Mentally Ill in Corrections - Treatment
AOT is a court order that requires certain persons with serious mental illness to stay in mandated and monitored treatment as a condition for living in the community. AOT reduces violence, arrest, hospitalization and incarceration of persons with serious mental illness in the 70% range and
thereby saves taxpayers 50% of the cost of care.
Access to keynote remarks, comments, Q and A, presentations, and handouts from a seminar on the impact of families on community reentry are available at this website. "Families as sources of support, conflict and domestic violence, parent-child relationships, and parole practices and expectations are among the topics covered" (p. 1). Based primarily on research conducted with men returning home from prison and their wives and girlfriends, Dr. Creasie Finney Hairston (UIC) provides an overview of how families experience and manage community reentry. The presentation describes the impact of incarceration and community reentry on family relationships. Families as sources of support, conflict and domestic violence, parent-child relationships, and parole practices and expectations are among the topics covered. Comments are provided by Stephen Gavazzi (OSU); Kim Hettel (GOFBCI); and Rachael Woldoff (WVU).
A discussion paper that identifies key questions and issues every policymaker should consider when seeking to help people leaving prison and jail connect to needed mental health and substance use treatment.
"[H]istorical , legal, and ethical issues relevant to dealing with mental illness in the field of corrections" are discussed (p. iii). Chapters include: introduction; screening and assessment; mental health and substance abuse treatment; use of seclusion, segregation, and restraints; suicide prevention; treating women offenders; psychopharmacological intervention for psychiatric disorders; transitional services; treatment of special populations (e.g., persons with mental retardation or developmental disability, violent offenders, sex offenders, and older adults); and profiles of three states (Maryland, Oregon, and Texas).
The GAINS Center focuses on expanding access to services for people with mental and/or substance use disorders who come into contact with the justice system.
People with co-occurring mental illnesses and substance use disorders—also known simply as co-occurring disorders—have complex needs that require integrated responses across jails and behavioral health systems. However, staff often do not know how many people with co-occurring disorders reside in the jail or do not know how to respond when they recognize the symptoms. This brief outlines how jail administrators and staff can improve their responses to this population by implementing practices that focus on identification and provision of services: conducting standard screening and assessment for both, linking people to services through collaborative comprehensive case management, and assessing effectiveness through regular performance measurement tactics.
This report is a great introduction to strategies for treating offenders with serious mental illness (i.e., schizophrenia, schizoaffective disorder, bipolar disorder, or major depression) in jails, prisons, forensic hospitals, or community reentry programs. The researchers “identified some promising treatments for individuals with serious mental illness during incarceration or during transition from incarceration to community settings. Treatment with antipsychotics other than clozapine appears to improve psychiatric symptoms more than clozapine in an incarceration setting. Two interventions, discharge planning with Medicaid-application assistance and integrated dual disorder treatment programs, appear to be effective interventions for seriously mentally ill offenders transitioning back to the community” (p. vii).
- A brief review of the origins, background and framework of the Massachusetts Community Justice Project and workshop;
- A Sequential Intercept Map as developed by the group during the workshop;
- A summary of the information gathered at the workshop;
- A list of best practices and resources to help the partners in the Lawrence region action plan and achieve their goals
This "background analysis examines how individuals with mental illness are processed and treated in the criminal justice system and discusses the implications of insufficient or inadequate care for these individuals. In particular, the main objectives of this paper are to review current practice in the processing of mentally ill offenders, assess societal and economic costs associated with recidivism and insufficient care for this population, and highlight promising strategies to tackle challenges involved in the reintegration of mentally ill offenders into society" (p. 1). Sections following an executive summary are: introduction; research objective and focus—severe mental illness among individuals involved in the criminal justice system; data and methodology; findings related to the scope of the problem, costs associated with managing mentally ill individuals in the criminal justice system, current practice and policy, and criminal justice programs and interventions for mentally ill individuals; research and policy recommendations; and conclusion.