Friday, June 30, 2017

Establishing a Mental Health Treatment Court in a Large Region

By Judge Mark Luoma, 93rd District Court, Alger and Schoolcraft Counties

Back in 2015, a particular individual came before the 93rd District Court in Manistique.  The case was unusual because the defendant was autistic.  I will call him “Joe” to maintain confidentiality, but his story is not uncommon.  


Because of his disability, he lived with his parents until they passed away within a short time of each other.  As a consequence, he was placed in a rural foster care home nearby.  While Joe was autistic, he clearly had the capacity to know right from wrong.
Joe partially adapted to his new home, but not being accustomed to following new rules, it wasn’t long before he began to act out.  One day he left the home, went into a neighbor’s home and appropriated a Nintendo game system.  He was charged with home invasion, arrested, and lodged in jail.  The court staff , the appointed attorney, and the prosecutor and I worked diligently to obtain housing, regular mental health counseling with a caseworker, and medication for Joe.

Assisting Joe in this manner ultimately led to the charges being dismissed, but he had already spent a number of days in jail and he was homeless.  He had no family support.  It was then that I realized that we should consider a mental health treatment specialty court, not only to help individuals like Joe, but to protect the community from victimization.

Without specialty court involvement, the criminal justice system is not equipped to address behavior related to mental health issues.  The mental health treatment court concept envisions the provision of qualitative mental health treatment for individuals who commit crimes where there is a connection between the crime and existing serious mental health issues.  With close probationary supervision, participating individuals are helped with qualified professional mental health services, thereby reducing recidivism.

Joe’s plight is only one example of mental health conditions that judges face every day.  It seems that more often than not an individual’s poor mental health is directly related to criminality.  Judges across this state have concluded that, without innovation, what we have done for decades has not been effective to reduce recidivism.  The revolving door at the “school for crime” (jail) has not been productive for people with serious mental health issues, nor has it been effective in protecting the communities.

Having operated a substance treatment court since 2008 and a veteran’s treatment court since 2015, my staff and I were motivated to establish a mental health treatment court.  Our team faced significant challenges, including lack of money and low numbers of participants for each county.  Alger and Schoolcraft Counties have a total population of 17,556.  Initially, creating a stand-alone specialty court did not appear to be cost-effective when considering the relatively few individuals that would benefit.  The mental health court standards limit treatment court services to only individuals with serious mental health conditions.  Because properly monitoring these cases requires substantial resources, pooling limited resources was the only option.

After consulting with service providers, the team decided to approach the five neighboring counties about establishing a regional mental health treatment court.  A one-year planning grant was provided by SCAO for the purpose of planning and establishing a regional mental health treatment court for Alger, Luce, Schoolcraft, Mackinac, and Chippewa counties.  The region covers the entire eastern half of the Upper Peninsula, and consists of 13,644 square miles and a population of 74,080.

This is no small task.  Distance is an impediment in that it can take almost three hours to drive from one end of the region to the other.  Each county has numerous stakeholders and team members with varying views on specialty courts.  While the Polycom can be used, it is challenging to arrange for full participation of the team members for meetings. 

The mental health court planning coordinator, Karen McDougal, has an immense responsibility in coordinating all necessary resources.  The plan is well on its way to completion and is expected to commence full operation by October 1, 2017.  

“We’re currently in the process of writing service contracts with the Community Mental Health providers and drafting memorandums of understanding between the courts and prosecutors.  We are coordinating three district courts and three probate courts, two circuit courts, and five prosecutors in an area with 11 police departments,” explained McDougal.  “The regional mental health court will be known as the Eastern Upper Peninsula Regional Mental Health Court (EUPMHC).”



Thanks to the generous help from SCAO, treatment team members, the court staffs in each county, and mental health service providers, our goal of integrating mental health services with case processing will become a reality starting this fall.

Judge Mark Luoma graduated from Lake Superior State University, Northern Michigan University, and Thomas M. Cooley Law School.  He worked in private practice for two years before serving as Alger County Prosecuting Attorney for 20 years.  He also served as adjunct criminal justice professor at Northern Michigan University for 10 years.  In 2002, Judge Luoma was elected to the 93rd District Court, which encompasses Alger and Schoolcraft Counties.  In 2008, he established the Alger/Schoolcraft Substance Treatment Court and is in the process of establishing a regional mental health treatment court encompassing five counties for the entire eastern half of the Upper Peninsula.  He resides in Munising with his wife, Jean, and has two adult children.