Integration of Substance Use Disorder Treatment Into a Traditional Community Mental Health Treatment System.

In response to the opioid crisis, Catholic Charities of Baltimore sought to integrate substance use disorder treatment into their outpatient community mental health clinics. The agency developed a systematic practice improvement strategy that included a competency-based curriculum and supervision plan for psychiatric providers and therapists. Psychiatric providers developed competency with medications used to treat substance use disorders, and therapists developed competency in therapeutic modalities to treat substance use disorders, all of which were gradually integrated into outpatient clinics. This column demonstrates that integration of substance use disorder treatment into outpatient community mental health care is feasible and beneficial.

Transferring juvenile defendants from adult to juvenile court: how Maryland forensic evaluators and judges reach their decisions.

The purpose of the study was to determine how often Maryland judges agreed with the opinions of forensic evaluators in deciding whether to transfer youthful defendants to juvenile court from adult court and to investigate which factors were most important in the opinions of the evaluators and the final decisions of the judges. Data were extracted from a sample of 200 waiver evaluations, and case outcomes were determined. Factors were examined with both univariate analysis and logistic regression models, to find correlates to and predictors of judges' decisions and evaluators' opinions. The most important factor influencing the decision of the judges was the forensic evaluators' opinions. Logistic regression analysis identified three factors that were significant predictors of the evaluator's opinion: public safety risk, history of the involvement of Department of Juvenile Services, and defendant's age at the time of the offense. The judges' decisions correlated strongly with the forensic evaluators' opinions.