OBJECTIVE: This study assessed transitions to community mental health services among individuals with co-occurring disorders upon release from jail. METHODS: Data from jail and public mental health systems in Wayne County, Michigan, were merged to identify 677 individuals diagnosed as having a serious mental illness and substance use disorder who had been jailed a total of 1,774 times over 48 months starting in 2003. RESULTS: Only 33% of incarcerations (N=573) were followed by community-based treatment; 44% (N=803) were followed by treatment during a subsequent incarceration, and 23% (N=398) by no treatment. Generalized estimating equations found that individuals with schizophrenia and substance dependence were the most likely to obtain community treatment. CONCLUSION: By integrating discharge planning, community mental health providers and jails may ensure a continuum of care that facilitates treatment engagement, limits repeated incarcerations, and improves well-being.
OBJECTIVE: This study assessed transitions to community mental health services among individuals with co-occurring disorders upon release from jail. METHODS: Data from jail and public mental health systems in Wayne County, Michigan, were merged to identify 677 individuals diagnosed as having a serious mental illness and substance use disorder who had been jailed a total of 1,774 times over 48 months starting in 2003. RESULTS: Only 33% of incarcerations (N=573) were followed by community-based treatment; 44% (N=803) were followed by treatment during a subsequent incarceration, and 23% (N=398) by no treatment. Generalized estimating equations found that individuals with schizophrenia and substance dependence were the most likely to obtain community treatment. CONCLUSION: By integrating discharge planning, community mental health providers and jails may ensure a continuum of care that facilitates treatment engagement, limits repeated incarcerations, and improves well-being.
Authors: Jennifer E Johnson; Yael Chatav Schonbrun; Marlanea E Peabody; Ruth T Shefner; Karen M Fernandes; Rochelle K Rosen; Caron Zlotnick Journal: J Behav Health Serv Res Date: 2015-10 Impact factor: 1.505
Authors: Jennifer E Johnson; Richard Jones; Ted Miller; Ivan Miller; Barbara Stanley; Greg Brown; Sarah A Arias; Louis Cerbo; Julie Rexroth; Holly Fitting; Danis Russell; Sheryl Kubiak; Michael Stein; Christopher Matkovic; Shirley Yen; Brandon Gaudiano; Lauren M Weinstock Journal: Contemp Clin Trials Date: 2020-04-15 Impact factor: 2.261
Authors: Jesse T Young; Diane Arnold-Reed; David Preen; Max Bulsara; Nick Lennox; Stuart A Kinner Journal: BMJ Open Date: 2015-06-11 Impact factor: 2.692