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Reintegration programmes for people with severe mental illnesses released from correctional institutions: systematic
Alexander I F Simpson1, M Umer Waqar1, Cory Gerritsen1,2
1Forensic Psychiatry Division, https://ror.org/03e71c577Centre for Addiction and Mental Health and University of Toronto, Canada.
Reintegration programs for severe mental illness (SMI) show varied success. Comprehensive, long-term support is key for reducing recidivism and improving community reintegration for individuals with SMI.
Area of Science:
- Criminal Justice and Mental Health
- Public Health Interventions
- Social Reintegration Strategies
Background:
- Individuals with severe mental illness (SMI) face significant challenges upon release from correctional facilities, including higher recidivism, homelessness, and worsening mental health.
- Specialized reintegration programs aim to support this population, but their effectiveness is not well-established due to inconsistent research findings.
Purpose of the Study:
- To systematically review and evaluate the evidence on the effectiveness of reintegration programs for adults with SMI transitioning from correctional facilities to the community.
Main Methods:
- A systematic literature search was conducted up to January 10, 2026.
- Eligible studies focused on adults with SMI transitioning from correctional settings.
- A narrative analysis was performed due to methodological and outcome heterogeneity across 26 identified studies.
Main Results:
- Interventions included peer mentoring, critical time intervention, case management, and therapeutic communities.
- Program effectiveness was mixed, with some showing reduced recidivism and improved mental health engagement, while others had minimal impact.
- Longer program duration and comprehensive aftercare components were associated with better outcomes.
Conclusions:
- Reintegration programs for individuals with SMI demonstrate potential but exhibit variable efficacy.
- Successful interventions require sustained, comprehensive support across mental health treatment, housing, employment, and social domains.
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