BackgroundWith significant numbers of individuals in the criminal justice system having mental health problems, court-based diversion programmes and liaison services have been established to address this problem.AimsTo examine the effectiveness of the New South Wales (Australia) court diversion programme in reducing re-offending among those diagnosed with psychosis by comparing the treatment order group with a comparison group who received a punitive sanction.MethodThose with psychoses were identified from New South Wales Ministry of Health records between 2001 and 2012 and linked to offending records. Cox regression models were used to identify factors associated with re-offending.ResultsA total of 7743 individuals were identified as diagnosed with a psychotic disorder prior to their court finalisation date for their first principal offence. Overall, 26% of the cohort received a treatment order and 74% received a punitive sanction. The re-offending rate in the treatment order group was 12% lower than the punitive sanction group. ‘Acts intended to cause injury’ was the most common type of the first principal offence for the treatment order group compared with the punitive sanction group (48% v. 27%). Drug-related offences were more likely to be punished with a punitive sanction than a treatment order (12% v. 2%).ConclusionsAmong those with a serious mental illness (i.e. psychosis), receiving a treatment order by the court rather than a punitive sanction was associated with reduced risk for subsequent offending. We further examined actual mental health treatment received and found that receiving no treatment following the first offence was associated with an increased risk of re-offending and, so, highlighting the importance of treatment for those with serious mental illness in the criminal justice system.

IMPORTANCE Psychosis is a known risk factor for offending behavior, but little is known about the association between clinical contact with mental health services after an offense and reoffending.OBJECTIVE To examine the association between early contact with mental health services and reoffending after an index offense in individuals with psychosis. DESIGN, SETTING, AND PARTICIPANTSIn this cohort study, individuals diagnosed with psychosis before their index offense from July 1, 2001, to December 31, 2012, and who received a noncustodial sentence were identified by linking health and offending databases in New South Wales, Australia. The incidence of and risk factors for reoffending and time to reoffending within 2 years from the index offense were examined using Cox proportional hazards regression and Kaplan-Meier survival estimates. Specifically, the association between contact with mental health services within 30 days after an offense and reoffending was examined. Data were analyzed from July 1, 2019, to March 5, 2020.EXPOSURES Hospital admission, emergency department presentation, and contact with community mental health services associated with psychosis. MAIN OUTCOMES AND MEASURESReoffending within 2 years of the index offense was compared in individuals with and without clinical contact with mental health services within 30 days after an offense, with adjustment for potential confounders. RESULTSOf the 7030 offenders with psychosis (4933 male [70.2%]; median age at the index offense, 34 [interquartile range, 26-42] years), 2605 (37.1%) had clinical contact with mental health services within 30 days after the index offense. The risk of reoffending was significantly lower in those with vs without clinical contact (adjusted hazard ratio [AHR], 0.83; 95% CI, 0.76-0.91). The risk of reoffending was 30% less in male offenders with 5 or more clinical contacts compared with male offenders with no clinical contact (AHR, 0.71; 95% CI, 0.59-0.84). Reoffending in both male and female offenders was associated with younger age (eg, AHR for male offenders aged <18 years, 3.31 [95% CI,; AHR for female offenders aged <18 years, 2.60 [95% CI, 1.69-3.99]) and offending history (eg, AHR for male offenders with Ն4 prior offenses, 2.28 [95% CI, 1.98-2.64]; AHR for female offenders with Ն4 prior offenses, 2.22 [95% CI, 1.67-2.96]). CONCLUSIONS AND RELEVANCEIn this cohort, early and frequent clinical contact with mental health services after an offense in individuals with psychosis was associated with reduced risk of reoffending in this group. More support may be needed for early treatment of those with serious mental illness who are at risk of reoffending.

Prison inmate health surveys consistently show high proportions of prisoners have mental health problems; however, scholarly opinion is divided on the contribution of mental illness to offending. Some contend that mental illness is not a cause of offending and that mental health treatment will not reduce offending. Others maintain mental health treatment can reduce the risk of offending among persons with a significant mental illness. In this article we report the results of a rigorous evaluation of the effectiveness of mental health treatment in reducing offending amongst a cohort of defendants with a diagnosis of psychosis. We find evidence that the provision of mental health treatment to defendants with a psychotic illness does significantly reduce the risk of further offending.

This population-based case-control study examines the association between psychosis and criminal convictions in New South Wales (NSW), Australia, using data from several health and offending administrative data collections. Cases were individuals diagnosed with psychosis between 2001 and 2012 ( n = 86,461). For each case, two age- and sex-matched controls with no diagnosis of psychosis were selected. Criminal convictions were identified using the NSW Reoffending Database. Cases were approximately 5 times more likely to offend compared with controls, adjusted odds ratio (aOR) = 4.68, 95% confidence interval (CI) = [4.55, 4.81], and accounted for 10% of all criminal convictions in NSW between 2001 and 2015. The prevalence of at least one criminal conviction was 30% among cases compared with 6% among controls. The results from this study confirm previous work regarding the association between psychosis and criminal convictions. More work is needed to better articulate the mechanisms for this association to enable prevention strategies to be developed.

Collaborative music listening can support intergenerational connectedness. We conducted an environmental scan of video conferencing and music listening platforms and cognitive walkthroughs to investigate how these platforms can support collaborative music listening and conversation between a grandparent and teen grandchild. Our results indicate that common video conferencing platforms not only lack a convenient way to share music, but typically block audio from music listening apps played on the same device, preventing sharing. Further, while music streaming platforms enable connected friends to share songs and others' playlists, they do not provide a means for smooth synchronous conversing about the music. Thus, this highlights opportunities for technology improvement to support intergenerational relationships by enabling distributed, intergenerational co-listening of music. CCS CONCEPTS• Human-centered computing → Collaborative and social computing.