug testing (as appropriate); and • Regular court reviews.

MHC Funding NRS 176. 0613 $537, 652 General Fund $927, 938 Average Program Length = 1 -3 years Depending on program compliance $5, 995 - $11, 000 (Subject to Insurance/Medicaid Reimbursement and needs of participants)

Ethnicity of Participants Caucasian 42% African American 34% Hispanic 16% Asian/Pacific Islander 2% Multi-Racial 4% Other 2%

Participant Age 26 29 18 -25 38 26 -35 36 -45 48 46 -61 MHC Participants by Age

• AOT is court-ordered treatment for individuals who have a history of medication noncompliance; the participant remains in the community with wraparound services, to ensure compliance and stabilization. • AOT Increases: • Treatment Compliance • Long-term voluntary compliance • AOT Reduces: • Incidence and duration of hospitalization • Homelessness • Arrests and incarcerations • Victimization • Violent episodes Assisted Outpatient Treatment

• 252 participants have been accepted into the program • As of April there was 70 active participants • Average monthly cost to house an AOT client with no income: • Intensive Supportive Living: $6, 990. 01 • Long Term Care: $3, 335. 11 • Supportive Living Arrangement: $2, 514. 83 • Inmate daily cost in Clark County Detention is $135 per day/ $4, 050 per month. • Daily cost in a NV state psychiatric inpatient facility is $850 per day/ $25, 500 per month. Cost of Assisted Outpatient Treatment

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