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A National Study of Veterans Treatment Court Participants: Who Benefits and Who Recidivates
Authors:Jack Tsai  Andrea Finlay  Bessie Flatley  Wesley J Kasprow  Sean Clark
Institution:1.New England Mental Illness Research, Education, and Clinical Center,Veterans Affairs Connecticut Healthcare System,West Haven,USA;2.Department of Psychiatry,Yale University School of Medicine,New Haven,USA;3.Center for Innovation to Implementation,Veterans Affairs Palo Alto Healthcare System,Menlo Park,USA;4.National Center on Homelessness Among Veterans,Department of Veterans Affairs,Menlo Park,USA;5.Veterans Justice Programs,Veterans Health Administration,Philadelphia,USA;6.National Center on Homelessness Among Veterans,Department of Veterans Affairs,Philadelphia,USA;7.Veterans Affairs Northeast Program Evaluation Center,West Haven,USA;8.Veterans Justice Programs,Veterans Health Administration,Lexington,USA
Abstract:Although there are now over 400 veterans treatment courts (VTCs) in the country, there have been few studies on participant outcomes in functional domains. Using national data on 7931 veterans in the Veterans Affairs (VA) Veterans Justice Outreach program across 115 VA sites who entered a VTC from 2011 to 2015, we examined the housing, employment, income, and criminal justice outcomes of VTC participants; and identified veteran characteristics predictive of outcomes. VTC participants spent an average of nearly a year in the program and 14% experienced a new incarceration. From program admission to exit, 10% more participants were in their own housing, 12% more were receiving VA benefits, but only 1% more were employed. Controlling for background characteristics, a history of incarceration predicted poor criminal justice, housing, and employment outcomes. Participants with property offenses or probation/parole violations and those with substance use disorders were more likely to experience a new incarceration. Participants with more mental health problems were more likely to be receiving VA benefits and less likely to be employed at program exit. Together, these findings highlight the importance of proper substance abuse treatment as well as employment services for VTC participants so that they can benefit from the diversion process.
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