From Criminalized Patients to Risk-Exposed Agents: Reconceptualizing Carceral Involvement among Individuals with Psychiatric Diagnoses.

Individuals with serious mental disorder diagnoses (SMD) are overrepresented in U.S. jails and prisons, returning to custody more often and more quickly than those without these diagnoses. This paper examines the strengths and limitations of existing theoretical interpretations of justice involvement among those with SMD and presents results from in-depth interviews (n = 23) in an effort to direct an alternative theoretical path. Findings indicate people with SMD are not simply subject to the whims of their psychopathology, and instead are risk-exposed agents whose arrests are related to early institutionalization, interpersonal conflict, and life circumstances punctuated by socioeconomic marginality. Such findings suggest longitudinal and multi-level theoretical orientations are most appropriate for understanding carceral involvement among individuals with SMD.