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The Cal-DSH diversion guidelines.

Michael A Cummings1, Charles Scott2, Juan Carlos Arguello3

  • 1California Department of State Hospitals, Psychopharmacology Resource Network, DSH-Patton, Patton, California 92369, USA.

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|October 28, 2020
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Summary
This summary is machine-generated.

The Cal-DSH Diversion Guidelines offer 10 recommendations for creating diversion programs for individuals with serious mental illness (SMI) involved in the criminal justice system. These guidelines emphasize screening, treatment for SMI and substance use disorders, and addressing criminogenic risks.

Keywords:
diversionincarcerationjailrisk-need-responsivityserious mental illnesstreatment

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Area of Science:

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

Background:

  • Individuals with serious mental illness (SMI) are disproportionately represented in the criminal justice system.
  • Effective diversion programs are crucial for addressing the needs of this population and reducing recidivism.
  • Existing guidelines may not fully address the complexities of SMI within the justice system.

Purpose of the Study:

  • To present the Cal-DSH Diversion Guidelines for developing criminal justice diversion programs.
  • To outline key considerations for screening and intervention for individuals with SMI in jail settings.
  • To highlight the importance of integrated treatment for SMI and substance use disorders, alongside criminogenic risk factors.

Main Methods:

  • Review of existing literature and best practices in mental health diversion.
  • Development of 10 general guidelines for jurisdictions.
  • Focus on screening protocols within jail settings.
  • Identification of essential treatment interventions and risk factor management.

Main Results:

  • The Cal-DSH Diversion Guidelines offer a comprehensive framework.
  • Emphasis on early identification of serious mental illness (SMI) in incarcerated individuals.
  • Integration of treatment for co-occurring mental illness and substance use disorders is critical.
  • Addressing criminogenic risk factors alongside clinical needs is essential for successful diversion.

Conclusions:

  • The guidelines provide a structured approach for developing effective diversion programs.
  • Successful diversion requires a multi-faceted strategy including screening, integrated treatment, and risk management.
  • Implementation of these guidelines can improve outcomes for individuals with SMI in the criminal justice system.