Identifying Multilevel Community Supervision Challenges to Inform Diversion Approaches for People with Mental Illnesses.

Efforts to divert people with mental illnesses from the criminal legal system are widespread among mental health and criminal justice authorities. Most diversion efforts focus on directing individuals with mental illnesses to treatment; however, these treatment-focused interventions are an insufficient approach to diverting people with mental illnesses from the criminal legal system and fail to adequately address organizational and system-level factors that impact criminal legal system involvement. The current study uses a social ecological approach to identify multilevel supervision challenges that probation officers face in diverting people with mental illnesses from future criminal legal system involvement. Twenty-six probation agency representatives from across the United States were interviewed as part of a larger study about supervising people with mental illnesses on probation. Salient themes indicate diversion targets related to: (1) probation officer and agency capacity, (2) inter-organizational relationships and roles, and (3) resources and systems in the local community. A comprehensive framework for diversion must include a both-and approach that maintains focus on individual-level supports and predictors of recidivism and violations, while also targeting the macro- or system-level factors that create the conditions for recidivism at the individual level.