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50 Mitchell Hamline L. Rev. 1 (2024)

handle is hein.journals/wmitch50 and id is 1 raw text is: THE CRIMINALIZATION OF MENTAL ILLNESS
AND SUBSTANCE USE DISORDER: ADDRESSING
THE VOID BETWEEN THE HEALTHCARE AND
CRIMINAL JUSTICE SYSTEMS
Emily B. Egart
I.  INTRODUCTION  .......................................................... 3
II. HISTORICAL BACKGROUND........................................5
A. Deinstitutionalization........................................7
1. Colliding Sociopolitical Movements, Legislation,
and Jurisprudence.............................................. 9
2. The Aftermath of Deinstitutionalization.....12
B. The War on Drugs................................................13
III. CASE HISTORY: THE QUESTION OF STATUS VS. CONDUCT
.........................................................................14
A. Robinson v. California .........................................14
B. Powell v. Texas.....................................................15
C. Manning v. Caldwell.............................................17
IV. CURRENT PROBLEMS................................................... 19
A. Universally     Interwoven      Factors    Inhibit
Appropriate Care.......................................................19
1. Comorbidity and Co-occurring Mental Illness
and Substance Use Disorder .................................19
2. Systemic Stigmas Surrounding Mental Illness
and Substance Use Disorder .............................. 21
B. Trans-institutionalization ...................................23
C. The System's Response to Mental Health Crises 24
D. The Privatization of Mental Health Care and
Medicaid Restrictions................................................26
E. Involuntary Civil Commitment and Treatment
Compliance ................................................................29
F. Access to Treatment and Care Within the Criminal
Justice System............................................................32
1. The Siloed Approach to Drug, Alcohol, and
Mental Health Courts............................................35
V. CURRENT AND POTENTIAL SOLUTIONS ...................... 36

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