Courts play major role in mental health advocacy, treatment

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Courts play major role in mental health advocacy, treatment | Opinion


Kathryn Zenoff
 |  Special to the Rockford Register Star

Winnebago County plans expansion at juvenile detention | Video

Winnebago County officials are planning a $1.7 million expansion at the Juvenile Detention Center to add a mental health suite in hopes of reducing recidivism.

Since the month of May was established as Mental Health Awareness Month in 1949, advocates across the country have led its observance and spread the word that few issues impact individuals, communities, and systems quite like mental health.

Millions of people across the country are affected by mental health concerns each year, and nowhere is this more evident than within our courts and justice system.

Commonly cited research estimates 70% of individuals involved in the criminal justice system have a mental health disorder, with 17% of adults (31% of women; 15% of men) living with Serious Mental Illnesses (SMI). Furthermore, 72% of incarcerated adults with SMI also have a co-occurring substance use disorder.

This unfortunate reality requires courts to serve as a significant referral source to community mental health treatment and often places jails in a tenuous position as de facto mental health institutions.

Fortunately, courts and justice partners are in a unique position to move beyond advocacy by bringing communities together to develop and support responses to public health and safety issues that often emanate from undertreated or untreated mental health disorders.

I am proud to bring to your attention the Illinois Courts’ Mental Health Action Plan, which was approved bythe Illinois Supreme Court in November of 2022.

The plan is built on the premise that no one agency or institution can adequately address the overrepresentation of justice-involved individuals with mental health needs, so we all must work together. Although some of the plan’s recommendations are within the control and purview of the courts, other recommendations are driven by systems whose resources or actions may have an impact on the justice system and justice-involved individuals.

Thus, the theme of the Mental Health Action Plan supports a collaborative, multi-disciplinary and cross-systems approach to improving the court and community responses to individuals with mental health needs.

During this Mental Health Awareness Month I urge you to become informed about your court and community’s efforts to improve the intersection between mental health and justice.

For How Illinois Courts are Leading Change, visit: https://www.illinoiscourts.gov/courts/supreme-court/committees-and-commissions/mental-health-leading-change/

Kathryn Zenoff is an Illinois Appellate Court judge. She is also chair of the Illinois Supreme Court Special Advisory Committee For Justice and Mental Health Planning.

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May 16, 2026 at 10:49PM

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