They're Out of Prison. Can They Stay Out of the Hospital?

The University of Arizona's Commitment to Underserved People (CUP) program operates 12 student-run free clinics that provide comprehensive medical, mental health, and social support services to Tucson's unhoused and uninsured residents. In 2024 they served 525 patients while simultaneously training the next generation of community-minded physicians.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.

Park Rx America is an online platform that helps the growing number of medical professionals who write nature prescriptions for their patients. The database contains thousands of parks and public lands, which prescribers can filter by activity, distance from a patient's home, and other amenities like whether there is a playground for kids. Growing numbers of doctors are prescribing outdoor activities as a treatment for conditions like obesity and anxiety. Writing out actual prescriptions with specific directions about where to go, what to do, and how often to go increases the likelihood of success.

White Mountain Restorative Justice offers juvenile and adult court diversion and victim-offender mediation programs. WMRJ aims to guide first-time low-level offenders through restorative justice processes to hold offenders accountable, repair the harm caused by crime, and prevent reoffences.

In Eugene, Oregon, the Crisis Assistance Helping Out on the Streets (CAHOOTS) initiative is providing a police-free response to mental health crises in the community. The mobile mental health unit responds to calls involving individuals with mental health issues, are trained in de-escalation, and provide in-the-moment services like transportation or access to wrap around services. These types of services have become more popular, with cities around the country piloting them.

A Forensic Assertive Community Treatment (FACT) team tackles one of the toughest challenges at the intersection of mental health and criminal justice: how to help people whose mental illness has landed them in criminal trouble, without resorting to jail or brief hospitalizations. A Rochester, New York, program that showed promise in improving those odds by connecting people with needed services is now being replicated in Hennepin County, Minnesota. So far, about half of the 60 people in the program returned to jail. So it's only working for some people.

Individuals at a high risk of suicide can benefit from targeted, accessible, and client-centered care. As part of a new mental health initiative, the Czech government is funding mental health centers for patients at high risk of suicide. The target prevention includes care teams consisting of psychiatrists, nurses, and social workers, all involved in different aspects of the client’s care.

When treating opioid addiction, the typical approach is medication in conjunction with mandatory therapy sessions and a myriad of other check-ins. Realizing that this method was failing many people that were not able to make these sessions, some clinics are reversing the approach by focusing on a medication-first approach.

Chicago has seen a decline in violence, and one neighborhood in particular has led the way, nearly halving its shootings and homicides. Police in Englewood have changed how they work with the community and where they send officers, focusing on the places and people experiencing the most violence, informed by data and surveillance systems. Community organizations are also providing job training, services and counseling to those most likely to be caught up in the violence.

For offenders with a co-occurring mental health disorder, the regular prison system is not viewed as an optimal environment. A mental health court would help lower recidivism and increase the offender's quality of life by treating their mental health issues in order to focus on the underlying issue contributing to the criminal acts.