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Current Issue
CURRENT ISSUE
September 2014
Table of Contents
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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
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.

Articles  |  September 1, 2014
Less Recidivism Among Mental Health Court Participants

Evidence has accumulated that mental health courts (MHCs) reduce rearrests and extend the time to rearrest among persons with mental illness. So far, however, many of these studies have lacked a rigorous experimental design. In this article, the authors report a carefully designed study of MHC outcomes that corrects a significant shortcoming of earlier research by controlling for the effect of nonrandom assignment to MHCs or traditional courts. The results confirmed previous findings that MHC participants demonstrate better recidivism outcomes.

Articles  |  September 1, 2014
Costs Savings of MHCs Questioned

Advocates of mental health courts (MHCs) contend that the courts offer a more humane and cost-effective way to meet the treatment needs of persons with mental illness in the criminal justice system. The authors report on a multisite, case-control investigation examining the economic part of that argument, comparing costs for criminal justice and behavioral health treatment for MHC participants and a matched sample of detainees who received psychiatric services in jail. Criminal justice expenses were less for the MHC participants, but the possibility that the savings would be offset by treatment savings was not borne out.

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