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Psychiatr Serv. 2010 May;61(5):516-9. doi: 10.1176/appi.ps.61.5.516.

Public expenditures related to the criminal justice system and to services for arrestees with a serious mental illness.

Author information

1
Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., Tampa, FL 33612, USA. petrila@fmhi.usf.edu

Abstract

OBJECTIVE:

The study identified expenditures related to criminal justice, health, mental health, and social welfare services over a four-year period for arrestees with serious mental illnesses in a large Florida county and characteristics of subgroups.

METHODS:

Multiple data sets were used to identify 3,769 persons arrested in a one-year period who had serious mental illnesses. Multiple regression with all variables mutually adjusted was used to explore associations with a log of aggregate criminal justice, health, mental health, and social welfare expenditures.

RESULTS:

Aggregate expenditures were $94,957,465, with a median per person of $15,134. Individuals with the highest expenditures were at least 40 years old with a psychotic disorder, an involuntary psychiatric examination, and more arrests and mental health contacts. Medicaid enrollees had higher expenditures than nonenrollees overall but lower criminal justice expenditures.

CONCLUSIONS:

Identifying characteristics of subgroups with higher expenditures may assist policy makers and providers in designing appropriate criminal justice and treatment responses.

PMID:
20439375
DOI:
10.1176/ps.2010.61.5.516
[Indexed for MEDLINE]
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