scholarly journals Court diversion for those with psychosis and its impact on re-offending rates: results from a longitudinal data-linkage study

BJPsych Open ◽  
2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Olayan Albalawi ◽  
Nabila Zohora Chowdhury ◽  
Handan Wand ◽  
Stephen Allnutt ◽  
David Greenberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Criminal Justice ◽  
Serious Mental Illness ◽  
Justice System ◽  
New South ◽  
Order Group ◽  
South Wales ◽  
Court Diversion ◽  
Treatment Order

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.

Serious Mental Illness, Criminal Justice, and the Death Penalty

2020 ◽  
pp. 159-171
Author(s):  
Anna Scheyett ◽  
Katherine J. Crawford
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Criminal Justice ◽  
Criminal Justice System ◽  
Death Penalty ◽  
Serious Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Justice System ◽  
Community Members

This chapter addresses the intersection of mental health and the criminal justice system. Individuals with serious mental illness (SMI) are at higher risk of involvement with the criminal justice system and at greater risk of more severe sentencing. Mental Health America estimates that 20% of persons on death row have a serious mental illness. Someone who was actively mentally ill at the time of a crime, but who has received treatment and is now stable, will proceed to trial as death eligible. This chapter holds that, as the majority of mental health professionals, social workers have a responsibility for educating lawmakers, community members, and those in the criminal justice system, as well as other practitioners about the multiple levels of injustice and inequity surrounding individuals with SMI and the criminal justice system. These issues range from inadequate and inconsistent treatment in the community, jails, and prisons to differential sentencing practices.

The health service contact patterns of people with psychotic and non-psychotic forms of severe mental illness in New South Wales, Australia: A record-linkage study

2021 ◽  
pp. 000486742110314
Author(s):  
Rachael C Cvejic ◽  
Preeyaporn Srasuebkul ◽  
Adrian R Walker ◽  
Simone Reppermund ◽  
Julia M Lappin ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Illness ◽  
Health Service ◽  
Confidence Interval ◽  
Physical Health ◽  
Severe Mental Illness ◽  
New South ◽  
Service Utilisation ◽  
South Wales

Objective: To describe and compare the health profiles and health service use of people hospitalised with severe mental illness, with and without psychotic symptoms. Methods: We conducted a historical cohort study using linked administrative datasets, including data on public hospital admissions, emergency department presentations and ambulatory mental health service contacts in New South Wales, Australia. The study cohort comprised 169,306 individuals aged 12 years and over who were hospitalised at least once with a mental health diagnosis between 1 July 2002 and 31 December 2014. Of these, 63,110 had a recorded psychotic illness and 106,196 did not. Outcome measures were rates of hospital, emergency department and mental health ambulatory service utilisation, analysed using Poisson regression. Results: People with psychotic illnesses had higher rates of hospital admission (adjusted incidence rate ratio (IRR) 1.26; 95% confidence interval [1.23, 1.30]), emergency department presentation (adjusted IRR 1.17; 95% confidence interval [1.13, 1.20]) and ambulatory mental health treatment days (adjusted IRR 2.90; 95% confidence interval [2.82, 2.98]) than people without psychotic illnesses. The higher rate of hospitalisation among people with psychotic illnesses was driven by mental health admissions; while people with psychosis had over twice the rate of mental health admissions, people with other severe mental illnesses without psychosis (e.g. mood/affective, anxiety and personality disorders) had higher rates of physical health admissions, including for circulatory, musculoskeletal, genitourinary and respiratory disorders. Factors that predicted greater health service utilisation included psychosis, intellectual disability, greater medical comorbidity and previous hospitalisation. Conclusion: Findings from this study support the need for (a) the development of processes to support the physical health of people with severe mental illness, including those without psychosis; (b) a focus in mental health policy and service provision on people with complex support needs, and (c) improved implementation and testing of integrated models of care to improve health outcomes for all people experiencing severe mental illness.

scholarly journals Policing, Crime and Mental Illness in England and Wales: Insights from the Literature

2017 ◽  
Vol 9 (2) ◽  
pp. 248
Author(s):  
Frank Kitt ◽  
Colin Rogers
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Criminal Justice ◽  
Justice System ◽  
Historical Context ◽  
Public Agencies ◽  
England And Wales ◽  
Police Service ◽  
High Profile ◽  
Made In

Mental illness pervades most societies, but it is only recently that its impact and effects upon individuals has slowly been recognised in England and Wales. When people suffering from this illness become involved with various public agencies, the way they are dealt with appears inconsistent and on occasions ends in tragedy. One agency that is constantly in contact with people who suffer mental health illness is the police service. Some high profile cases have clearly illustrated misunderstandings and the fact that the police are not generally equipped to deal with such individuals. This article considers a brief history and theoretical backcloth to police understanding and framing of mental illness in England and Wales, and explores the National Liaison and Diversion Model as an alternative to traditional police understanding and response. The article suggests that only by understanding the historical context, and literature, surrounding mental illness, can improvements be made in the criminal justice system as a whole and within the police service in particular.

