Review1999

Community Treatment of Severely Mentally Ill Offenders Under the Jurisdiction of the Criminal Justice System: A Review

H. Richard Lamb · Linda E. Weinberger · Bruce H. Gross

124 citations0/0 files storedPsychiatric Services

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Psychopathy, Forensic Psychiatry, Sexual Offending Psychiatric care and mental health services Healthcare Decision-Making and Restraints

Abstract

OBJECTIVE: Very large numbers of severely mentally ill persons now fall under the jurisdiction of the criminal justice system. A number of conditions are placed on those who are returned to the community, including specific ones related to treatment. This paper reviews the principles and practice of forensic outpatient mental health treatment. METHODS: MEDLINE, Psychological Abstracts, and the Index to Legal Periodicals and Books were searched from 1978, and all pertinent references were obtained. RESULTS AND CONCLUSIONS: Community treatment of severely mentally ill offenders who fall under the jurisdiction of the criminal justice system has important differences from treatment of nonoffenders, which focuses on alleviation of symptoms. Patients must comply with legal restrictions on their behavior, and treatment first addresses a patient's risk of harm to the community. Mentally ill offenders are often resistant to treatment. The mental health system may be disinclined to treat them due to their resistance and their criminal history, especially a history of violence. It is critical to identify a treatment philosophy that strikes a balance between individual rights and public safety and includes clear treatment goals, a close liaison between treatment staff and the criminal justice system, adequate structure and supervision, treatment staff who are comfortable with using authority, interventions for managing violence, incorporation of the principles of case management, appropriate and supportive living arrangements, and a recognition of the role of family members and significant others in treatment.

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References

2021The Journal of the American Academy of Psychiatry and the Law.1996Prevalence of Psychiatric Disorders Among Incarcerated Women 1998Persons With Severe Mental Illness in Jails and Prisons: A Review 1992Mental disorder and violent behavior: Perceptions and evidence.1996Mental disorder and crime. Evidence from a Danish birth cohort.1983Predicting Violent Behavior: An Assessment of Clinical Techniques.1992The efficacy of case management services for severely mentally disabled clients 1994Assessing the Evidence of a Link Between Mental Illness and Violence

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