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Inner and Outer Contextual Factors Impacting Mental Health and Criminal Legal Cross-Systems Collaborations
Stacey L Barrenger1, Leslie L Wood2,3, Natalie Bonfine2
1Department of Psychiatry, Northeast Ohio Medical University, 4209 St. Rt. 44, PO Box 95, Rootstown, OH, 44272, USA. sbarrenger@neomed.edu.
Administration and Policy in Mental Health
|September 18, 2025
Summary
Coordinated systems-level approaches are crucial for addressing the overrepresentation of individuals with serious mental illnesses in the criminal legal system. Key factors like leadership, funding, and technical assistance support the effectiveness and sustainability of these collaborations.
Area of Science:
- Public Health
- Criminal Justice
- Mental Health Services Research
Background:
- Serious mental illness (SMI) leads to overrepresentation in the criminal legal system.
- Diversion and reentry interventions have limited success.
- Cross-systems collaborations are increasing but poorly understood.
Purpose of the Study:
- To explore operational factors within mental health-criminal legal cross-systems collaborations.
- To identify factors that influence the effectiveness and sustainability of these collaborations.
Main Methods:
- Focus groups and in-depth interviews with stakeholders.
- Analysis guided by the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework.
Main Results:
- Inner and outer contextual factors (leadership, values, funding, data accessibility) are vital.
- Bridging factors, including technical assistance providers and strategies like cross-training and data sharing, support sustainability.
- The EPIS framework effectively guided the analysis of collaboration dynamics.
Conclusions:
- Leadership, funding, and accessible data are critical for operational success.
- Technical assistance and collaborative strategies are essential for long-term sustainability.
- Further research needed on specific factors driving practice implementation and improved outcomes for individuals with SMI.
Keywords:
Collaboration strategiesCriminal legal systemCross-systems collaborationsEPIS frameworkMental health systemSerious mental illnessesMore Related Videos
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