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September 2014
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Psychiatric Services

A Journal of the American Psychiatric Association Editor: Howard H. Goldman, M.D., Ph.D.
Articles  |  September 1, 2014
Does Jail Diversion Need to Be Immediate? New Findings

One of only two states with statewide jail diversion programs, Connecticut identifies persons with mental illness at arraignment and diverts them straight to the community. However, judges may order a brief incarceration to stabilize individuals or motivate them to participate in treatment. In this study, the authors looked at outcomes of participants who were immediately diverted to treatment versus those who spent a short amount of time in jail. The results indicated that even brief incarcerations may lead to quicker rearrest and undermine the goal of the program.

Articles  |  September 1, 2014
Is Investment in Learning Collaboratives Premature?

In recent years, the mental health field has made learning collaboratives the centerpiece of efforts to implement training in evidence-based practices. Lasting an average of 14 months, these interventions typically begin with in-person training for two days and can cost more than $100,000 per site. In this literature review of 16 peer-reviewed studies, the authors found minimal evidence of the effectiveness of LCs in mental health settings. They called for more rigorous research to evaluate the utility of these costly endeavors.

Articles  |  September 1, 2014
ADA Accommodation and Work Participation

Even after passage of the Americans with Disability Act (ADA), persons with mental illnesses have difficulty finding a job and keeping it. In this study, the authors assessed employment outcomes among more than 1,000 individuals with a psychiatric disability who were unemployed at the start of the two-year study period. Those who received ADA accommodations not only worked more hours per month but worked 31% longer than the comparison group. Better documentation and measurement of the effectiveness of accommodations can move the nation closer toward the goal of full inclusion, the authors said.

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