The Fierce Urgency of Now: Improving Outcomes for Justice-Involved People With Serious Mental Illness and Substance Misuse.
Crisis intervention; Public policy issues; Service delivery systems
People with serious mental illness are more likely to be arrested multiple times for the same crime, spend more time in jail before adjudication, serve longer sentences, and have higher recidivism rates than those without mental illness. Several conceptual foundations, such as the sequential intercept model and the risk-needs-responsivity model, have been developed to help communities address the overrepresentation of people with mental illness in the criminal justice system. The Stepping Up Initiative is a national effort to enlist counties to commit to reduce the number of people with mental illness in their jails. The 21st Century Cures Act has created opportunities to fund community treatment and help people with serious mental illness live a productive life in their community. Public officials may need to be shown the substantial cost savings likely to accrue from an investment in effective community treatment. The time to act is now.
Wrenn Glenda; McGregor Brian; Munetz Mark
Psychiatric services (Washington, D.C.)
2018
2018-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1176/appi.ps.201700420" target="_blank" rel="noreferrer noopener">10.1176/appi.ps.201700420</a>
Sequential Intercept Mapping: Developing Systems-Level Solutions for the Opioid Epidemic.
Cross-systems issues; Opioids; Sequential intercept mapping; Sequential intercept model
Sequential intercept mapping, a community-based application of the sequential intercept model, was recently adapted in Ohio to address the complex challenge of the opioid crisis. Sequential intercept mapping for opioids provides a framework for criminal justice, mental health and addictions treatment providers, family members and opioid-involved individuals, and other stakeholders to develop community-based responses that emphasize prevention, regulation, and treatment for opioid dependency, with a goal of reducing unintended deaths and overdoses. The authors describe a promising approach to using sequential intercept mapping to address the opioid crisis.
Bonfine Natalie; Munetz Mark R; Simera Ruth H
Psychiatric services (Washington, D.C.)
2018
2018-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1176/appi.ps.201800192" target="_blank" rel="noreferrer noopener">10.1176/appi.ps.201800192</a>
Interventions That Target Criminogenic Needs for Justice-Involved Persons With Serious Mental Illnesses: A Targeted Service Delivery Approach.
Humans; criminogenic needs; mental illness; recidivism; Community Mental Health Services/*organization & administration; Mental Disorders/psychology/*therapy; Criminal Law; Criminals/*psychology/statistics & numerical data; Health Services Needs and Demand/*statistics & numerical data; Mentally Ill Persons/*psychology/statistics & numerical data
This research describes the development of a targeted service delivery approach that tailors the delivery of interventions that target criminogenic needs to the specific learning and treatment needs of justice-involved people with serious mental illnesses (SMI). This targeted service delivery approach includes five service delivery strategies: repetition and summarizing, amplification, coaching, low-demand practice, and maximizing participation. Examples of how to apply each strategy in session are provided, as well as recommendations on when to use each strategy during the delivery of interventions that target criminogenic needs. This targeted service delivery approach makes an important contribution to the development of interventions for justice-involved people with SMI by increasing the chances that people with SMI can participate fully in and benefit from these interventions that target criminogenic needs. These developments come at a critical time in the field as the next generation of services for justice-involved people with SMI are being developed.
Wilson Amy Blank; Farkas Kathleen; Bonfine Natalie; Duda-Banwar Janelle
International journal of offender therapy and comparative criminology
2018
2018-10
<a href="http://doi.org/10.1177/0306624X18759242" target="_blank" rel="noreferrer noopener">10.1177/0306624X18759242</a>
Interventions That Target Criminogenic Needs for Justice-Involved Persons With Serious Mental Illnesses: A Targeted Service Delivery Approach.
*Criminals; *Health Services Needs and Demand; Adult; criminogenic needs; Health Services Needs and Demand; Humans; Mental Disorders – Therapy; Mental Disorders/*therapy; Mental Health Services – Administration; Mental Health Services/*organization & administration; mental illness; Middle Age; Middle Aged; Public Offenders; recidivism; Young Adult
This research describes the development of a targeted service delivery approach that tailors the delivery of interventions that target criminogenic needs to the specific learning and treatment needs of justice-involved people with serious mental illnesses (SMIs). This targeted service delivery approach includes five service delivery strategies: repetition and summarizing, amplification, active coaching, low-demand practice, and maximizing participation. Examples of how to apply each strategy in session are provided, as well as recommendations on when to use each strategy during the delivery of interventions that target criminogenic needs. This targeted service delivery approach makes an important contribution to the development of interventions for justice-involved people with SMI by increasing the chances that people with SMI can participate fully in and benefit from these interventions that target criminogenic needs. These developments come at a critical time in the field as the next generation of services for justice-involved people with SMI are being developed.
Wilson Amy Blank; Farkas Kathleen; Bonfine Natalie; Duda-Banwar Janelle
International journal of offender therapy and comparative criminology
2018
2018-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/0306624X17695588" target="_blank" rel="noreferrer noopener">10.1177/0306624X17695588</a>
A Comparison of Participants in Two Community-Based Programs: Assisted Outpatient Treatment and a Mental Health Court.
Assisted Outpatient Treatment; mental health courts; Outpatient commitment
OBJECTIVE: Mental health courts and assisted outpatient treatment (AOT) are tools to help people with serious mental illness engage in treatment and avoid or reduce institutionalization. As both programs become increasingly prevalent, questions remain about whether people with severe mental illness who receive AOT have the same characteristics, histories, and service needs as those who participate in mental health courts. If there are differences, each program may require assessments and interventions tailored to the specific characteristics and needs of participants. METHODS: This study examined administrative criminal justice and mental health services data for 261 people with serious mental illness who participated in AOT, a mental health court, or both over seven years. RESULTS: Three percent of the sample participated in both programs. Compared with participants in mental health court, participants in AOT were older, less likely to have an alcohol use disorder, and more likely to have a schizophrenia spectrum disorder than a bipolar disorder. The participants' histories of crisis mental health service utilization, hospitalization, and incarceration prior to program entry varied significantly by program. CONCLUSIONS: The findings suggest that there are differences among individuals with serious mental illness who are served by AOT and mental health court programs. AOT participants had greater engagement with mental health services, and a significant portion of AOT participants also had a prior criminal history that placed them at risk of future justice involvement. Program administrators need to recognize and address the clinical and criminogenic needs that place individuals at risk of becoming hospitalized and incarcerated.
Bonfine Natalie; Ritter Christian; Teller Jennifer L S; Munetz Mark R
Psychiatric services (Washington, D.C.)
2018
2018-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1176/appi.ps.201700341" target="_blank" rel="noreferrer noopener">10.1176/appi.ps.201700341</a>