Jail linkage assertive community treatment services for individuals with mental illnesses.

McCoy, Marion L.; Roberts, David L.; Hanrahan, Patricia; Clay, Roy; Luchins, Daniel J.

doi:10.2975/27.2004.243.250

Cited by 93 publications

(32 citation statements)

References 21 publications

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“…A rural program (without a control group) that provided both legal case management and dual diagnosis case management reported reductions in legal problems but had difficulty in accessing psychiatric services for a caseload made up primarily of persons with personality disorders (Godley et al, 2000). A small Chicago pilot using Assertive Community Treatment for 24 clients (with a high but unreported percentage of dual diagnosis) reports significant reductions in jail days (McCoy, Roberts, Hanrahan, Clay, & Luchins, 2004). In an uncontrolled study using the first 44 dually diagnosed clients served by Project LINK, a program combining ACT, a therapeutic community, and jail diversion, jail days were reduced by 50% after one year (Weisman, Lamberti, & Price, 2004).…”

Section: Co-occurring Disorders In Jailmentioning

confidence: 95%

Integrated Treatment for Jail Recidivists with Co-occurring Psychiatric and Substance Use Disorders

Chandler

Spicer

2006

Community Ment Health J

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Jail recidivists with serious mental illness and substance use disorders were treated in an in-custody setting and then randomly assigned to either a high fidelity Integrated Dual Disorders Treatment program (103 participants) or to service as usual (79 participants). Outcomes were tracked an average of 18 months from program entry at the termination of the initial incarceration. A reduction in jail days from baseline to study period was significant for both groups. The pre to post reduction for arrests and total convictions was significant in the experimental group but not the control group. However, during the study period, differences between experimental and control groups in arrests, convictions and jail days were not statistically significant. Experimental participants had lower study period psychiatric inpatient and crisis utilization and greater outpatient utilization than did control group participants. The groups did not differ with regard to total institutional days. Experimental group attrition was relatively high.

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Section: Co-occurring Disorders In Jailmentioning

confidence: 95%

Integrated Treatment for Jail Recidivists with Co-occurring Psychiatric and Substance Use Disorders

Chandler

Spicer

2006

Community Ment Health J

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“…63 Our data illustrate how endemic these behavioural challenges are in the overall mental health system and suggest close attention be paid to issues of patient and staff safety and risk assessment and management, including client self-harm. Speciality outpatient programs and community mental health services look to models of community mental health intended to support this population, for example, outpatient commitment, 64 jail diversion, 65 forensic case management or ACT teams, 66,67 and other models of practice that build bridges across mental health, substance abuse, and the criminal justice system, including housing supports. 6 8 From a life course perspective, this subpopulation has a high probability of cycling in and out of the substance abuse, mental health, and criminal justice systems.…”

Section: -14mentioning

confidence: 99%

Prevalence and Profile of People with Co-Occurring Mental and Substance Use Disorders within a Comprehensive Mental Health System

Rush

Koegl

2008

Can J Psychiatry

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Objective: To examine the prevalence and profile of people with co-occurring mental and substance use disorders in relation to numerous demographic, diagnostic, and needs-related variables across a comprehensive system of mental health services using a standard methodology.Method: Data were collected on cases (n = 9839) sampled from specialty tertiary inpatient, specialty outpatient, and community-based mental health programs. Status with respect to co-occurring disorders was based on recorded diagnosis of substance use disorder and the substance abuse measure within the Colorado Client Assessment Record. The demographic and needs profile was compared across groups with or without co-occurring disorders within each level of care.Results: Overall, the prevalence of co-occurring disorders was 18.5%, and highest among clients receiving specialty tertiary inpatient care (28%), and within selected subpopulations such as younger adults (55%) and those with personality disorders (34%). There were few differences between groups based on co-occurring disorders in the specialty inpatient programs. For outpatient and community settings, the clients with co-occurring disorders were distinguished by a more impaired and complex needs profile and more likely to be young, single, male, and of low education. Across all levels of care, having a co-occurring disorder was strongly associated with antisocial and challenging behaviour, legal involvement, and risk of suicide or self-harm. Conclusion:The prevalence estimate of co-occurring disorders is likely representative of a multilevel system of care that serves a large, mixed urban and rural population. Results highlight the need to focus on specific subpopulations and sectors in pursuit of more integrated treatment and support for their mental health and addictions problems. Can J Psychiatry 2008;53(12):810-821Clinical Implications · Clinicians can use sociodemographic characteristics, such as male sex, younger age, and being unemployed, and clinical indicators, such as overall mental health severity and behavioural challenges, to help identify and support people with substance use disorders. · Treatment and support models for co-occurring mental and substance use disorders must include risk management strategies, given the higher prevalence of challenging behaviours within this population. · There is a need for system-wide planning regarding co-occurring mental and substance use disorders. Limitations· Although findings were based on a comprehensive mental health system, the results may not be applicable to every jurisdiction. · Study findings should not necessarily be generalized to acute care, consumer, or peer support programs because they were not included in our study. · Clinical diagnostic interviews were not feasible to validate study criteria for defining co-occurring disorders.

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“…Helping prisoners implement a comprehensive treatment plan that could be used consistently after release could significantly improve the likelihood that they will not be reincarcerated (5), allowing them time to adjust to mainstream society after release.…”

mentioning

confidence: 99%

Depression in a Random Sample of Incarcerated African-American Men

Rowell¹,

Draine²,

Wu³

2011

Psychiatric Services

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Jail linkage assertive community treatment services for individuals with mental illnesses.

Cited by 93 publications

References 21 publications

Integrated Treatment for Jail Recidivists with Co-occurring Psychiatric and Substance Use Disorders

Integrated Treatment for Jail Recidivists with Co-occurring Psychiatric and Substance Use Disorders

Prevalence and Profile of People with Co-Occurring Mental and Substance Use Disorders within a Comprehensive Mental Health System

Depression in a Random Sample of Incarcerated African-American Men

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