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Published Online: 1 June 2011

Transitions Between Jail and Community-Based Treatment for Individuals With Co-occurring Disorders

Abstract

Objective:

This study assessed transitions to community mental health services among individuals with co-occurring disorders upon release from jail.

Methods:

Data from jail and public mental health systems in Wayne County, Michigan, were merged to identify 677 individuals diagnosed as having a serious mental illness and substance use disorder who had been jailed a total of 1,774 times over 48 months starting in 2003.

Results:

Only 33% of incarcerations (N=573) were followed by community-based treatment; 44% (N=803) were followed by treatment during a subsequent incarceration, and 23% (N=398) by no treatment. Generalized estimating equations found that individuals with schizophrenia and substance dependence were the most likely to obtain community treatment.

Conclusion:

By integrating discharge planning, community mental health providers and jails may ensure a continuum of care that facilitates treatment engagement, limits repeated incarcerations, and improves well-being. (Psychiatric Services 62:679–681, 2011)

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Table 1 Episodes of incarceration in jail and treatment after release for 677 individuals with co-occurring disorders

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Hurricane Island, Vinalhaven, Maine, by Marsden Hartley, 1942. Oil on masonite, 30 × 39 15/16 inches. Gift of Mrs. Herbert Cameron Morris, 1943. Philadelphia Museum of Art.
Psychiatric Services
Pages: 679 - 681
PubMed: 21632740

History

Published online: 1 June 2011
Published in print: June 2011

Authors

Details

Sheryl Pimlott Kubiak, Ph.D., M.S.W. [email protected]
Dr. Kubiak is affiliated with the Department of Social Work, Michigan State University, Baker Hall, East Lansing, MI 48824 (e-mail: [email protected]).
April M. Zeoli, Ph.D., M.P.H.
Dr. Zeoli is with the School of Criminal Justice at Michigan State University.
Lynette Essenmacher, M.P.H.
Ms. Essenmacher and Ms. Hanna are with the School of Medicine, Wayne State University, Detroit.
Julie Hanna, M.S.W.
Ms. Essenmacher and Ms. Hanna are with the School of Medicine, Wayne State University, Detroit.

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