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The Incarceration of Individuals with Severe Mental Disorders

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Abstract

This study examines the extent to which severely mentally disabled (SMD) patients in one county mental health system were incarcerated in the local jail and examines characteristics of a sample (N = 30) of such individuals. We found that in the study year, 7.9% of known SMD patients had at least one incarceration in the county jail. Diagnoses were predominantly in the schizophrenia spectrum with 70% also actively abusing substances at the time of incarceration. The majority of crimes were non-violent and substance abuse related. Half of the sample was judged to be candidates for diversion programs. Our findings are consistent with recent literature confirming that substance abusing SMD individuals are at high risk of incarceration and could benefit from integrated mental health and substance abuse treatment.

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References

  • Abram, K.M., & Teplin, L.A. (1991). Co-occurring disorders among mentally ill jail detainees: Implications for public policy. American Psychologist, 46, 1036–1045.

    Google Scholar 

  • Ditton, P.M. (1999) Mental health and treatment of inmates and probationers. Bureau of Justice Special Reports, U.S. Department of Justice, NCJ 174463.

  • Draine, J., & Solomon, P. (1999). Describing and evaluating jail diversion services for persons with serious mental illness. Psychiatric Services, 50, 56–61.

    Google Scholar 

  • Drake, R.E., & Mueser, K.T. (Eds.). (1996). Dual Diagnosis of Major Mental Illness and Substance Disorder. Volume 2: Recent Research and Clinical Implications. New Directions for Mental Health Services, Number 70. San Francisco: Jossey-Bass.

    Google Scholar 

  • Fox, T., Fox, L., & Drake, R.E. (1992). Developing a statewide service system for people with cooccurring mental illness and substance use disorders. Innovations & Research, 1, 9–13.

    Google Scholar 

  • Grekin, P.M., Jemelka, R., & Trupin, E.W. (1994). Racial differences in the criminalization of the mentally ill. Bulletin of the American Academy of Psychiatry and the Law, 22, 411–420.

    Google Scholar 

  • Honberg, R. (1997) Florida county establishes “mental health” court. NAMI Advocate, 19, 5–6.

    Google Scholar 

  • Lamb, H.R., & Weinberger, L.E. (1998). Persons with severe mental illness in jails and prisons: A review. Psychiatric Services, 49, 483–492.

    Google Scholar 

  • Lehman, A.F., Steinwachs, D.M., and the Co-Investigators of the PORT Project (1998). At issue: Translating research into practice: The schizophrenia patient outcomes research team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 1–10.

    Google Scholar 

  • Ludlow, R. (1996, October 26). From hospital to prison. Cincinnati Post, p. 1A. Minkoff, K., & Drake, R.E. (Eds.) (1991) Dual Diagnosis of Major Mental Illness and Substance Disorder. New Directions for Mental Health Services, Number 50. San Francisco: Jossey-Bass.

    Google Scholar 

  • Muesser, K.T., Drake, R.E., & Noordsy, D.L. (1998) Integrated mental health and substance abuse treatment for severe psychiatric disorders. Journal of Practical Psychiatry and Behavioral Health, 4, 129–139.

    Google Scholar 

  • Munetz, M.R., Grande, T., Kleist, J., & Peterson, G.A. (1996). The effectiveness of outpatient civil commitment. Psychiatric Services, 47, 1251–1253.

    Google Scholar 

  • Peterson, G.A., Drone, I.D., & Munetz, M.R. (1997). Diversity in case management modalities: the Summit Model. Community Mental Health Journal, 33, 245–250.

    Google Scholar 

  • Steadman, H.J., Barbera, S.S., & Dennis, D.L. (1994). A national survey of jail diversion programs for mentally ill detainees. Hospital and Community Psychiatry, 45, 1109–1113.

    Google Scholar 

  • Steadman, H.J., Deane, M.W., Borum, R., & Morrissey, J.P. (2000). Comparing outcomes of major models of police responses to mental health emergencies. Psychiatric Services, 51, 645–649.

    Google Scholar 

  • Steadman, H.J., Monahan, J., Appelbaum, P.S., Grisso, T., Mulvey, E.P., Roth, L.H., Robbins, P.C., & Klassen, D. (1994) Designing a new generation of risk assessment research. In J. Monahan & H. Steadman (Ed.), Violence and Mental Disorder: Developments in Risk Assessment (pp. 297–318). Chicago: University of Chicago Press.

    Google Scholar 

  • Steadman, H.J., Mulvey, E.P., Monahan, J., Robbins, P.C., Appelbaum, P.S., Grisso, T., Roth, L.H., & Silver, E. (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393–401.

    Google Scholar 

  • Stein, L.I., & Test, M.A. (1980). Alternative to mental hospital treatment. I. Conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry, 37, 392–297.

    Google Scholar 

  • Swartz, M.S., Swanson, J.A.W., Hiday, V.A., Borum, R., Wagner H.R., & Burns, B.J. (1998). Violence and severe mental illness: the effects of substance abuse and nonadherance to medication. American Journal of Psychiatry, 155, 226–231.

    Google Scholar 

  • Teplin, L.A. (1984). Criminalizing mental disorder: The comparative arrest rate of the mentally ill. American Psychologist, 39, 794–803.

    Google Scholar 

  • Torrey, E.F. (1994). Violent behavior by individuals with serious mental illness. Hospital and Community Psychiatry, 45, 653–662.

    Google Scholar 

  • Torrey, E.F., Erdman, K., Wolfe, S.M., & Flynn, L.M. (1990). Care of the Seriously Mental Ill: A Rating of State Programs (3rd ed.). Washington, D.C.: Public Citizen Health Research Group and National Alliance for the Mentally Ill.

    Google Scholar 

  • Torrey, E.F., Stieber, J., Ezekiel, J., Wolfe, S.E., Sharfstein, J., Noble, J.H., Flynn, L.M. (1993) Criminalizing the seriously mentally ill: The abuse of jails as mental hospitals. Innovations & Research, 2, 11–14.

    Google Scholar 

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Munetz, M.R., Grande, T.P. & Chambers, M.R. The Incarceration of Individuals with Severe Mental Disorders. Community Ment Health J 37, 361–372 (2001). https://doi.org/10.1023/A:1017508826264

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