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

Published online by Cambridge University Press:  27 April 2015

Debra A. Pinals
Debra A. Pinals*
Affiliation:
Law and Psychiatry Program, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA
*
*Address for correspondence: Debra A. Pinals, MD, Associate Professor of Psychiatry, Law and Psychiatry Program, Department of Psychiatry, UMass Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA. (Email: debra.pinals@umassmed.edu)
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Abstract

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.

Keywords

Behavioral healthcollaborationcorrectionscriminal recidivismmental illnesssubstance useviolence
Type
Review Articles
Information
CNS Spectrums , Volume 20 , Special Issue 3: Violence in the Psychiatric Setting , June 2015 , pp. 241 - 249
Copyright
© Cambridge University Press 2015 

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Footnotes

The opinions expressed in this paper are the author’s and do not reflect the views or opinions of any agency or entity with whom the author is affiliated.

References

1. Whitley, R, Bery, S. Trends in newspaper coverage of mental illness in Canada: 2005–2010. Can J Psychiatry. 2013; 58(2): 107–112.CrossRefGoogle ScholarPubMed
2. Barry, CL, McGinty, EE, Vernick, JS, Webster, DW. After Newtown—public opinion on gun policy and mental illness. N Engl J Med. 2013; 368(12): 1077–1081.CrossRefGoogle ScholarPubMed
3. Swanson, JW. Mental disorder, substance abuse, and community violence: an epidemiological approach. In: Monahan J, Steadman H, eds. Violence and Mental Disorder. Chicago: University of Chicago Press; 1994: 101–136.Google Scholar
4. Steadman, HJ, Mulvey, EP, Monahan, J, et al. Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Arch Gen Psychiatry. 1998; 55(5): 393–401.CrossRefGoogle ScholarPubMed
5. Teplin, LA, McClelland, GM, Abram, KM, Weiner, DA. Crime victimization in adults with severe mental illness: comparison with the national crime victimization survey. Arch Gen Psychiatry. 2005; 62(8): 911–921.CrossRefGoogle ScholarPubMed
6. Elbogen, EB, Johnson, SC. The intricate link between violence and mental disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2009; 66(2): 152–161.CrossRefGoogle ScholarPubMed
7. Fisher, WH, Roy-Bujnowski, KM, Grudzinskas, AJ, Clayfield, JC, Banks, SM, Wolff, N. Patterns and prevalence of arrest in a statewide cohort of mental health care consumers. Psychiatr Serv. 2006; 57(11): 1623–1628.CrossRefGoogle Scholar
8. Fisher, WH, Simon, L, Roy-Bujnowski, K, et al. Risk of arrest among public mental health services recipients and the general public. Psychiatr Serv. 2011; 62(1): 67–72.CrossRefGoogle ScholarPubMed
9. Swanson, JW, Frisman, LK, Robertson, AG, et al. Costs of criminal justice involvement among persons with serious mental illness in Connecticut. Psychiatr Serv. 2013; 64(7): 630–637.CrossRefGoogle ScholarPubMed
10. Osher, F, D’Amora, DA, Plotkin, M, et al. Adults with Behavioral Health Needs under Correctional Supervision: A Shared Framework for Reducing Recidivism and Promoting Recovery. Criminal Justice/Mental Health Consensus Project; Council of State Governments Justice Center, 2012.Google Scholar
11. Glaze, LE, Herberman, EJ. Correctional populations in the United States, 2012. Bureau of Justice Statistics NCJ 243936, December 19, 2013. Available at http://www.bjs.gov/index.cfm?ty=pbdetail&iid=4843. Accessed October 11, 2014.Google Scholar
12. Fisher, WH, Hartwell, SW, Deng, X, Pinals, DA, Fulwiler, C, Roy-Bujnowski, K. Recidivism among released state prison inmates who received mental health treatment while incarcerated. Crime & Delinquency. 2014; 60(6): 811–832.CrossRefGoogle Scholar
13. McCabe, PJ, Christopher, PP, Druhn, N, Roy-Bujnowksi, KM, Grudzinskas, AJ, Fisher, WH. Arrest types and co-occurring disorders in persons with schizophrenia or related psychoses. J Behav Health Serv Res. 2012; 39(3): 271–284.CrossRefGoogle ScholarPubMed
14. Fisher, WH, Silver, E, Wolff, N. Beyond criminalization: toward a criminologically informed framework for mental health policy and services research. Adm Policy Ment Health. 2006; 33(5): 544–557.CrossRefGoogle Scholar
15. Skeem, JL, Manchak, S, Peterson, JK. Correctional policy for offenders with mental illness: creating a new paradigm for recidivism reduction. Law Hum Behav. 2011; 35(2): 110–126.CrossRefGoogle ScholarPubMed
