Opinion

Texas courts step up on mental health

The Supreme Court of Texas and the Court of Criminal Appeals have joined together to create a commission that will focus the attention of the highest judicial officials in the state on mental health.
The Supreme Court of Texas and the Court of Criminal Appeals have joined together to create a commission that will focus the attention of the highest judicial officials in the state on mental health. Thinkstock

In January, the Supreme Court of Texas and the Court of Criminal Appeals, for the first time, formally joined together as one court to focus the attention of the highest judicial officials in the state on one topic: mental health. People from across the state appeared before Texas’ high courts to testify on how the judicial branch can play a key role in transforming the way we treat people with mental health needs.

This week the result of that hearing, a groundbreaking, permanent Judicial Commission on Mental Health, met for the first time in Austin, with 31 commissioners and dozens of mental health advocates and professionals coming together as a whole new problem-solving model for the Texas court system.

Interest in serving on this commission, in whatever capacity, has been unprecedented, largely because of the great challenge we face. Until now, our traditional model of crime and punishment has been poorly equipped to handle defendants with mental health issues. No young person or adult enters or exits our juvenile or criminal justice systems without a judge serving as gatekeeper. Civil courts, as well, handle many cases that require an understanding of complex mental health issues.

To make good decisions, courts must have specialized training, an understanding of best practices and

of the resources available to treat people with the care they need, which can vary widely by person and problem. There is no law school or single source to adequately prepare our judges and lawyers for the kinds of mental health problems they must address in our courts. Judges and lawyers often need input from family, professionals, and other experts to achieve better outcomes and appropriately meet these needs of people in crisis.



The National Center for State Courts has cited a need for nothing less than a cultural shift in our courts, and accordingly, Texas judges have made the decision to step up and lead the way with reforms.

The Judicial Commission on Mental Health will spearhead improvements in the quality, effectiveness, and timeliness of decisions affecting those with mental illness in the justice system. The Commission will broaden collaboration to promote better policy development, judicial education, data sharing and performance measurement. The Commission will also focus attention on specialized needs where one size does not fit all, as in our rural communities or among populations that are generalized due to a lack of resources. And I am confident that the Commission will prove to be an invaluable resource for the Texas Legislature as it develops policy solutions and will serve as an advocate and leading authority to craft, test, and expand ideas that work.

This is a massive undertaking, but then, we face a massive problem. According to a survey commissioned

by the Meadows Mental Health Policy Institute, three of every four Texas voters have a friend or family member who has experienced a mental health need. Those who come into the court system suffering from unmet needs deserve jurists trained to identify and address the problem.

The historic joint hearing occurred on the eve of Martin Luther King Jr. Day, which inspired me to tell the gathered judges: Today, I have a dream:

that that no one will be deprived of equal justice before the law because of a mental illness;

that our jails will not become proxies for the lack of available treatment centers;

that individuals in our system of justice will be judged neither for the color of their skin nor for the health of their minds;

that individuals and families who face mental-health challenges will find it ‘Okay to Say,’ without fear of stigma or retribution; and

that the judiciary will join hands with the vast array of stakeholders in this great endeavor to expand their focus beyond punishment to healing those in need.

I applaud the Texas judiciary for taking the first steps to join hands with the vast array of stakeholders in this great endeavor to expand their focus beyond punishment to healing those in need.

The Honorable Harriet O'Neill served two terms on the Supreme Court of Texas, retiring in 2010. She now serves on the board of the Meadows Mental Health Policy Institute.

  Comments