Pa. state prisons transform mental health care, but is it working?

A strategy for stopping widespread depression in developing countries should be as obvious as one for combatting epidemics. A new strategy aims to downshift jobs to local workers to act as peer therapists.

There is a mental-health capacity crisis gripping Washington state. The area’s response approach, crafted over two decades, centers on a set of intensive outpatient and early-intervention programs aimed at preventing hospitalizations.

U.S. courts are offering war veterans who face jail time the choice of rehabilitation. This helps them adjust to civilian life and reduces repeat offences.

Different programs in various nations are training ordinary people and creating community groups to effectively satisfy the mental health needs of their communities. In many of these regions, "treatment gaps" – where there are little to no mental health treatment plans or resources – exist, but this new informal infrastructure helps to fill that.

For first-time youth criminal offenders, the traditional American jury falls short in encouraging behavioral change and may even set the juvenile on a course for repeated crimes. Washington, DC’s Youth Court is a jury that tries juveniles for minor non-violent offenses and offers peer pressure to prompt positive behavioral change. The DC Youth Court is one of many in the United States that reduces crime and future court costs.

Millions of families of arrested individuals do not know what to do to help, how to obtain a lawyer, or what the process entails in the court system. Created by Albert Cobarrubius Justice Project, participatory defense is a type of community organizing that teaches and empowers people who face criminal charges. Individuals know how to work with attorneys in order to navigate the system and ultimately feel equipped to become drivers of their own change.

Veterans who suffer from post traumatic stress disorder number about one-fourth of military personnel returning from Iraq and Afghanistan conflicts, roughly 500,000 veterans so far. Inmates in prisons nationwide train dogs as companions for these war veterans, providing a sense of healing for all.

In Houston, TX, many individuals with mental illnesses cycled in and out of emergency care while arrested or incarcerated. Houston’s police department has decreased the number of incarcerated who have mental illness by opening a division to mental health called the Chronic Consumer Stabilization Unit. Now Milwaukee seeks to replicate Houston’s results.

Milwaukee County’s mental health system put more resources in expensive emergency care rather than invest in programs that offer continual care. As a result, Milwaukee County identifies nine solutions from other cities that have had success in repairing mental health systems. Solutions include the ending of reliance on emergency care, expand community support programs, change laws, and supportive housing.

Across the country, jails hold 10 times as many people with serious mental illness as state hospitals do, according to a recent report from the Treatment Advocacy Center. To deal with the problem, San Antonio and Bexar County have transformed their mental health system into a program considered a model for the rest of the nation - the effort has focused on an idea called "smart justice" — basically, diverting people with serious mental illness out of jail and into treatment instead.