BackgroundThe large and growing number of probationers with mental illnesses pose significant challenges to the probationer officers who supervise them. Stigma towards mental illnesses among probation officers is largely unstudied and the effectiveness of training initiatives designed to educate probation officers about mental illness is unknown. To address these gaps in the literature, we report findings from a statewide mental health training initiative designed to improve probation officers’ knowledge of mental illnesses. A single-group pretest posttest design was used and data about stigma towards mental illnesses and knowledge of mental illnesses were collected from 316 probation officers. Data were collected prior to and shortly after officers viewed a series of educational training modules about mental illnesses.ResultsOfficers’ knowledge of mental illnesses increased and officers demonstrated lower levels of stigma towards persons with mental illnesses as evidenced by scores on a standardized scale.ConclusionMental health education can help decrease stigma and increase knowledge of mental illnesses among probation officers. More research is needed to assess the impact of these trainings on probationers’ mental health and criminal justice outcomes.

No abstract

Justice-involved people with mental illnesses, in general, experience poor criminal justice outcomes (i.e., high rates of recidivism and probation revocations) and are at increased risk of homelessness, unemployment, stigma, trauma, and poor physical health. Low social support is repeatedly associated with worse mental health outcomes in the general population but little is known about social support among probationers with serious mental illnesses. Method: To address these gaps in the literature, we used an observational cross-sectional study design and data from a large, randomized controlled trial of specialty mental health probation to examine self-reported social support and its relationships with mental health functioning and other outcomes for individuals with serious mental illnesses on supervised probation. Results: Probationers who self-reported lower levels of social support also reported greater mental health symptomatology and reported lower quality relationships with their probation officers. Conclusions and Implications for Practice: Low social support among probationers with mental illnesses has important implications for mental health and criminal justice practice and policy. Coordinating services between the criminal justice and mental health systems to offer opportunities for social support and meaningful community engagement for those with mental illnesses who are on probation could improve a number of mental health and criminal justice outcomes for this population. Peer support and supported employment services, for example, in addition to outpatient mental health services, could be two strategies that could address social isolation and help individuals living with mental illnesses optimize their recovery and rehabilitation. Impact and ImplicationsAmong individuals with serious mental illnesses on probation, low levels of social support were associated with greater symptoms of depression and posttraumatic stress disorder, poor mental health functioning, and poor relationships with probation officers. Justice-involved individuals with mental illnesses would benefit from prosocial supports and meaningful community engagement opportunities to reduce social isolation, optimize recovery, and improve outcomes.

In the United States, the number of justice-involved individuals living with mental illnesses is large and growing; however, there is little information about internalized stigma experienced by this population. To address this gap, we assessed internalized stigma and its relationship with symptomatology and demographic and clinical characteristics among 108 probationers with severe mental illnesses. More than third of the sample reported high levels of internalized stigma, and more than half of the sample reported high scores on alienation and social withdrawal subscales. There was a positive and significant correlation between symptomatology and internalized stigma. Interventions to address internalized stigma among justice-involved people with mental illnesses are needed.