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Transitions between jail and community-based treatment for individuals with co-occurring disorders
Sheryl Pimlott Kubiak1, April M Zeoli, Lynette Essenmacher
1Department of Social Work, Michigan State University, Baker Hall, East Lansing, MI 48824, USA. spk@msu.edu
Objective:
This study assessed transitions to community mental health services among individuals with co-occurring disorders upon release from jail.
Methods:
Data from jail and public mental health systems in Wayne County, Michigan, were merged to identify 677 individuals diagnosed as having a serious mental illness and substance use disorder who had been jailed a total of 1,774 times over 48 months starting in 2003.
Results:
Only 33% of incarcerations (N=573) were followed by community-based treatment; 44% (N=803) were followed by treatment during a subsequent incarceration, and 23% (N=398) by no treatment. Generalized estimating equations found that individuals with schizophrenia and substance dependence were the most likely to obtain community treatment.
Conclusion:
By integrating discharge planning, community mental health providers and jails may ensure a continuum of care that facilitates treatment engagement, limits repeated incarcerations, and improves well-being.
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