Case management helps prevent criminal justice recidivism for people with serious mental illness

2017 ◽  
Vol 13 (3/4) ◽  
pp. 168-172 ◽  
Author(s):  
Heather Leutwyler ◽  
Erin Hubbard ◽  
Elaine Zahnd
Keyword(s):  
Mental Illness ◽  
Criminal Justice ◽  
Case Management ◽  
Criminal Justice System ◽  
Serious Mental Illness ◽  
Justice System ◽  
Secondary Analysis ◽  
Formerly Incarcerated ◽  
Community Reentry ◽  
Content Type

Purpose The purpose of this paper is to discuss how case management can decrease recidivism for people with serious mental illness (SMI) because people with SMI are at high risk for incarceration and recidivism. Design/methodology/approach Examples of successful case management models for formerly incarcerated individuals with SMI found through a secondary analysis of qualitative data and an analysis of the literature are presented. Findings Currently, no international, national, or statewide guidelines exist to ensure that formerly incarcerated individuals with SMI receive case management upon community reentry despite evidence that such services can prevent further criminal justice involvement. Recommendations include establishment of and evaluation of best practices for case management. In addition, the authors recommend additional funding for case management with the goal of greatly increasing the number of individuals with SMI leaving the criminal justice system in their ability to access adequate case management. Originality/value Providing effective case management tailored to the needs of formerly incarcerated people with SMI improves their quality of life and reduces their involvement in the criminal justice system with clear positive outcomes for public safety and public health.

The Cal-DSH diversion guidelines

CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 701-713
Author(s):  
Michael A. Cummings ◽  
Charles Scott ◽  
Juan Carlos Arguello ◽  
Ai-Li W. Arias ◽  
Ashley M. Breth ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mental Illness ◽  
Substance Use ◽  
Criminal Justice ◽  
Criminal Justice System ◽  
Substance Use Disorders ◽  
Serious Mental Illness ◽  
Justice System ◽  
Diversion Programs ◽  
Treatment Interventions

AbstractThe Cal-DSH Diversion Guidelines provide 10 general guidelines that jurisdictions should consider when developing diversion programs for individuals with a serious mental illness (SMI) who become involved in the criminal justice system. Screening for SMI in a jail setting is reviewed. In addition, important treatment interventions for SMI and substance use disorders are highlighted with the need to address criminogenic risk factors highlighted.

Commentary on Alexander (1993)

1993 ◽  
Vol 20 (4) ◽  
pp. 388-390
Author(s):  
SETH C. KALICHMAN
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Criminal Justice ◽  
Sex Offenders ◽  
Criminal Justice System ◽  
Sexual Offenders ◽  
Justice System ◽  
Health Sciences ◽  
The Social ◽  
Sexually Violent

This commentary on Alexander's article concerning civil commitment of sex offenders concludes that the failure of the mental health sciences to define the psychosexual pathology of sexually violent adults has resulted in an inability to address these disturbances in the criminal justice system. This situation will likely contribute to the social threats posed by sexual offenders. It is suggested that researchers work to establish the mental illness parameters of sexual violence.

The Gravely Inadequate Definition of a “Mentally Ill Person” in the Mental Health Act (New South Wales) 1983

1988 ◽  
Vol 22 (1) ◽  
pp. 43-68 ◽  
Author(s):  
James Durham
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Mentally Ill ◽  
New South ◽  
Involuntary Hospitalization ◽  
Main Structure ◽  
Working Definition ◽  
South Wales ◽  
Definition Of

The definition, given in Section 5 of the new Act, of a “mentally ill person” is examined. It is argued that this “definition” is cumbersome, logically incoherent, and impractical. It is predicted that if given effect it will have very unwelcome consequences. Various sources of inherent misunderstanding and uncertainty are noted. Arguments are presented for allowing severe mental illness itself rather than its consequences to be the ground for involuntary hospitalization in certain circumstances. Various suggestions are proposed for the Section's amendment. These fall into two categories, depending upon alternative assumptions: (1) minor improvements, upon the pessimistic assumption that the main structure and content of the definition will be retained; (2) more radical amendment, involving the abandonment of the entire present structure of the section, and the adoption of a working definition of “mental illness” with clear safeguards against error and abuse. The nature and requirements of such a definition are discussed.

Admissions to a national forensic hospital 1997-2003

2008 ◽  
Vol 25 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Brenda Wright ◽  
Conor O'Neill ◽  
Harry G Kennedy
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Criminal Justice ◽  
Criminal Justice System ◽  
Justice System ◽  
Service Planning ◽  
Significant Shift ◽  
Forensic Hospital ◽  
Resource Needs

AbstractObjectives: We set out to review all admissions from the criminal justice system to the Central Mental Hospital from January 1997 to December 2003, with particular attention to patient diagnoses, offences, source of admission, length of stay, and patterns of discharge. This study was undertaken to assist with future service planning and determination of resource needs.Methods: The service maintains a combination of electronic and handwritten records of all admissions. Information was extracted concerning all admissions from January 1, 1997 to December 30, 2003. The data was analysed using a statistical package, SPSS 11.0 for Windows.Results: Nine hundred and eighty-six admissions of 780 individuals from the criminal justice system were recorded from January 1997 to December 2003. There has been an increase in the proportion of patients admitted suffering with severe mental illness. There has also been a significant shift in the pattern of discharges, with a higher proportion of patients leaving to return to their local hospital. The proportion of admissions returned to prison has fallen from 91.1 % in 1999 to 64.7% in 2003, while 3.3% of individuals admitted became new long-stay cases.Conclusions: A shift in the profile of patients admitted in recent years reflects changes within the National Forensic Mental Health Service. An increased provision of regular and structured psychiatric input to the prisons has facilitated the identification of prisoners with mental illness. The shift from prison liaison to diversion from the Criminal Justice System to mental health services is however in its early stages.

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