Date of Conferral

8-8-2025

Degree

Ph.D.

School

Criminal Justice

Advisor

Clarence Williamson

Abstract

The purpose of this quantitative descriptive study was to investigate the levels of collaboration between mental health agencies in Hamilton County, Tennessee, which provide services to individuals who were arrested at least five times between 2018 and 2021, released from jail, and who were diagnosed with serious and persistent mental illness (SPMI). The primary research question revolves around the problem: in Hamilton County, Tennessee, despite available resources for those with SPMI, the current system for continuity of care does not include collaboration, which assists with holistic services to reduce recidivism. Respective services focus on single risk/need areas, leaving other issues insufficiently addressed. The Advocacy Coalition Framework (ACF) provides the structure for research on this issue. Key areas of inquiry include whether resource providers collaborate to connect clients with SPMI with appropriate services, the frequency, duration, and cost of care within a 5-year period; the impacts of resource funding on continuity of care; and subsequent linking of SPMI clients to subsequent services. A sample population of individuals, representing the most frequent users of the Hamilton County jail from 2018 to 2021, was quantitatively evaluated using cross-case and statistical analysis. Key findings revealed interaction rates with identified service providers, the key services provided to those with SPMI to address individual risks and needs, and the impact of those with SPMI and recidivism. Recommendations regarding systems integration, evaluation of need, and case management methods are included in the study results, in addition to social change implications supported by ACF.

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