Northern Kentucky Regional Mental Health Court spotlight

Northern Kentucky court saves money by treating mentally ill


IN RECENT YEARS, officials in the criminal justice and mental health systems have become increasingly aware that many offenders suffer from mental illnesses. At the same time, counties across the country have grappled with jail overcrowding.

The Northern Kentucky Regional Mental Health Court is tackling these problems in the Greater Cincinnati region. The court, launched with the help of funding from The Health Foundation of Greater Cincinnati, sends offenders with severe mental illnesses to treatment rather than to jail. Since the program began in 2008, it has diverted 123 low-level offenders, saving taxpayers $371,575.

“The Northern Kentucky Regional Mental Health Court has demonstrated that defendants with mental health disorders are more effectively and efficiently served in the community," said David Wilkerson, director of the Training and Development Center/Mental Health Court Services Program at Northern Kentucky University. “It serves as a model program providing intensive, community-based case management that reduces symptoms, improves quality of life, and closes the revolving door of the criminal justice system for this population."

Creating something new for Northern Kentucky

In April 2006, the Campbell County Fiscal Court brought together agencies and individuals in the criminal justice system to create the Criminal Justice Advisory Commission. Its goal: to find ways to ease jail overcrowding in Campbell County. According to the commission, the number of people in local jails in Kentucky had increased 50 percent between 1993 and 1998.

Meanwhile, studies found that many offenders in the criminal justice system had mental health problems. The Bureau of Justice Statistics estimated that in 2005, 479,900 local jail inmates across the country, or 64 percent of the total jail population, had a mental health problem. Locally, a 2003 study by the Health Foundation found that 90 percent of Cincinnati-area men convicted of low-level crimes had at least one previously unidentified mental illness.

The commission conceived the mental health court as a way to ease overcrowding while treating low-level offenders with severe mental illnesses. After helping to fund planning for the court, the Health Foundation awarded $162,000 to the Northern Kentucky University Research Foundation to implement the court.

How it works

After an arrest, people charged with nonviolent misdemeanors and minor felonies in Boone, Campbell or Kenton counties are screened for mental illnesses. Defense attorneys for those flagged with a possible mental illness may ask the judge to send their clients to mental health court for an assessment. Defendants with a history of a mental health disorder or treatment may also be referred for an assessment.

Mental health court clinicians assess those who are referred and determine if they meet the court’s admission criteria. Clinicians look for persistent severe mental illnesses, such as major depression with psychotic features, schizophrenia and bipolar disorder, that have lasted six weeks or longer. The referring judge is notified if a person is eligible for the program. Ultimately, the judge decides who gets diverted to mental health court. If chosen, clients must volunteer for the program; completion of the program will be part of their sentencing.

Once admitted to the program, which lasts at least 12 months, clients can receive medications from NorthKey Community Care or a private physician and counseling from mental health court clinical staff members. They also appear frequently before one of six judges assigned by Chief Justice John D. Minton Jr. to preside over the mental health court. Participants must attend all scheduled treatment appointments and all court dates. To graduate from the program, participants must get the treatment they need, establish stable housing and income, show a reduction in symptoms, avoid criminal charges and improve their social supports.

Promising future ahead

Though the Health Foundation grant has ended, the mental health court has been able to sustain itself by obtaining other funds. The Kentucky Department of Corrections has increased its funding of the court each year, reaching $194,075 in fiscal year 2012. In addition, the fiscal courts of Boone, Campbell and Kenton counties have provided $89,061 in funding for 2012.

All six judges appointed to the mental health court are still presiding over the program. They hear cases twice weekly in all three counties. The staff of three case managers, a clinician, a court administrator and a clinical director works out of a permanent office at the Campbell County Circuit Courthouse in Newport. After only three years, the Northern Kentucky Mental Health Court has become an established part of the local court system that can help people with mental illnesses in the criminal justice system.

← Back to Grantee Spotlight Overview

Health Watch

Greater Cincinnati Health Watch is a free biweekly e-mail newsletter published by Interact for Health.

Sign Up Now

Prescription Drop Box Map

Happening Now

  • Traumatic experiences among children in Greater Cincinnati

    According to the Centers for Disease Control and Prevention, children need “safe, stable, nurturing relationships and environments” to grow up to be healthy. A lack of healthy relationships and environments or adverse childhood experiences (ACEs) can lead to long-term health challenges and negative health outcomes.

    Learn More

  • Seven in 10 parents in the region reported that their child’s teeth were excellent or very good

    The 2017 Child Well Being Survey (CWBS) asked parents and guardians in Greater Cincinnati and Northern Kentucky to rate their child’s dental health and asked how many times their child had seen a dentist for preventive care in the past 12 months.

    Learn More

  • Access to health care among children in Greater Cincinnati

    Most children in Greater Cincinnati and Northern Kentucky have a usual place to go when they are sick or need advice about health.

    Learn More

  • Health insurance coverage among children in our region

    Most parents and guardians reported that their child had health insurance coverage in the past 12 months.

    Learn More

  • Delayed health care among children in Greater Cincinnati

    Most parents reported that their child received health care when it was needed.

    Learn More

  • Chronic medical conditions prevalent among Greater Cincinnati children

    Asthma, attention deficit hyperactivity disorder (ADHD) and anxiety are the most commonly diagnosed chronic conditions among children in the Greater Cincinnati region, according to data collected through the 2017 Child Well-Being Survey.

    Learn More

  • Most Ohio adults think state should adopt health education standards

    The Ohio Health Issues Poll (OHIP) is conducted every year to learn more about the health opinions, behaviors and status of adults in Ohio. In 2017, OHIP asked Ohio adults about state health education standards.

    Learn More

  • Health and healthy behaviors among youth in our region.

    The 2017 Child Well-Being Survey (CWBS) asked parents and guardians of youth in Greater Cincinnati and Northern Kentucky to describe the overall health of their child. CWBS also asked about specific health behaviors such as physical activity and sleep patterns.

    Learn More

  • Results show shift in perception from substance abuse being seen as moral failure to a chronic illness.

    The Kentucky Health Issues Poll (KHIP) found that 7 in 10 Kentucky adults believe that addiction is a disease (70%). Attitudes towards addiction as a disease were the same both among respondents who have a family member or friend who has experienced problems with substance abuse, and among those who did not indicate such firsthand experience with addiction.

    Learn More

  • Kentucky adults continue to cite heroin use as causing problems for friends, family

    The most recent Kentucky Health Issues Poll (KHIP) and Ohio Health Issues Poll (OHIP) has found that more than 2 in 10 Ohio adults (23%) report knowing someone who has trouble as a result of using heroin, while just under 2 in 10 Kentucky adults (16%) report knowing someone affected by heroin use.

    Learn More