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Results for parolees (california, u.s.)

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Author: Louden, Jennifer Eno

Title: Parolees with Mental Disorder: Toward Evidence-Based Practice

Summary: In the U.S., the rate of such serious mental disorders as major depression, bipolar disorder, and schizophrenia is about two times higher among incarcerated men and three times higher in incarcerated women than in the general population (Teplin, 1994; Teplin, Abram, & McClelland, 1996). Estimates suggest that approximately 14.5% of prison inmates have a serious mental disorder (Diamond, Wang, Holzer, Thomas, & Cruzer, 2001; Fazel & Danesh, 2002; Steadman, Osher, Robbins, Case, & Samuels, 2009). As the number of persons supervised by the criminal justice system in the United States grows—it is now at an all-time high of 7.2 million (Glaze & Bonczar, 2007)—so will the number of offenders with serious mental disorder. Although the criminal justice system was not designed to meet the needs of offenders with mental disorder, it has become an integral component of the “de facto” mental health care system. For example, Los Angeles County jail, Riker’s Island jail in New York, and Cook County jail in Chicago each hold more people with mental illness than the largest psychiatric inpatient facilities in the United States (Torrey, 1995). As noted by the Council of State Governments (2002), “the current situation not only exacts a significant toll on the lives of people with mental illness, their families, and the community in general, it also threatens to overwhelm the criminal justice system” (p. 6). Community supervision is a crucial context for beginning to address this problem. Most offenders are supervised in the community on probation or parole1 rather than being incarcerated in 1 Probation and parole are both mechanisms for community supervision, but differ in a meaningful way: probation is a sentence in itself (in lieu of jail), whereas parole is a period of supervision that occurs after a prison term (Abadinsky, 2000). Thus, parolees are generally more serious offenders than probationers. prisons or jails (Glaze & Bonczar, 2007). Compared to their relatively healthy counterparts, probationers and parolees with mental disorders (PMDs) are more likely to have their community term revoked, often for committing a technical violation (breaking of the rules of community supervision, such as associating with known criminals; Cloyes, Wong, Latimer, & Abarca, 2010; Porporino & Motiuk, 1995). This deepens their involvement in the criminal justice system. Understanding parole and mental health is particularly important in California. First, California has the largest parole population in the nation (Petersilia, 2006), in part because every individual released from prison in the state serves at least one year of parole. Second, California’s rate of return to prison for parolees is notoriously high (Grattet, Petersilia, & Lin, 2008). Third, California has long had a system in place for addressing the needs of parolees with mental disorder. The Mental Health Services Continuum Program (MHSCP) is a prison “in-reach” program designed to identify the most seriously ill parolees and refer them to Parole Outpatient Clinics (POCs) for mental health treatment. MHSCP social workers conduct pre-release needs assessments of paroling inmates with mental disorder, assist with applications for social service assistance, and refer them to the outpatient clinics. The focus is on two classes of inmates with major mental disorders identified in the prison: (a) Correctional Clinical Case Management System (CCCMS) inmates who are determined to be stable and have minimal treatment needs, and (b) Enhanced Outpatient Program (EOP) who are characterized by active psychotic symptoms and substantial treatment needs. The most recent available evaluation of the MHSCP program suggests that it has strengths and weaknesses: parolees who receive the evaluation are more likely to receive psychiatric services, but many eligible parolees do not receive the services intended and many return to prison (Farabee, Bennett, Garcia, Warda, & Yang, 2006). Even with these enhanced services, a detailed analysis of all California parolees reported that EOP and CCCMS parolees were at 36% higher risk of committing a new offense than non-disordered parolees, and had an even higher rate of technical violations (70% higher risk; Grattet et al., 2008). To effect change in the recidivism rate of California’s PMDs, this group must be better understood so that recommendations can be tailored to meet their unique needs.

Details: Irvine, CA: UC Invine, Center for Evidence-Based Corrections, 2011. 9p.

Source: Internet Resource: The Bulletin, 7(1): Accessed January 30, 2013 at: http://ucicorrections.seweb.uci.edu/sites/ucicorrections.seweb.uci.edu/files/Parolees%20with%20Mental%20Disorder.pdf

Year: 2011

Country: United States

URL: http://ucicorrections.seweb.uci.edu/sites/ucicorrections.seweb.uci.edu/files/Parolees%20with%20Mental%20Disorder.pdf

Shelf Number: 127449

Keywords:
Evidence-Based Practices
Mental Health Services
Mentally Ill Offenders
Parolees (California, U.S.)