{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T10:24:55Z","timestamp":1793960695728,"version":"4.8.0"},"reference-count":0,"publisher":"HCA Healthcare","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HCA Healthcare Journal of Medicine"],"abstract":"<jats:p>Introduction \nMass incarceration, particularly of the mentally ill, continues to pervade our criminal justice system. Jails in many areas have become the largest mental health facilities, especially in large urban communities, despite increasing societal recognition that those with mental illness are not best served behind bars. Misdemeanors are an often-overlooked contributor to mass incarceration, and may be preventable for those with chronic severe mental illness.\nMethods \nThis Northeast Florida pilot program, the Mental Health Offenders Program (MHOP), is based on the successful Miami Eleventh Circuit Court Criminal Mental Health Project. MHOP provided pretrial release from custody, through diversion with a customized plan of care to stabilize defendants, using court supervision to ensure compliance.\nResults \nWith community partners, the MHOP pilot enrolled 20 individuals with chronic severe mental illness and recurrent misdemeanor charges; 15 were able to continue in the program with stabilization of their mental health and reduction of county costs both documented.\nConclusion \nThe MHOP pilot demonstrates that community resources can be successfully shifted to benefit mentally ill, non-violent offenders and the larger community by helping severely mentally ill clients achieve stability by providing healthcare, housing, and income, while decreasing costs for the community in a humane way.<\/jats:p>","DOI":"10.36518\/2689-0216.1423","type":"journal-article","created":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T09:41:01Z","timestamp":1656668461000},"source":"Crossref","is-referenced-by-count":3,"title":["Pilot Mental Health Offender Program Improves Participant Outcomes and Lowers Costs in a Large Urban County"],"prefix":"10.36518","volume":"3","author":[{"given":"Colleen","family":"Bell","sequence":"first","affiliation":[{"name":"Sulzbacher Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsin","family":"Raza","sequence":"additional","affiliation":[{"name":"HCA Florida Orange Park Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kilcrease","sequence":"additional","affiliation":[{"name":"Duval County Courthouse"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara L.","family":"Gracious","sequence":"additional","affiliation":[{"name":"HCA Florida Orange Park Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22435","published-online":{"date-parts":[[2022,6,30]]},"container-title":["HCA Healthcare Journal of Medicine"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:31:31Z","timestamp":1793957491000},"score":1,"resource":{"primary":{"URL":"https:\/\/scholarlycommons.hcahealthcare.com\/hcahealthcarejournal\/vol3\/iss3\/9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,30]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,6,30]]}},"URL":"https:\/\/doi.org\/10.36518\/2689-0216.1423","relation":{},"ISSN":["2689-0216"],"issn-type":[{"value":"2689-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,30]]}}}