Center of Excellence

Center for Justice & Health Meadows Mental Health Policy Institute, Center for Justice & Health, Access to Care | Access to Justice

Jails and emergency rooms are filled with people who have lived with untreated mental illness for years, often cycling in and out of the justice system. The Center for Justice and Health at the Meadows Institute provides data-driven program and policy guidance so that organizations and municipalities throughout Texas and across the nation can more strategically respond to mental health crises. Our goal is to help communities identify people in need earlier and increase access to effective treatment, keeping individuals healthy and out of the justice system.

Lady Justice
What We Do

Strategic Practice Areas

The Center for Justice and Health is focused on justice, safety and wellbeing for people with complex behavioral health conditions. Through the cultivation of cross-systems collaborations, the Center for Justice and Health builds practical and scalable solutions that center on the person in need. The Center for Justice and Health’s work is guided by two principles: “person-centered” policy reform and procedural justice. We employ three primary strategies:

Transforming the Culture of Crisis Response seeks to develop, deploy, evaluate and expand 911 mental health emergency response to ensure that mental health crises can be safely and swiftly identified at the point of call, reducing the likelihood of arrest and incarceration. Through our Person-Centered Triage Approach (PCTA), we are: lowering arrest and use-of-force rates by expanding the ability of call center professionals to more accurately gauge the needs and preferences of callers and to prioritize a health-forward response. With a focus on vulnerable and underserved communities, PCTA is helping restore relationships between first responders and local communities and repair social divisions.

Download Our PCTA Policy Briefing

Increasing Access to Justice aims to research, develop and design collaborative strategies to ensure that incarcerated individuals with behavioral health conditions do not languish in jails and prisons where their conditions worsen, and they lose access to effective care.
Research shows that people with mental illness are at the highest risk of suicide in the first four to seven days of initial detention. To address this, the Center for Justice and Health’s First 48 initiative seeks to help magistrates quickly identify detainees at risk and connect them to potentially lifesaving treatment. By improving outcomes for people with mental illness early in their interaction with the criminal legal system, the First 48 Initiative impacts all downstream activities within that system, allowing the courts to focus on their role of providing a procedurally-just, timely and fair process.

Decreasing Intergenerational Incarceration, seeks to address systemic and multi-generational involvement in the criminal justice system. Studies show that four in 10 children in America grow up with a parent who has spent time in prison, has been convicted of a felony or is facing a criminal charge. The Center for Justice and Health produces research, policy recommendations, and designs upstream solutions to address adverse and systemic vulnerabilities associated with parental incarceration. Through this work, Meadows Institute staff work with courts and justice officials to improve care coordination building procedural pathways to deploy effective prevention and intervention practices in a community setting.

Meet Our Team

The work conducted through the Justice & Health Center would not be possible without our collaborative, talented and passionate team members.

Yolanda Lewis

Executive Director, Center for Justice and Health

John Petrila, JD

Senior Policy Advisor

Ron Stretcher

Senior Director of Systems Management

Laura Slocum, LPC

Senior Director for Crisis System Transformation and Chief of Staff

Tony Fabelo, PhD

Senior Fellow for Justice Policy

Timothy Bray, JD

Vice President of Justice and Health Policy

For more information about the Justice & Health Center,
contact Yolanda Lewis
Executive Vice President for Justice & Health and
Executive Director, Center for Justice & Health

Contact Yolanda
Current justice policies and practices have resulted in millions of people ending up in jails or emergency rooms due to a mental health crisis. The Center for Justice and Health helps community leaders transform their systems.
John Petrila, JD
Senior Policy Advisor, Meadow Mental Health Policy Institute
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In The News

Brain³ Summit
February 23, 2024

Meadows Institute’s Person-Centered Triage Approach

Early intervention is key to promoting brain health and avoiding the criminal justice system, Institute’s Yolanda Lewis tells Brain³ Summit

Pew Charitable Trusts
December 8, 2020

Dallas Works to Avoid Sending People in Crisis to Emergency Rooms or Jails

Pilot program shows early success in rethinking responses to mental health emergencies.

Dallas Morning News
January 19, 2024

‘A Crisis is not a Crime’

When it comes to mental health intervention, the city and county have found a way to collaborate and thrive.