Effectiveness of a jail‐based treatment program for individuals with co‐occurring disorders

Abstract

Although the findings are promising, the evidence suggests that the jail treatment intervention may need to be more intense than the outpatient model used in this project given that the average length of stay in the jail program was 8 weeks due to release to the community. An alternative consideration would be to only provide the program to those inmates who are sentenced for at least 90 days.

Factors of Recidivism among Individuals with Co-occurring Conditions in Rural Mental Health Jail Interventions

“…Huck and Morris (2017) also found that those who completed the program were less likely to recidivate—unlike the current findings related to MHJI—although only 4.4% of their sample were identified as receiving services for COD. Further, Rothbard et al (2009) found a slightly greater 12-month recidivism rate among individuals with CODs (47.5%) when compared to other urban settings, yet this rate was again lower than the current rural estimation. They also reported that the MHJI had a significant effect on reducing the likelihood of recidivism, which was counter to the current findings (Rothbard et al, 2009).…”

“…Further, Rothbard et al (2009) found a slightly greater 12-month recidivism rate among individuals with CODs (47.5%) when compared to other urban settings, yet this rate was again lower than the current rural estimation. They also reported that the MHJI had a significant effect on reducing the likelihood of recidivism, which was counter to the current findings (Rothbard et al, 2009). Given these comparisons, future research should continue to explore rural longitudinal recidivism patterns and the implementation and outcomes of rural MHJI programs so that they are best tailored to the needs of rural jail populations.…”

Co-Occurring Severe Mental Illnesses and Substance Abuse Disorders as Predictors of State Prison Inmate Assaults

“…It is also consistent with a theoretical framework that says these inmates have serious impairments in their toleration for the “pains of imprisonment” (Sykes, 1958), their decision-making abilities and impulse control, and the ability to navigate the socially complex prison subculture. It also reinforces the need for dually disordered inmates to receive prison-based treatments, which simultaneously target mental and substance use disorders; research suggests these treatments have promise in reducing recidivism (Rothbard, Wald, Zubritsky, Jaquette, & Chhatre, 2009).…”

Provider Experiences with Prison Care and Aftercare for Women with Co-occurring Mental Health and Substance Use Disorders: Treatment, Resource, and Systems Integration Challenges

“…Lack of aftercare is a considerable barrier to positive mental health, substance use, and criminal justice outcomes for women with COD as they face the stresses of community reentry, contributing to a revolving door of COD illness and reincarceration 8–11. Despite the clear recommendations for appropriate mental health and substance use aftercare for women leaving correctional facilities,9–18 only 30–50% access mental health services,15, 19, 20 and less than one third access substance abuse services after release 15. Female offenders with COD have greater aftercare needs but are less likely than women with substance use disorder alone to complete substance use aftercare programs 21, 22.…”

“…Recent surveys have begun to identify the characteristics of COD services currently offered for offenders in prison and in-prison aftercare,29–31 including aftercare linkage success rates19, 20 and systemic predictors of the availability of various COD services 29. In addition, the Substance Abuse and Mental Health Services Administration (SAMHSA) has published guidelines about what constitutes good care for this population (e.g., in-prison and post-release access to substance use and mental health care, gender-specific services) 32.…”