Integrated Treatment for Jail Recidivists with Co-occurring Psychiatric and Substance Use Disorders

Chandler, Daniel; Spicer, Gary

doi:10.1007/s10597-006-9055-6

Cited by 61 publications

(45 citation statements)

References 42 publications

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“…Initial attempts to improve treatment for this group have focused on the integration of substance abuse and mental health services (Chandler & Spicer, 2006;Drake, Morrissey, & Mueser, 2006;Osher, Stedman, & Barr, 2003). The findings from this paper suggest that more than service integration is required to address the treatment needs of offenders who present with complex diagnostic profiles, as examined in this study.…”

Section: Resultsmentioning

confidence: 99%

Diagnostic profiles of offenders in substance abuse treatment programs

Grella¹,

Greenwell²,

Prendergast³

et al. 2008

Behavioral Sci & The Law

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This study examined the association of Axis I and Axis II disorders among offenders who were in prison-based substance abuse treatment in a national multi-site study. Participants (N = 280) received a psychosocial assessment and a structured diagnostic interview in two separate sessions. Logistic regression models examined the association between lifetime mood and anxiety disorders with two personality disorders, and the relationship of Axis I and Axis II disorders (alone and in combination) to pre-treatment psychosocial functioning. Over two-thirds of the sample met criteria for at least one mental disorder. Borderline personality disorder was strongly associated with having a lifetime mood disorder (odds ratio = 7.5) or lifetime anxiety disorder (odds ratio = 8.7). Individuals with only an Axis II disorder, or who had both Axis I and Axis II disorders, had more severe problems in psychosocial functioning than those without any disorder. Clinical treatment approaches need to address this heterogeneity in diagnostic profiles, symptom severity, and psychosocial functioning.

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Section: Resultsmentioning

confidence: 99%

Diagnostic profiles of offenders in substance abuse treatment programs

Grella¹,

Greenwell²,

Prendergast³

et al. 2008

Behavioral Sci & The Law

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“…Persons with substance use disorders-Three studies focused on improving health service use in persons with substance use disorders, 74,79,123 and 2 of the interventions studied resulted in positive changes. 74,79 In adults with serious mental illness and a current substance use disorder, a community-based Integrated Dual Disorders Treatment program in addition to an in-custody treatment unit increased use of outpatient medication services and reduced mean days of hospitalization, but did not affect rates of hospitalization over 18 months of follow-up.…”

Section: Health Service Use Interventionsmentioning

confidence: 99%

“…74,79 In adults with serious mental illness and a current substance use disorder, a community-based Integrated Dual Disorders Treatment program in addition to an in-custody treatment unit increased use of outpatient medication services and reduced mean days of hospitalization, but did not affect rates of hospitalization over 18 months of follow-up. 74 In veterans with a substance use disorder, a 1-hour feedback condition incorporating principles of motivational interviewing led to higher rates of scheduling an appointment at an addictions clinic, but it did not lead to higher rates of clinic attendance or treatment retention. 79 Participation in a 1-month treatment program for men who used alcohol did not affect the number of attempts to obtain help for drinking problems in the year after release compared with receiving no treatment.…”

Section: Health Service Use Interventionsmentioning

confidence: 99%

“…In custody treatment unit then integrated dual disorders treatment vs in custody treatment unit then service as usual 74 Health service utilization Adult men with ADHD and amphetamine dependence Osmotic release methylphenidate and CBT vs placebo and CBT [57][58][59] Mental health, Substance abuse Persons with infectious diseases (n = 6) Persons with latent tuberculosis infection (LTBI) 4-mo rifampicin course vs 9-mo isoniazid course 140 Infectious diseases…”

Section: Infectious Diseasesmentioning

confidence: 99%

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A Systematic Review of Randomized Controlled Trials of Interventions to Improve the Health of Persons During Imprisonment and in the Year After Release

