OBJECTIVE This study looked at, in addition to subsequent arrest, emergency medical services (EMS) events as an outcome of participation in mental health court (MHC). METHODS We linked information from participants of a MHC in Marion County, Indiana with jail booking and EMS services data. To understand programmatic impact, we looked at differences in jail bookings and EMS events within one year prior to and one year after MHC participation. We ran paired t-tests to understand whether correlations were significant. We also considered differences in outcomes between those who successfully completed MHC versus those who did not. RESULTS MHC participation was significantly associated with a reduction in jail bookings and EMS events in the 12 months after program participation compared to the 12 months before. When comparing MHC participant groups, a significant reduction in jail bookings is found consistently whereas a significant reduction in EMS events was found in only some participant groups: the entire MHC group and the misdemeanor-level court (PAIR) participants when they successfully completed the program. CONCLUSIONS EMS utilization should be an outcome of consideration in evaluating the success and cost savings of MHCs. Where MHCs do not result in significantly reduced EMS events, communities should consider what individual-level and community-level factors contribute to this and adjust accordingly.

中文翻译：

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来自最早的精神卫生法院之一的参与者中的逮捕和紧急医疗服务事件。

目的除随后被捕外，本研究还研究了因参加精神健康法院（MHC）而导致的紧急医疗服务（EMS）事件。方法我们将印第安纳州马里恩县MHC参与者的信息与监狱预订和EMS服务数据联系在一起。为了了解计划的影响力，我们研究了参与MHC的一年之前和之后一年内在监狱预订和EMS事件方面的差异。我们进行了配对的t检验，以了解相关性是否显着。我们还考虑了成功完成MHC的人与未成功完成MHC的人之间的结局差异。结果与参与计划的12个月相比，参与计划的12个月中MHC的参与与监狱预订和EMS事件的减少显着相关。在比较MHC参与者组时，始终发现监狱服刑量显着减少，而仅在某些参与者组中发现EMS事件显着减少：整个MHC组和轻罪级法院（PAIR）参与者成功完成该计划后。结论在评估MHC的成功和节省成本时，应考虑使用EMS。在MHC不会显着减少EMS事件的情况下，社区应考虑哪些个人级别和社区级别的因素对此造成影响并做出相应调整。结论在评估MHC的成功和节省成本时，应考虑使用EMS。在MHC不会显着减少EMS事件的情况下，社区应考虑哪些个人级别和社区级别的因素对此造成影响并做出相应调整。结论在评估MHC的成功和节省成本时，应考虑使用EMS。在MHC不会显着减少EMS事件的情况下，社区应考虑哪些个人级别和社区级别的因素对此造成影响并做出相应调整。