Public expenditures related to the criminal justice system and to services for arrestees with a serious mental illness

Psychiatr Serv. 2010 May;61(5):516-9. doi: 10.1176/ps.2010.61.5.516.

Abstract

Objective: The study identified expenditures related to criminal justice, health, mental health, and social welfare services over a four-year period for arrestees with serious mental illnesses in a large Florida county and characteristics of subgroups.

Methods: Multiple data sets were used to identify 3,769 persons arrested in a one-year period who had serious mental illnesses. Multiple regression with all variables mutually adjusted was used to explore associations with a log of aggregate criminal justice, health, mental health, and social welfare expenditures.

Results: Aggregate expenditures were $94,957,465, with a median per person of $15,134. Individuals with the highest expenditures were at least 40 years old with a psychotic disorder, an involuntary psychiatric examination, and more arrests and mental health contacts. Medicaid enrollees had higher expenditures than nonenrollees overall but lower criminal justice expenditures.

Conclusions: Identifying characteristics of subgroups with higher expenditures may assist policy makers and providers in designing appropriate criminal justice and treatment responses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Costs and Cost Analysis
  • Crime / economics
  • Criminal Law / economics*
  • Female
  • Florida
  • Health Expenditures / statistics & numerical data
  • Humans
  • Male
  • Medicaid / economics
  • Mental Disorders / economics*
  • Mental Health Services / economics
  • Middle Aged
  • Regression Analysis
  • Retrospective Studies
  • Sex Factors
  • Social Welfare / economics
  • United States
  • Young Adult