et al. 2015

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We systematically reviewed randomized controlled trials of interventions to improve the health of people during imprisonment or in the year after release. We searched 14 biomedical and social science databases in 2014, and identified 95 studies.Most studies involved only men or a majority of men (70/83 studies in which gender was specified); only 16 studies focused on adolescents. Most studies were conducted in the United States (n = 57). The risk of bias for outcomes in almost all studies was unclear or high (n=91). In 59 studies, interventions led to improved mental health, substance use, infectious diseases, or health service utilization outcomes; in 42 of these studies, outcomes were measured in the community after release.Improving the health of people who experience imprisonment requires knowledge generation and knowledge translation, including implementation of effective interventions.Worldwide, more than 11 million people are imprisoned at any given time, and the prison population continues to grow at a rate faster than that of the general population. 1 Substantial evidence reveals that people who have experienced imprisonment have poor health compared with the general population, as indicated by the prevalence of mental illness, infectious diseases, chronic diseases, and mortality. 2 There are several reasons to focus on improving the health of people who experience imprisonment. 3 The burden of disease in this population affects the general population directly through increased health care costs and through the transmission of communicable diseases (e.g., HIV, HCV, and tuberculosis) after people are released from detention. Imprisonment has also been associated with worse health in family members of those who are detained, compared with the general population, including chronic diseases 4 and poor mental health 5,6 in adult relatives and mortality in male children. 7 At the community level, higher rates of incarceration have been associated with adverse health outcomes, such as sexually transmitted infections and teen pregnancies. 8 There is also evidence that poor health in persons who are released from detention, particularly those with inadequately treated mental illness and substance use disorders, 3 may affect public safety and reincarceration rates, 3 and that better access to health care is associated with less recidivism. 9,10 Finally, the right to health and health care is enshrined in international human rights documents, 11,12 and is a legislated responsibility of governments in many countries.Intervening during imprisonment and at the time of release could improve the health of people who experience imprisonment and public health overall. 13 To address this gap, we systematically reviewed randomized controlled trials of interventions to improve health in persons during imprisonment and in the year after release.We chose this population because we view imprisonment as a unique opportunity to deliver and to link with interventions for this population, and to highlight interventions t...

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“…This also meant that those participants who were still ambivalent about their drug use had very little exposure and encouragement to review their beliefs about drug and alcohol rehabilitation. There is a growing consensus in the literature that participation in substance use treatment reduces substance use and offending (Chandler & Spicer, 2006;Cleary et al, 2009;Drake et al, 2008), that effective substance use treatment programs focus on tailored programs provided both before and after release Kurlychek & Kempinen, 2006;Kurlychek, Wheeler, Tinik, & Kempinen, 2011) and when mental health and substance use treatment is provided simultaneously by the same provider (Chandler & Spicer, 2006).…”

Section: Discussionmentioning

confidence: 99%

Hoping Against Hope: The Prison-to-Community Transition Experience of Men With Co-Occurring Severe Mental Illness and Substance Use Disorder

Denton¹

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This thesis explores the prison-to-community transition experience after short-term incarceration, from the perspective of men with co-occurring mental illness and substance use disorder in Queensland, Australia. A specific focus was to examine the impact of systems and structures on the individual experience of transition. Prior research has established that people with co-occurring mental illness and substance use are overrepresented in the Australian prisoner population. It is also known that transition from prison to community for the general custodial population is a time of vulnerability, with increased risk of substance use, homelessness, unemployment, reincarceration and post-release death. All of these risks are compounded for prisoners with co-occurring disorders who are also at risk of a range of poor criminal justice outcomes and losing contact with mental health services after release.Review of the literature indicates a tendency for research to focus on recidivism as an outcome and emphasise either individual risk behaviour or social and structural factors influencing prison-to-community transition. Interventions during transition for the current population have traditionally been based on the criminalisation hypothesis, with a focus on increased provision of mental health services in prison and an emphasis on continuity of care in the community. There is a growing recognition in the international literature that the issues are much broader than mental illness; however, there is a lack of clarity as to how to respond to the complex needs of this population. Research exploring the perspective of men with cooccurring severe mental illness and substance use disorder during their prison-to-community transition experience has rarely been undertaken.The conceptual framework developed for this study shifts the emphasis away from recidivism towards recovery and wellbeing through a lens of individual action, but only in the context of the potential for systems and structures to impact on the ability of individuals to exercise agency. A qualitative method was used comprising repeat in-depth interviews with 18 men: within 1 month prior to leaving prison, within 2 weeks post-release and at 3 months postrelease. Three themes characterised the transition experience of participants: "hoping against hope"; "adrift in freedom"; and "the slippery slope". Participants reported leaving the predictable and routine life in prison where they hoped for a better life after release, to an uncertain, unstable and isolated environment in the community, eventually sliding into drug use, chaos and despair. The risk environment framework (Rhodes, 2009) and structuration theory (Giddens, 1984) were employed to understand how participants were caught in a complex dynamic between their individual risk behaviour and broader structural risk iii environments. This thesis proposes that a web of interrelated factors contributed to participants in the study as "ambivalent agents" who were suspended between the two worlds of priso...

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Integrated Treatment for Jail Recidivists with Co-occurring Psychiatric and Substance Use Disorders

Cited by 61 publications

References 42 publications

Diagnostic profiles of offenders in substance abuse treatment programs

Diagnostic profiles of offenders in substance abuse treatment programs

A Systematic Review of Randomized Controlled Trials of Interventions to Improve the Health of Persons During Imprisonment and in the Year After Release

Hoping Against Hope: The Prison-to-Community Transition Experience of Men With Co-Occurring Severe Mental Illness and Substance Use Disorder

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