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Published Online: 11 January 2024

Identifying Individuals With Early Psychosis in Jail: Lessons Learned for Coordinated Specialty Care Services

Abstract

Objective:

This study sought to establish the feasibility of a two-component intervention embedded within a jail setting that would detect detainees with early psychosis and connect them to coordinated specialty care (CSC) in the community upon release.

Methods:

The two components of the intervention were a targeted educational campaign for correction officers and a specialized early engagement support service to facilitate jail discharge planning. Jail detainees with early psychosis were referred to the project and assessed for positive and negative symptoms, substance use, and duration of untreated psychosis (DUP). During a 24-month period, 25 individuals were referred, of whom eight were eligible and interviewed.

Results:

The sociodemographic and clinical characteristics of the jail detainees were similar to those of individuals in hospital settings. The median DUP was 36 weeks. One of the eight detainees with early psychosis was successfully referred to CSC; for the other detainees, social or criminal legal factors precluded referral.

Conclusions:

A targeted educational campaign for correction officers and a specialized early engagement support service can be implemented in a jail setting, and referrals can be facilitated. Success of the campaign may depend on having dedicated liaisons within the jail setting (e.g., among correctional health staff) as well as liaisons in local CSC programs and leadership. Changes in the law and policy environments (e.g., criminal legal system reform) and changes in organizational practices and processes for corrections, correctional health, and local CSC programs (such as those made during the COVID-19 pandemic) require ongoing collaborations.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 470 - 476
PubMed: 38204371

History

Received: 13 March 2023
Revision received: 21 August 2023
Accepted: 18 September 2023
Published online: 11 January 2024
Published in print: May 01, 2024

Keywords

  1. Coordinated specialty care
  2. Criminal justice
  3. Criminal legal system
  4. Early intervention
  5. Early psychosis
  6. Schizophrenia

Authors

Details

Michael T. Compton, M.D., M.P.H. [email protected]
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York City (Compton, Pope); Vera Institute of Justice, New York City (Tan de Bibiana).
Jason Tan de Bibiana, M.Sc.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York City (Compton, Pope); Vera Institute of Justice, New York City (Tan de Bibiana).
Leah G. Pope, Ph.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York City (Compton, Pope); Vera Institute of Justice, New York City (Tan de Bibiana).

Notes

Send correspondence to Dr. Compton ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Research reported in this article was supported by NIMH (grant R34 MH117766 to Dr. Compton) and a van Ameringen Foundation grant (to Dr. Pope).The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH, NIMH, or van Ameringen Foundation.

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