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Issues in serving the forensic client

P Solomon1, J Draine

  • 1School of Social Work, University of Pennsylvania, Philadelphia 19104.

Social Work
|January 1, 1995
PubMed
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This study examined intensive case management for homeless individuals with serious mental illness exiting jails. Key challenges included care continuity, family involvement in legal charges, and using legal means for therapy.

Area of Science:

  • Forensic Psychiatry
  • Public Health
  • Mental Health Services Research

Background:

  • Individuals with serious mental illness (SMI) who are homeless frequently cycle through the criminal justice system.
  • Effective case management is crucial for this population to improve outcomes and reduce recidivism.
  • The intersection of jail systems and community mental health services presents unique challenges.

Purpose of the Study:

  • To explore issues arising from the interaction between mental health and jail systems.
  • To examine the effectiveness of an intensive case management team model for homeless individuals with SMI leaving jail.
  • To identify implications for community mental health systems serving forensic clients.

Main Methods:

  • A team model of intensive case management was studied.

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  • The study focused on individuals with serious mental illness who were homeless and transitioning from Philadelphia jails.
  • Issues were analyzed based on literature review and their impact on the study's progress.

    • Main Results:

    • Continuity of care is difficult within unpredictable jail systems.
    • Family members are extensively involved in legal charges against clients.
    • The use of legal sanctions for therapeutic outcomes presents challenges.

    Conclusions:

    • Interactions between mental health and jail systems require careful navigation.
    • Addressing the needs of forensic clients necessitates improved coordination and understanding.
    • The study highlights the need for systemic changes to support individuals with SMI transitioning from jail.