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Some perspectives on criminalization.

H Richard Lamb1, Linda E Weinberger

  • 1USC Institute of Psychiatry, Law, and Behavioral Science, Los Angeles, CA 90086-0125, USA. hlamb@usc.edu

The Journal of the American Academy of Psychiatry and the Law
|June 18, 2013
PubMed
Summary
This summary is machine-generated.

Individuals with serious mental illness (SMI) are criminalized due to inadequate mental health care, not solely criminogenic needs. Enhanced psychiatric treatment and system responsibility are crucial for managing this population.

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Area of Science:

  • Forensic Psychiatry
  • Mental Health Services Research
  • Criminal Justice Studies

Background:

  • Recent literature underemphasizes serious mental illness (SMI) as a driver of criminal justice involvement.
  • Focus has shifted to criminogenic needs, potentially overlooking critical factors for SMI individuals.
  • Untreated SMI, lack of adequate treatment, structure, and care contribute to criminalization.

Purpose of the Study:

  • To highlight the underrecognized role of serious mental illness (SMI) in criminal justice system involvement.
  • To advocate for increased mental health system responsibility and resources for individuals with SMI.
  • To address the limitations of current interventions like cognitive behavioral therapy (CBT) for those with untreated psychosis.

Main Methods:

  • Literature review and analysis of current trends in criminal justice and mental health.
  • Examination of the challenges in managing offenders with SMI within correctional systems.
  • Discussion of the efficacy of existing treatments and the need for enhanced psychiatric care.

Main Results:

  • Persons with SMI are disproportionately criminalized when lacking adequate mental health treatment and support.
  • Cognitive behavioral therapy (CBT) may be ineffective for individuals with untreated psychotic symptoms.
  • Correctional systems face significant challenges managing offenders with SMI, including treatment adherence and potential violence.

Conclusions:

  • The criminal justice system is overburdened with individuals experiencing serious mental illness (SMI) due to insufficient mental health care.
  • Increased funding and responsibility for the mental health system are essential for effective management of this population.
  • Prioritizing psychiatric treatment and comprehensive care is vital to reduce criminalization and improve outcomes for individuals with SMI.