16. Peterson, JK, Skeem, J, Kennealy, P, Bray, B, Zvonkovic, A. How often and how consistently do symptoms directly precede criminal behavior among offenders with mental illness? Law Hum Behav. 2014; 38(5): 439–449.CrossRefGoogle ScholarPubMed
17. Pinals, DA. Forensic services, public mental health policy, and financing: charting the course ahead. J Am Acad Psychiatry Law. 2014; 42(1): 7–19.Google ScholarPubMed
18. Munetz, MR, Griffin, PA. Use of the Sequential Intercept Model as an approach to decriminalization of people with serious mental illness. Psychiatr Serv. 2006; 57(4): 544–549.CrossRefGoogle ScholarPubMed
19. Blue-Howells, JH, Clark, SC, van den Berk-Clark, C, McGuire, JF. The U.S. Department of Veterans Affairs justice programs and the sequential intercept model: case examples in national dissemination of intervention for justice-involved veterans. Psychol Serv. 2013; 10(1): 48–53.CrossRefGoogle ScholarPubMed
20. Sequential Intercept Mapping Delmar, NY: Substance Abuse and Mental Health Services Administration (SAMHSA) National GAINS Center, Policy Research Associates. Available at http://www.prainc.com/sequential-intercept-mapping/. Accessed October 11, 2014.Google Scholar
21. Teplin, LA, Pruett, NS. Police as streetcorner psychiatrist: managing the mentally ill. Int J Law Psychiatry. 1992; 15(2): 139–156.CrossRefGoogle ScholarPubMed
22. Reuland, M, Schwarzfeld, M, Draper, L. Law enforcement responses to people with mental illness: a guide to research-informed policy and practice. New York: Council of State Governments Justice Center. 2009. Available at http://www.ojp.usdoj.gov/BJA/pdf/CSG_le-research.pdf. Accessed May 27, 2013.Google Scholar
23. National Alliance on Mental Illness. CIT Toolkit. CIT Facts. Available at http://www.nami.org/Content/ContentGroups/Policy/CIT/CIT_Facts_4.11.12.pdf. Accessed October 10, 2014.Google Scholar
24. Canada, KE, Angell, B, Watson, AC. Intervening at the entry point: differences in how CIT trained and non-CIT trained officers describe responding to mental health-related calls. Community Ment Health J. 2012; 48(6): 746–755.CrossRefGoogle ScholarPubMed
25. Hora, PF. Drug treatment courts in the twenty-first century: the evolution of the revolution in problem-solving courts. 42 Ga. L. Rev. 717, 2008.Google Scholar
26. National Association of Drug Court Professionals Drug Court History. Available at http://www.nadcp.org/learn/what-are-drug-courts/drug-court-history. Accessed October 10, 2014.Google Scholar
27. National Association of Drug Court Professionals. Available at http://www.nadcp.org/nadcp-home/. Accessed October 10, 2014.Google Scholar
28. Goodale, G, Callahan, L, Steadman, HJ. What can we say about mental health courts today? Psychiatr Serv. 2013; 64(4): 298–300.CrossRefGoogle ScholarPubMed
29. Steadman, HJ, Redlich, A, Callahan, L, et al. Effect of mental health courts on arrests and jail days: a multisite study. Arch Gen Psychiatry. 2011; 68(2): 167–172.CrossRefGoogle Scholar
30. Pinals, DA. Veterans and the justice system: the next forensic frontier. J Am Acad Psychiatry Law. 2010; 38(2): 163–167.Google ScholarPubMed
31. Hoge, SK, Buchanan, AW, Kovasznay, BM, Roskes, EJ. Outpatient Services for the Mentally Ill Involved in the Criminal Justice System: A Report of the Task Force on Outpatient Forensic Services. American Psychiatric Association Resource Document; American Psychiatric Association, 2009.Google Scholar
32. Draine, J, Herman, DB. Critical time intervention for reentry from prison for persons with mental illness. Psychiatr Serv. 2007; 58(12): 1577–1581.CrossRefGoogle ScholarPubMed
33. Lamberti, JS, Weisman, R, Faden, DI. Forensic assertive community treatment: preventing incarceration of adults with severe mental illness. Psychiatr Serv. 2004; 55(11): 1285–1293.CrossRefGoogle ScholarPubMed
34. Angell, B, Matthews, E, Barrenger, S, Watson, AC, Draine, J. Engagement processes in model program for community reentry from prison for people with serious mental illness. Int J Law Psychiatry. 2014; 37(5): 490–500.CrossRefGoogle ScholarPubMed
35. Steadman, HJ, Callahan, L, Robbins, PC, Vesselinov, R, McGuire, TG, Morissey, JP. Criminal justice and behavioral health care costs of mental health court participants: a six-year study. Psychiatr Serv. 2014; 65(9): 1100–1104.CrossRefGoogle ScholarPubMed
36. Andrews, DA, Bonta, J, Hoge, RD. Classification for effective rehabilitation: rediscovering psychology. Criminal Justice and Behavior. 1990; 17(1): 19–52.CrossRefGoogle Scholar
