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Deinstitutionalization and criminalization: tinkering in the interstices
1Department of Psychiatry, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0710, USA.
Forensic Science International
|February 28, 1997
Summary
The mental health system faces challenges due to deinstitutionalization, homelessness, and criminalization. This study proposes improvements for mental health services, especially within the criminal justice system.
Area of Science:
- Public Health
- Mental Health Services Research
- Criminology
Background:
- The mental health service system has evolved over 30+ years, influenced by economic, social, and political factors.
- Persistent issues include deinstitutionalization, homelessness, and the criminalization of individuals with mental illness.
Purpose of the Study:
- To analyze the challenges within the current mental health service system.
- To propose enhanced service delivery models for mentally disordered individuals, particularly at the intersection with the criminal justice system.
Main Methods:
- Literature review and analysis of systemic issues.
- Exploration of policy implications and service gaps.
Main Results:
- Deinstitutionalization has led to increased homelessness and criminalization among the mentally ill.
- Existing services often fail to adequately address the needs of this population, especially those in contact with law enforcement.
Conclusions:
- The mental health system requires significant reform to address the complex needs of deinstitutionalized individuals.
- Improved integration between mental health services and the criminal justice system is crucial for better outcomes.