RT Journal Article SR Electronic T1 Adverse Impacts of Mental Health Needs Assessment on Jail Outcomes JF Journal of Human Resources FD University of Wisconsin Press SP S282 OP S316 DO 10.3368/jhr.1222-12713R2 VO 59 IS S A1 Cunningham, Scott A1 Seward, Jonathan A. A1 Clay, Karen A1 Vigliotti, Vivian S. YR 2024 UL http://jhr.uwpress.org/content/59/S/S282.abstract AB We investigate the causal impact of jail mental health needs scores, assigned by clinicians, on youth and adult outcomes. Utilizing an instrumental variable (IV) approach leveraging quasi-random assignment of intake clinicians, we find that worse scores increase incarceration duration and suicide attempts in both groups and recidivism in adults. For the marginal person, worse scores may lead to consequences like prolonged jail stays, which counteract potential benefits. We discuss possible mechanisms, including the existence of a mental health docket for misdemeanors, and effects of scores on bond posting, mental health care, type of housing within the jail, and length of stay.