37. Whitehead, PR, Ward, T, Collie, RM. Time for a change: applying the Good Lives Model of rehabilitation to a high-risk violent offender. International Journal of Offender Therapy and Comparative Criminology. 2007; 51(5): 578–598.CrossRefGoogle ScholarPubMed
38. Monahan, J, Skeem, JL. The evolution of violence risk assessment. CNS Spectr. 2014; 19(5): 419–424.CrossRefGoogle ScholarPubMed
39. Garvey, K, Newring, KAB, Parham, RW, Pinals, DA. The roles and limitations of evidence-based psychotherapy in correctional settings. In: Thienhaus OJ, Piasecki M, eds. Correctional Psychiatry: Practice Guidelines and Strategies. Vol. II. Kingston, NJ: Civic Research Institute; 2013.Google Scholar
40. Evershed, S, Tennant, A, Boomer, D, Rees, A, Barkham, M, Watson, A. Practice-based outcomes for dialectical-behavioural therapy targeting anger and violence, with male forensic patients: a pragmatic and non-contemporaneous comparison. Crim Behav Ment Health. 2003; 13(3): 198–213.CrossRefGoogle Scholar
41. Little, GL, Robinson, KD. Moral reconation therapy: a systematic step-by-step treatment system for treatment resistant clients. Psychol Rep. 1988; 62(1): 135–151.CrossRefGoogle ScholarPubMed
42. Ferguson, LM, Wormith, JS. A meta-analysis of moral reconation therapy. International Journal of Offender Therapy and Comparative Criminology. 2013; 57(9): 1076–1106.CrossRefGoogle ScholarPubMed
43. Golden, L. Evaluation of the efficacy of a cognitive behavioral program for offenders on probation: thinking for a change. Available at: http://static.nicic.gov/Library/025057/default.html. Accessed October 28, 2014.Google Scholar
44. Pinals, DA, Smelson, D, Sawh, L, et al. Maintaining Independence and Sobriety Through Systems Integration and Outreach Networking—Criminal Justice Edition: Treatment Manual. In press at http://www.missionmodel.org.Google Scholar
45. Smelson, D, Pinals, DA, Sawh, L, et al. Maintaining Independence and Sobriety through Systems Integration and Outreach Networking—Criminal Justice Edition: Participant Workbook. Available at http://www.missionmodel.org. Accessed October 10, 2014.Google Scholar
46. Smelson, DA, Kline, A, Kuhn, J, et al. A wraparound treatment engagement intervention for homeless veterans with co-occurring disorders. Psychol Serv. 2013; 10(2): 161–167.CrossRefGoogle ScholarPubMed
47. Rotter, M, McQuistion, HL, Broner, N, Steinbacher, M. Best practices: the impact of the incarceration culture on reentry for adults with mental illness: a training and group treatment model. Psychiatr Serv. 2005; 56(3): 265–267.CrossRefGoogle Scholar
48. Rotter, M, Carr, WA, Frischer, K. The premise of criminalization and the promise of offender treatment. In Dlugacz HA, ed. Reentry Planning for Offenders with Mental Disorders: Policy and Practice. Kingston, NJ: Civic Research Institute; 2015.Google Scholar
49. Substance Abuse and Mental Health Services Administration 2015. SAMHSA’s working definition of recovery. Available at: http://store.samhsa.gov/product/SAMHSA-s-Working-Definition-of-Recovery/PEP12-RECDEF. Accessed October 1, 2014.Google Scholar
50. Miller, NA, Najavits, LM. Creating trauma-informed correctional care: a balance of goals and environment. Eur J Psychotraumatol. 2012; 3. DOI: 10.3402/ejpt.v.20.17246.CrossRefGoogle Scholar
51. van Nierop, M, Viechtbauer, W, Gunther, N, et al. Childhood trauma is associated with a specific admixture of affective, anxiety, and psychosis symptoms cutting across traditional diagnostic boundaries. Psychol Med. 2015; 45(6): 1277–1288.CrossRefGoogle ScholarPubMed
52. Barrett, EL, Teesson, M, Mills, KL. Associations between substance use, posttraumatic stress disorder and the perpetration of violence: a longitudinal investigation. Addict Behav. 2014; 39(6): 1075–1080.CrossRefGoogle ScholarPubMed
53. Sarchiapone, M, Carli, V, Cuomo, C, Marchetti, M, Roy, A. Association between childhood trauma and aggression in male prisoners. Psychiatry Res. 2009; 165(1–2): 187–192.CrossRefGoogle ScholarPubMed
54. Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.Google Scholar
55. Salzer, MS, Schwenk, E, Brusilovskiy, E. Certified peer specialist roles and activities: results from a national survey. Psychiatr Serv. 2010; 61(5): 520–523.CrossRefGoogle ScholarPubMed
56. Miller, LD, Massaro, J. Overcoming Legal Impediments to Hiring Forensic Peer Specialists. Delmar, NY: CMHS National GAINS Center; 2008.Google Scholar
57. Davidson, L, Rowe, M. Peer Support Within Criminal Justice Settings: The Role of Forensic Peer Specialists. Delmar, NY: CMHS National GAINS Center; 2008.Google Scholar