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Easter MM, Swanson JW, Crozier WE, Robertson AG, Garrett BL, Modjadidi K, Swartz MS. North Carolina Specialty Courts, Treatment Access, and the Substance Use Crisis: A Promising but Underfunded Model. Psychiatr Serv 2021; 72:1471-1474. [PMID: 34139882 DOI: 10.1176/appi.ps.202000868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Treatment courts aim to reduce criminal recidivism by addressing the behavioral health care needs of persons with psychiatric or substance use disorders that contribute to their offending. Stable funding and access to behavioral health providers are crucial elements of success for the treatment court model. What happens when courts lose state funding and must rely on local initiatives and resources? In this study, a survey of North Carolina treatment court professionals identified resource gaps and unmet needs. The authors argue that continuing state investment could make treatment courts more viable and effective. Medicaid expansion is a potential new resource for these problem-solving courts.
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Affiliation(s)
- Michele M Easter
- Division of Child/Family Mental Health and Community Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Easter, Swanson, Robertson, Swartz); Wilson Center for Science and Justice, Duke University School of Law, Durham, North Carolina (Crozier, Garrett); RTI International, Durham, North Carolina (Modjadidi). Marvin S. Swartz, M.D., and Steven Starks, M.D., are editors of this column. Lisa B. Dixon, M.D., M.P.H., was decision editor for the manuscript
| | - Jeffrey W Swanson
- Division of Child/Family Mental Health and Community Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Easter, Swanson, Robertson, Swartz); Wilson Center for Science and Justice, Duke University School of Law, Durham, North Carolina (Crozier, Garrett); RTI International, Durham, North Carolina (Modjadidi). Marvin S. Swartz, M.D., and Steven Starks, M.D., are editors of this column. Lisa B. Dixon, M.D., M.P.H., was decision editor for the manuscript
| | - William E Crozier
- Division of Child/Family Mental Health and Community Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Easter, Swanson, Robertson, Swartz); Wilson Center for Science and Justice, Duke University School of Law, Durham, North Carolina (Crozier, Garrett); RTI International, Durham, North Carolina (Modjadidi). Marvin S. Swartz, M.D., and Steven Starks, M.D., are editors of this column. Lisa B. Dixon, M.D., M.P.H., was decision editor for the manuscript
| | - Allison G Robertson
- Division of Child/Family Mental Health and Community Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Easter, Swanson, Robertson, Swartz); Wilson Center for Science and Justice, Duke University School of Law, Durham, North Carolina (Crozier, Garrett); RTI International, Durham, North Carolina (Modjadidi). Marvin S. Swartz, M.D., and Steven Starks, M.D., are editors of this column. Lisa B. Dixon, M.D., M.P.H., was decision editor for the manuscript
| | - Brandon L Garrett
- Division of Child/Family Mental Health and Community Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Easter, Swanson, Robertson, Swartz); Wilson Center for Science and Justice, Duke University School of Law, Durham, North Carolina (Crozier, Garrett); RTI International, Durham, North Carolina (Modjadidi). Marvin S. Swartz, M.D., and Steven Starks, M.D., are editors of this column. Lisa B. Dixon, M.D., M.P.H., was decision editor for the manuscript
| | - Karima Modjadidi
- Division of Child/Family Mental Health and Community Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Easter, Swanson, Robertson, Swartz); Wilson Center for Science and Justice, Duke University School of Law, Durham, North Carolina (Crozier, Garrett); RTI International, Durham, North Carolina (Modjadidi). Marvin S. Swartz, M.D., and Steven Starks, M.D., are editors of this column. Lisa B. Dixon, M.D., M.P.H., was decision editor for the manuscript
| | - Marvin S Swartz
- Division of Child/Family Mental Health and Community Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina (Easter, Swanson, Robertson, Swartz); Wilson Center for Science and Justice, Duke University School of Law, Durham, North Carolina (Crozier, Garrett); RTI International, Durham, North Carolina (Modjadidi). Marvin S. Swartz, M.D., and Steven Starks, M.D., are editors of this column. Lisa B. Dixon, M.D., M.P.H., was decision editor for the manuscript
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