scholarly journals Postcharge mental health diversion: characteristics of clients and predictors of success

2021 ◽  
Author(s):  
Sonya Basarke

How to best serve criminal offenders who have mental health issues is of ongoing concern within the justice system in Canada. Mental health diversion has become a popular option that allows mentally disordered offenders to be diverted from custodial sentences to community treatment and supports. However, research on this type of intervention, particularly in Canada, is scant. In order to address this gap, the current set of studies examined mental health diversion in a multisite sample obtained from court support programs in the Greater Toronto Area. In Study 1, it was found that individuals who successfully completed their diversion programming were less likely to have a criminal history and had fewer clinical and psychosocial issues. These results were borne out in the multivariate analyses in Studies 2 and 3 as well, with individuals who had a criminal history, more clinical needs, and who committed more severe nonviolent index offences having lower odds of successfully completing their diversions. In Study 4, when these predictors were developed into a screening tool to determine the likelihood of diversion success, they still predicted diversion outcome at better than chance levels, but the overall predictive accuracy was lower than that found in the multivariate models from Study 3.

2021 ◽  
Author(s):  
Sonya Basarke

How to best serve criminal offenders who have mental health issues is of ongoing concern within the justice system in Canada. Mental health diversion has become a popular option that allows mentally disordered offenders to be diverted from custodial sentences to community treatment and supports. However, research on this type of intervention, particularly in Canada, is scant. In order to address this gap, the current set of studies examined mental health diversion in a multisite sample obtained from court support programs in the Greater Toronto Area. In Study 1, it was found that individuals who successfully completed their diversion programming were less likely to have a criminal history and had fewer clinical and psychosocial issues. These results were borne out in the multivariate analyses in Studies 2 and 3 as well, with individuals who had a criminal history, more clinical needs, and who committed more severe nonviolent index offences having lower odds of successfully completing their diversions. In Study 4, when these predictors were developed into a screening tool to determine the likelihood of diversion success, they still predicted diversion outcome at better than chance levels, but the overall predictive accuracy was lower than that found in the multivariate models from Study 3.


This book examines the care of the mentally disordered offender in the community from a number of perspectives: the social, administrative, and clinical context; clinical aspects of care; and the relationships between psychiatric services for mentally disordered offenders and other agencies. It incorporates recent developments in treatment and policy, including an international analysis of the use of community treatment orders, which remain controversial and divide opinion. In the United States, efforts to improve treatment have focussed on improving continuity of care between prison and the community, and the book examines US jail and prison policy. Current UK health policy as applied to the mentally disordered offender is explained. Risk and risk thinking is a theme that runs through the book and is considered in terms of its effect on society, its influence on policy, and in terms of how risk assessment is applied in everyday clinical practice. Developments in psychodynamic psychotherapy and cognitive treatments for mentally disordered offenders are discussed, including consideration of the risk-need-responsivity model, which has become increasingly influential. The treatment of sex offenders and personality disorder offenders is considered specifically, as is pharmacological therapy. Most mentally disordered offenders are managed in the community by the Community Mental Health Team (CMHT). The role of the CMHT and its interface with specialist community forensic teams is considered, as is the interaction between mental health services and other agencies and the legal context within which they operate.


2006 ◽  
Vol 30 (11) ◽  
pp. 423-429 ◽  
Author(s):  
Lindsay D. G. Thomson

The Mental Health (Care and Treatment) (Scotland) Act 2003 contains major amendments to the Criminal Procedure (Scotland) Act 1995 that have a direct effect on the assessment and management of mentally disordered offenders. The major developments and provisions of this new legislation are described.


2015 ◽  
Vol 21 (4) ◽  
pp. 273-280 ◽  
Author(s):  
Rebekah Bourne ◽  
Rachna Rajput ◽  
Richard Field

SummaryA significant proportion of individuals in contact with probation services have mental health problems. Joint working between psychiatrists and probation is crucial to both diversion and resettlement of offenders with mental health conditions. In England and Wales, probation services are involved in the supervision and management of offenders if they receive a suspended or community sentence, or when they are released into the community on licence after serving a determinate, extended or life sentence. This article aims to promote awareness of joint working between probation and mental health services and the role of approved premises. It also describes a successful example of such joint working at Elliott House, approved premises for mentally disordered offenders in Birmingham, UK.


2021 ◽  
Author(s):  
Akihiro Shiina ◽  
Tomihisa Niitsu ◽  
Aika Tomoto ◽  
Masaomi Iyo ◽  
Eiji Shimizu ◽  
...  

Abstract BackgroundsThe treatment of mentally disordered offenders is an issue in forensic mental health. In most countries, police officers working in the community are the first to deal with patients at risk of harming themselves or others. However, their perceptions and opinions regarding forensic mental health have not been adequately investigated in Japan.MethodsWe conducted a national survey to gather police officers' views regarding legislation on mentally disordered people and inter-organizational collaboration.ResultsA total of 241 police officers participated in this study. Many participants were aware of the mental health care scheme in their daily work. Contrastingly, many participants complained about the public health center and psychiatrists. They seem to have emerged partially from the differences in each organization's structure, lack of resources, and communication gaps. Many participants felt a lack of opportunity to learn about psychiatry.ConclusionBetter collaborative care for mentally disordered people requires mutual relationships among the police, public health centers, and psychiatrists with a deeper understanding of community mental health.


2003 ◽  
Vol 9 (3) ◽  
pp. 200-201
Author(s):  
Tony Maden

Psychiatrists have always been concerned about the mental health of prisoners. If they did not devote much energy to their treatment, it was only because they had more-pressing problems, including how to squeeze ten patients into nine beds. In any case, it was someone else's job to look after prisoners. Luke Birmingham's article (Birmingham, 2003, this issue) could not be more timely, as this situation has now changed. With the publication of The Future Organisation of Prison Healthcare (Prison Service & NHS Executive Working Group, 1999), and the creation of a joint Department of Health and Home Office task force, the Government has made it clear that the problem of mentally disordered offenders belongs to the National Health Service (NHS). There is a plan, there is a partnership and there are targets. Can those of us who have been worrying about prisoners with mental illness sit back and relax, as the solution unfolds?


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