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Forensic nurses' views regarding medications for inmates.
Chia-Chen Lee1, Phyllis M Connolly, Elizabeth O Dietz
1Santa Clara County Valley Health and Hospital System, Custody Health Services, USA. chialeech@yahoo.com
Summary
High arrest rates in people with mental illnesses highlight gaps in community mental health services. Improved discharge planning, including medication and follow-up, may reduce re-arrest rates for individuals with mental illness.
Area of Science:
- Forensic Psychiatry
- Public Health
- Mental Health Services Research
Background:
- Elevated arrest rates among individuals with mental illnesses suggest a link between psychiatric conditions and criminal justice involvement.
- The growing population of individuals with severe and persistent mental illnesses within the criminal justice system indicates a failure in community-based mental health care.
- Correctional facilities are increasingly functioning as de facto treatment centers, inadequately addressing the needs of mentally ill individuals.
Purpose of the Study:
- To examine the relationship between mental illness and arrest rates.
- To evaluate the role of community mental health service deficiencies in the criminalization of mental illness.
- To explore the potential impact of enhanced post-release support on recidivism rates.
Main Methods:
- Analysis of arrest data for individuals with diagnosed mental illnesses.
- Review of community mental health service availability and utilization.
- Assessment of recidivism rates in relation to discharge planning and follow-up care.
Main Results:
- Mental illness is a significant factor contributing to arrests.
- Inadequate community mental health services lead to increased criminal justice system involvement for mentally ill individuals.
- Jails and prisons serve as ineffective treatment facilities for mental health conditions.
Conclusions:
- Addressing deficiencies in community mental health services is crucial to reduce the number of individuals with mental illness in the criminal justice system.
- Implementing mandatory discharge medication and consistent follow-up treatment for former inmates with mental illnesses can potentially decrease recidivism.
- Reforming mental health care systems is essential to provide appropriate support and reduce the revolving door phenomenon.