Mason Burley - October 2011

In 2012, recent amendments to Washington State’s Involuntary Treatment Act (ITA) will take effect. New legal guidelines will allow a designated investigator to more fully consider information from both credible witnesses and historical records when making commitment decisions. The 2010 Legislature directed the Washington State Institute for Public Policy (Institute) to estimate the number of additional psychiatric admissions that may occur as a result of this law and examine how many inpatient psychiatric beds may be necessary to accommodate this increase. These estimates were presented in a companion to this report (completed in July 2011).

This report outlines various approaches for addressing the projected increase in psychiatric admissions. First, we discuss options for developing additional capacity within the state’s inpatient psychiatric system. Next, we highlight both programmatic and statutory alternatives that may help prevent (or divert) future psychiatric admissions. This section also summarizes laws from four different states that provide for alternatives to involuntary inpatient admissions. Finally, this report examines the relationship between ITA-related psychiatric admissions and utilization of both county jails and hospital emergency departments.

David Lovell, Jim Mayfield - March 2007

In 1999, legislation was passed to better identify and provide additional mental health treatment for mentally ill offenders who were released from prison, who pose a threat to public safety, and agree to participate in the program. A “Dangerous Mentally Ill Offender” (DMIO) is defined by the legislation as a person with a mental disorder who has been determined to be dangerous to self or others.

As part of its legislative mandate, the Washington State Institute for Public Policy has published a series of reports that evaluate the DMIO program. A 2005 report demonstrated that the DMIO program significantly reduced recidivism after 1 1/2 years, and the 2007 follow-up report found that reductions in recidivism were sustained at the 2 1/2 year mark. The benefit-cost analysis in that report indicated that the reductions in DMIO recidivism generated financial benefits to taxpayers that were more than program costs.

This report examines how DMIO program funds are being used, how services and billings are tracked, changes in mental health funding, interagency collaboration, and how these impact program viability.

Robert Barnoski - June 2006

This report estimates whether the Sex Offender Treatment Program (SOTP) reduces recidivism by comparing the recidivism rates of sex offenders who were willing but did not participate in SOTP with those who did participate in the program.

Mason Burley, Jim Mayfield - December 2001

In 1995, Washington State implemented policies for at-risk youth intended to protect children and help families reconcile. Known as the "Becca Bill," the policies include court intervention for at-risk youth and provisions for mandatory treatment of youth with chemical dependency problems. The bill established secure crisis residential centers (CRCs), which prevent youth from leaving CRCs without parent or staff permission. During their stays in secure CRCs, youth and their families are referred to counseling and treatment services. The 2000 Washington State Legislature directed the Washington State Institute for Public Policy to examine outcomes for Becca youth.

Mason Burley - October 2008

In 2001, the Washington State Legislature directed the Institute to conduct a study of the long-term outcomes of the state’s more than 120,000 public mental health consumers. In Washington, community mental health services are overseen by 13 Regional Support Networks (RSNs) under contract with the state Division of Mental Health.

The purpose of this report is to examine regional variations—related to client characteristics, availability of services, patterns of service utilization, and the extent of evidence-based practices—and lay the groundwork for future analyses of long-term outcomes among adult consumers of mental health services in Washington State.

Robert Barnoski - November 1999

In 1997, the Washington State Legislature determined that the system for transitioning the highest-risk youth from state institutions to parole did not provide adequate rehabilitation and public safety. The Legislature found that intensive supervision, as described in the intensive parole model of the Office of Juvenile Justice and Delinquency Prevention (OJJDP) was a promising strategy for reducing recidivism rates for these juvenile offenders. JRA contracted with the Institute to evaluate the program's implementation, determine whether the program reduces recidivism, and analyze its costs and benefits to taxpayers and crime victims. This report describes the implementation of intensive parole to date.

Polly Phipps, Bill Luchansky, Mina Halpern - January 2002

The 2000 Legislature passed Second Substitute House Bill 2663, providing for the distribution of atypical antipsychotic medications to underserved populations who present a risk of harm to themselves and the community. This interim report provides descriptive statistics on the programs, the participants, and preliminary access and funding results.

Sharon Silas, Scott Matson, Roxanne Lieb - February 1998

This report analyzes the projects funded by the Community Public Health and Safety Networks during the first year funding cycle (FY1997).  Information was obtained for 544 projects funded by 42 (of 53) Networks.  Project outcomes and measurement tools are examined, as well as the types of work performed and any results produced.  Projects funded for this first year lasted about four months.  Therefore, only initial results are discussed in this report. 

John Bauer, Eva Westley, Madeline Barch, Mason Burley, Julia Cramer, Noa Kay - December 2016

WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts, with additional support from the Robert Wood Johnson Foundation, to extend WSIPP’s benefit-cost analysis to certain health care topics.

We present meta-analytic findings for programs in four health care areas: 1) the promotion of healthy pregnancy and birth; 2) therapies to treat opioid use disorder; 3) the integration of behavioral health and primary care, and 4) patient-centered medical homes.

Steve Aos, Stephanie Lee, Elizabeth Drake, Annie Pennucci, Tali Klima, Marna Miller, Laurie Anderson, Jim Mayfield, Mason Burley - July 2011

The 2009 Washington Legislature directed the Institute to “calculate the return on investment to taxpayers from evidence-based prevention and intervention programs and policies.” The Legislature instructed the Institute to produce “a comprehensive list of programs and policies that improve . . . outcomes for children and adults in Washington and result in more cost-efficient use of public resources.” The Legislature authorized the Institute to receive outside funding for this project; the MacArthur Foundation supported 80 percent of the work and the Legislature funded the other 20 percent. This main report summarizes our findings. Readers can download the two detailed technical appendices for in depth results and statistical methods.