How to Solve the Problem of Crime

Here is a cost neutral way to solve the social problem of crime.

When a criminal defendant is arrested, they are usually held until they see a First Appearance judge within 24 hours of arrest. At First Appearance, the judge will often determine bond issues.

First Appearance is often a criminal defendant’s first contact with the judicial system, their first contact with someone empowered to solve the problem of crime. First Appearance judges can:

1. Learn the patterns of mental illness that fly below the radar. Substance abuse is an obvious red flag. Driving on a suspended license isn’t, but should be.

2. Order a Diagnostic Psychological Evaluation as a condition of bond. Do not order cookie cutter treatment such as Batterer’s Intervention Program, Anger Management, AA or NA. Diagnosis first, treatment second.

3. Impose a condition that the defendant follow through with treatment as recommended while the case is pending. A limited medical release can be required for the purpose of ensuring compliance with this condition of bond.

The key to effective intervention is diagnosis first. The failure to properly diagnose criminal defendants is why Drug Court, Shoplifters anonymous, court ordered AA/NA and Anger Management counseling programs are statistical failures: The wrong treatment is often worse than no treatment at all.

A proper diagnostic evaluation is not a fifteen minute question and answer session with a counselor with a bachelor’s degree. Such a drive through diagnostic session is a waste of the counselor’s and the patient’s time. Yet this is exactly how most court ordered programs operate.

The best practice is one of two methods of diagnosis:

1. Medicine: A SPECT brain scan by a well-trained psychiatrist, such as those at Amen Clinic. However, it is too expensive for a judge to impose it as a condition of bond. As the technology becomes more available, that will change. A full imaging and follow through will cost around $4,000.00.

2. Psychology: A Mental Status Exam coupled with Advanced Psychometric Testing, such as the MMPI-II and the MCM-III. A full battery of tests can be done for about $750.00 – well within the means of most who want to get out of jail.

A diagnostic evaluation and follow through treatment is not with the means of every single criminal defendant. However, it is within the means of most. After all, the courts have been imposing treatment without adequate diagnosis for years.

Just look at well that system has worked.

Respectfully submitted,

Stephen G. Cobb
CobbLawFirm.com