From Ethical Politics
In our complex society, courts are increasingly being asked to address social problems that are not compatible with the traditional system of adversarial justice and punishment. Recurring problems - such as drugs, homelessness, domestic violence, child neglect and abuse, mental illness, driving while intoxicated - come before courts every day. Veterans returning from war zones return traumatized and often can't fit into society. Problem-solving courts attempt to address the root causes of crime by addressing the recurring problems which lead to the criminal offense.
In 1989, the first drug court was started in Miami, Florida and since then, thousands of problem-solving courts have sprung up across the United States and around the world. Problem-solving courts focus on treatment of the underlying issue rather than incarceration. For example, if someone writes bad checks to pay for drugs and is arrested, the drug court approach would be to create a structure of support to get the defendant off drugs. The defendant would likely be regularly drug-tested, required to attend a program such as Narcotics Anonymous, obtain housing and employment, etc. The support structure might include drug treatment, social services, and a whole team of resources. The defendant must comply with the case plan set out for him or her, often over a period of up to three years, or the case reverts to the punishment system.
Judges in problem-solving courts generally take a therapeutic jurisprudence approach whereby they see each defendant as a human being and recognize the role of the court as having opportunity for impacting lasting change. Many such judges become parental figures, meting out advice, enforcing consequences and cheering for success.
Proponents of problem-solving courts argue that there is a significant cost savings. Providing the support for rehabilitation increases the probability that the defendant will become a productive, tax-paying citizen. Opponents of problem-solving courts generally argue that they are soft on crime.
Mental health courts
The problem-solving approach is particularly poignant in the case of mentally ill defendants who may just need the proper medical care to live normal and productive lives. Studies have shown that a large percentage of incarcerated individuals have issues with mental illness. Shannon Murphy in The Flint Journal noted that, "Statewide, it costs more than $130 a day to house someone with a mental health illness in a state prison, according to Michigan budget information." and quoted a local offical as saying, "There are so many in the jail that when they are on their medications can be out in the community as productive members of society." 
Mental health courts versus incarceration
The Flint Journal article on mental health courts went on to note:
- It can cost about $33 per day to send someone through a mental health court.
- It can cost about $125 per day to house someone with a mental illness in a local jail.
- It can cost about $130 a day to house someone in a state prison who has a mental illness.
- It can cost between $500 to $1,000 a day in a psychiatric hospital.
- On average, it costs about $5,500 annually per adult for treatment of a mental illness.
- Nationally about 56 percent of state prisoners and 64 percent of jail inmates had a mental health problem.
- Center for Court Innovation
- Problem-Solving Courts - Resource Guide
- Conference of Chief Justices and State Court Administrators - in support of problem-solving courts
- Problem-Solving Courts: Justice for the 21st Century?. Edited by Paul Higgins and Mitchell Mackinem. Praeger, 2009.
- Video: Judge Peggy Hora talking about the problem-solving approach
- History of Problem-Solving Courts - pdf
- Comprehensive Law - legal alternatives incorporating procedural justice and personal dynamics
Author: J Kim Wright