![]() ![]() Researchers developed a set of structured legal and clinical criteria to reflect the factors that contribute to the Office of Diversion and Reentry's (ODR's) decisionmaking when determining whether an individual may be put forward as a candidate for diversion-that is, redirection of eligible individuals with serious mental illness from traditional criminal justice processing into community-based services.In June 2019, 5,544 individuals were in the Los Angeles County jail mental health population, which includes individuals in mental health housing units and/or taking psychotropic medications. ![]() This study will be of interest to state and county governments as well as other organizations serving criminal justice–involved populations with serious mental illness. The authors also provide recommendations for future programming and research. These findings will help the county determine how it would need to scale community-based treatment programs to accommodate these individuals. Researchers found that an estimated 61 percent of the jail mental health population were likely appropriate candidates for diversion 7 percent were potentially appropriate and 32 percent were likely not appropriate candidates for diversion. ![]() To better build and scale efforts to support this work, in 2018, the Los Angeles County's Board of Supervisors asked for a study of the existing county jail mental health population to identify those who would likely be eligible for diversion based on legal and clinical factors. Such redirection from the traditional criminal justice process is often characterized as diversion. Part of ODR's mission is to identify individuals currently incarcerated in a Los Angeles County jail who are experiencing a serious mental health disorder and, to the extent practical, provide them with appropriate community-based care with the goals of reducing recidivism and improving health outcomes. In 2015, the Office of Diversion and Reentry Division (ODR), an internal department of the Los Angeles County Department of Health Services, was created to redirect individuals with serious mental illness from the criminal justice system. (PsycInfo Database Record (c) 2021 APA, all rights reserved).This Article RAND Health Quarterly, 2021 9(2):7 Implications for clinical services (e.g., targeting youth dysregulation and aggression), agency context (e.g., training police officers in trauma-responsive practices), and system-level changes (e.g., intervening at the time of first ACE documentation such as parent's arrest) are discussed. Studies included delinquency (e.g., recidivism n = 5), psychiatric (n = 4), substance use (n = 3), and other (n = 2 e.g., academic, pregnancy) outcomes, documenting high prevalence of ACEs and significant associations between ACEs and a variety of outcomes. Eight unique studies were included in 40 articles examining ACEs among justice-involved youth 38% were longitudinal or prospective analyses and none were intervention studies. The current systematic scoping review synthesizes existing literature related to the impact of ACEs on justice-involved youth and offers recommendations for data-driven intervention along the Sequential Intercept Model, which describes five different points of justice system contact (i.e., first arrest, court diversion, detention, and community supervision) in which there is opportunity to intervene and improve youth behavioral health, legal, and associated outcomes. ![]() Yet, there is currently no available review of the literature on ACEs and their impact on justice-involved youths' psychological, legal, and related (e.g., academic) outcomes to rigorously guide such reform efforts. Policymakers, government agencies, and professionals working with justice-involved youth have called for trauma-informed juvenile justice reform. Justice-involved youth experience high rates of adverse childhood experiences (ACEs), placing them in great need of behavioral health treatment and risk for continued justice involvement. ![]()
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