County Justice and Behavioral Health Systems

Dr. Adam Karpati of the NYC Department of Health & Mental Hygiene and Commissioner Dora Schriro of the NYC Department of Correction participate in the March 15, 2013 summit Applying the Latest Research to Improve Outcomes for Adults with Mental Health and Substance Use Disorders Involved in the Justice System, coordinated by the CSG Justice Center and hosted by the U.S. Department of Justice, Office of Justice Programs.

Dr. H. Westley Clark of the Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, and Denise O’Donnell of the U.S. Department of Justice, Bureau of Justice Assistance, take part in the March 15, 2013 summit.

On December 23, 2012, the CSG Justice Center released Improving Outcomes for People with Mental Illnesses Involved with New York City’s Criminal Court and Correction Systems. This report, commissioned by Mayor Michael Bloomberg and completed with support from the U.S. Department of Justice, Bureau of Justice Assistance and the Jacob & Valeria Langeloth Foundation, presents the results of an unprecedented analysis of the mental health needs, criminogenic risk, and risk of failure to appear in court for individuals admitted to the New York City Department of Correction.

The report’s findings are based on tens of thousands of records from city, state, and nonprofit agencies and show important differences in outcomes for those with mental illnesses entering the New York City jail system. Based on the study’s findings and with the guidance of the Mayor’s Criminal Justice and Mental Health Initiative Steering Committee, the report also identifies a set of policy recommendations and strategies to determine the levels of risks and needs for individuals entering the jail system; to provide appropriate pretrial, plea, and sentencing options; and to establish centralized resource hubs for coordinating assessment information and community-based supervision and treatment options.

As a result of this initiative, Mayor Bloomberg announced that New York City will create "Court-based Intervention and Resource Teams" (CIRTs) to serve over 3,000 clients with mental health needs annually. New York City now serves as a national model for how a large urban area can use data to develop policies to increase public safety, reduce jail costs, and help connect individuals with mental illnesses to effective community-based health services.

To browse an online version of the report, click on the cover below. To download a PDF of the report, click here. To download a PDF of the report's summary, click here.


More Resources

  • Read about the Utah Association of Counties convening its members to discuss recidivism reduction.
  • Read about Franklin County, Ohio launching a new justice and behavioral health systems improvement project.
  • Read Mayor Bloomberg's December 26, 2013, press release about New York City's all-time low incarceration rate.
  • Read about Bexar County, Texas, a County Justice and Behavioral Health Systems Demonstration Site.
  • Read about the CSG Justice Center’s March 15, 2013 summit highlighting the substantial progress in improving outcomes for individuals with mental illnesses in the criminal justice system.
  • Read a January 31, 2013 New York Times op-ed endorsing New York City’s plan for borough-based Court-based Intervention and Resource Teams (CIRTs).
  • Read the text of Mayor Bloomberg’s December 23, 2012 radio address discussing New York City's ongoing efforts to improve public safety, including the launch of an initiative to serve people with mental health needs who are involved with the criminal justice system.
  • Read Mayor Bloomberg’s December 23, 2012 press release about the new mental health initiative.
  • Read Mayor Bloomberg’s September 27, 2011 press release announcing a new initiative to address high rates of mental illness in New York City jails.
  • Read about the CSG Justice Center’s work in Hillsborough County, New Hampshire and Johnson County, Kansas.