The Impact of Perceived Need for Treatment on Risk of Arrest and Violence Among People With Severe Mental Illness

2007 ◽  
Vol 34 (2) ◽  
pp. 197-210 ◽  
Author(s):  
Eric B. Elbogen ◽  
Sarah Mustillo ◽  
Richard van Dorn ◽  
Jeffrey W. Swanson ◽  
Marvin S. Swartz
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Treatment ◽  
Management Strategies ◽  
Public Mental Health ◽  
Need For Treatment ◽  
Perceived Need ◽  
Risk Management Strategies ◽  
Demographic Covariates ◽  
The Impact

One clinical strategy for managing risk of arrest and violence among people with severe mental illness (SMI) involves targeting potentially treatable factors related to these risks. The current study examines the association between individuals’ perceived need for psychiatric treatment and their risk of arrest and violence among people with SMI. Adults meeting criteria for psychotic and affective disorders receiving public mental health services in four states are interviewed ( N = 907), with 26% reporting being arrested or violent in the past year. Participants in this group are more likely to deny needing psychiatric treatment. Multivariate analyses confirm this pattern for participants both arrested and violent, controlling for clinical and demographic covariates. As a result, clinical interventions that address a patient’s perceived need for psychiatric treatment, such as compliance therapy and motivational interviewing, appear to hold promise as risk management strategies for clinicians providing services for individuals with SMI.

Crime, violence, and behavioral health: collaborative community strategies for risk mitigation

CNS Spectrums ◽  
2015 ◽  
Vol 20 (3) ◽  
pp. 241-249 ◽  
Author(s):  
Debra A. Pinals
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mental Illness ◽  
Substance Use ◽  
Behavioral Health ◽  
Risk Mitigation ◽  
Management Strategies ◽  
Public Mental Health ◽  
Criminal Recidivism ◽  
Risk Management Strategies

Criminal conduct is not always violent, and violence does not always lead to criminal charges. Moreover, crime and violence have multifaceted etiologies. Most violence in society is not attributable to mental illness. Where there is a small relationship between violence and mental illness, the risk of violence increases for individuals with substance use histories. Underlying trauma can also play a role. Antisocial attitudes, behaviors, and peer groups further increase the risk that individuals, including those with mental illness, will find themselves at risk of criminal recidivism. Criminal histories among public mental health populations, and mental health and substance use disorders among criminal populations are each higher than general population comparisons. Care within behavioral health settings should therefore target decreased criminal recidivism and decreased violence as part of recovery for those individuals at risk, using trauma-informed approaches and peer supports. Interventions that show promise bring criminal justice and behavioral health systems together, and include police-based diversion, specialty courts, court-based alternatives to incarceration, and coordinated re-entry programs. This article reviews these options along with specific risk management strategies, such as using risk, needs, and responsivity factors as a means of improving overall outcomes for persons with mental illness, while minimizing their risk of further criminalization and victimization.

Motivation for psychiatric treatment in patients with severe mental illness: Disagreement between patients and clinicians

2013 ◽  
Author(s):  
Eline C. Jochems ◽  
Sylvia C. M. Scheffer ◽  
Hugo J. Dulvenvoorden ◽  
Arno van Dam ◽  
Christina M. van der Feltz-Cornelis ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Treatment

scholarly journals Access to public mental health services among older adults with severe mental illness

2009 ◽  
Vol 24 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Todd P. Gilmer ◽  
Victoria D. Ojeda ◽  
Dahlia Fuentes ◽  
Viviana Criado ◽  
Piedad Garcia
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Severe Mental Illness ◽  
Public Mental Health ◽  
Public Mental Health Services

When Non-Compliance Carries the Day: Evaluating the Effectiveness of an Employment Program for the Severely Mentally Ill

2021 ◽  
pp. 0193841X2110496
Author(s):  
Alberto Martini ◽  
Enrico Rettore ◽  
Gian Paolo Barbetta ◽  
Fabio Sandrolini
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Mentally Ill ◽  
Mental Disease ◽  
Empirical Studies ◽  
Experimental Period ◽  
Employment Rate ◽  
Severely Mentally Ill ◽  
Employment Rates ◽  
The Impact

Background: Mental disease is increasing worldwide and people who suffer from it show lower employment rates and lower earnings. Various approaches have been tried to increase the employment rate of people with mental disease. In the US, empirical studies show that individual placement and support(IPS)—a rapid transition to the job market, with some external assistance—is effective in increasing the employment rate of the mentally ill. Europe lacks such evidence. Purpose: The study assesses the impact of an IPS-like program undertaken in Italy on the employment rate of people with severe mental illness. Methods: The analysis is based on a RCT that tests whether offering people with severe mental illness the support of a “job coach” increases their chances of being employed. Moreover, using a battery of tests—one of which is made available by the RCT itself—we show that the large non-compliance with the protocol showed by the RCT is ignorable. This motivates estimating the impact of carrying out a traineeship during the experimental period on employment using non-experimental methods. Results and Conclusions: The study finds that the availability of a coach boosts the patients’ chances of finding a traineeship during the experimental period; moreover, undertaking a traineeship almost doubles the likelihood of being at work one year later. JEL CODES: J78, J48, J38

Hopes and Challenges Moving Forward

2019 ◽  
pp. 549-582
Author(s):  
M. Daniele Fallin ◽  
Calliope Holingue ◽  
Laysha Ostrow ◽  
Philip J. Leaf ◽  
Ronald W. Manderscheid ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Population Dynamics ◽  
Emerging Technologies ◽  
Treatment Strategies ◽  
Public Mental Health ◽  
Mental Illnesses ◽  
Clinical Interventions ◽  
Prevention And Treatment ◽  
The Impact

The field of public mental health has seen many advances in policy and discovery, yet there is much more to be done. We must move beyond a narrow focus on clinical interventions to now embrace the impact of community and population dynamics in promoting mental health, preventing mental illnesses, and fostering recovery. We must take advantage of emerging technologies, tools and strategies to expand discovery of the causes of mental illness that will inform new prevention and treatment strategies. Emerging tools can also guide the best implementation of individual and systems-level changes. Finally, we must continue to monitor the frequency of illness and related outcomes among individuals and populations to gauge our progress and highlight areas for continued improvement.

The History of the Treatment of Mental Illness

2016 ◽  
pp. 1-16
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Illness ◽  
Middle Ages ◽  
Western Europe ◽  
Psychiatric Treatment ◽  
Shock Therapy ◽  
The United States ◽  
Models Of Care ◽  
People With Mental Illness ◽  
History Of ◽  
The Impact

Chapter 1 reviews the history of psychiatric treatment of people with mental illness in the United States and Western Europe, highlighting past perspectives in care, such as ancient trephination and exorcism during the demonology era, humorism in early Greek and Roman thought, a return to demonological perspectives in the Middle Ages, as well as mesmerism and psychoanalysis in the 19th and 20th centuries. The 20th-century biological perspective is described, including the use of insulin shock therapy, electroconvulsive therapy, and lobotomy. Next, the development of more humane treatment approaches is discussed, such as the moral treatment movement of the 1800s. The ex-patient’s movement of the 1970s is reviewed, leading up to the contemporary recovery-oriented and psychosocial rehabilitation models of care. The impact of stigma on the acceptance of serious mental illness is explored throughout this history. Discussion questions, activities, and diagrams are also included.

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