Community mental health services and criminal justice involvement among persons with mental illness

William H. Fisher, Nancy Wolff, Kristen Roy-Bujnowski

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

The original 'plan' for deinstitutionalization of America's population of persons with severe and persistent mental illness saw community mental health services as providing many of the functions of large mental hospitals in community settings. While substantial effort and resources have been committed to this enterprise, many persons with mental illness encounter significant problems in adjusting to life in the community. Prominent among these problems is the disproportionate involvement in the criminal justice system of persons with psychiatric disorders. This problem, popularly described as the 'criminalization' of mental illness, often threatens the clinical stability and safety of persons with mental disorders, and at the same taxes heavily the resources of the criminal justice system. This paper reviews data exploring the relationship between levels and availability of community-based services and the likelihood that persons with mental illness will become involved with the criminal justice system. Finding no relationship, we conjecture that community mental health services are effective with only certain individuals, and move toward a taxonomy of offenders with mental illness. This classification scheme takes into account the relationship between psychiatric disorder, lifestyle and pre-morbid criminal involvement, and is designed to inform system actors with regard to the targeting of these resources.

Original languageEnglish (US)
Title of host publicationCommunity-Based Interventions for Criminal Offenders with Severe Mental Illness
Pages25-51
Number of pages27
StatePublished - 2003

Publication series

NameResearch in Community and Mental Health
Volume12
ISSN (Print)0192-0812

All Science Journal Classification (ASJC) codes

  • Social Sciences (miscellaneous)
  • Behavioral Neuroscience

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