Community Mental Health Journal

, Volume 50, Issue 6, pp 664–672 | Cite as

The Impact of Personality Disorders on Legally Supervised Community Treatment: A Systematic Literature Review

Original Paper
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Abstract

Mental health needs are common among community corrections offenders and many are enrolled in some form of supervised or mandated treatment. One category of mental health problem which may be germane to both treatment completion and recidivism among those in legally supervised treatment is the diagnosis of Personality Disorder (PD). This systematic review reports on sixteen studies comprised of full or mixed legally-supervised samples of offender in community-based treatment and examines the impact of PDs on treatment completion. These studies were difficult to compare because of the differences in program setting, definition of treatment completion, definition of PD, method of PD assessment and type of treatment, among other variables. The impact of antisocial personality disorder in treatment was a common focus, and other PDs were rarely assessed. The relevance of DSM PD categories to offender management in community corrections as well as the limitations of the current PD diagnostic categories is discussed.

Keywords

Personality Disorders Community corrections Probation Mandated treatment Dual diagnosis 

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th Edition-TR). Washington, DC: Author.Google Scholar
  2. Andrews, D. A., & Bonta, J. (2010). Rehabilitating criminal justice policy and practice. Psychology, Public Policy, and Law, 16, 39–55. doi: 10.1037/a0018362.CrossRefGoogle Scholar
  3. Andrews, D. A., Bonta, J., & Hoge, R. D. (1990). Classification for effective rehabilitation: Rediscovering psychology. Criminal Justice and Behavior, 17, 19–52.CrossRefGoogle Scholar
  4. Andrews, D. A., Bonta, J., & Wormith, J. S. (2006). The recent past and near future of risk and/or need assessment. Crime and Delinquency, 52, 7–27. doi: 10.1177/0011128705281756.CrossRefGoogle Scholar
  5. Baillargeon, J., Williams, B. A., Mellow, J., Harzke, A. J., Hoge, S. K., Baillargeon, G., et al. (2009). Parole revocation among prison inmates with psychiatric and substance use disorders. Psychiatric Services, 60, 1516–1521. doi: 10.1176/appi.ps.60.11.1516.PubMedCentralPubMedCrossRefGoogle Scholar
  6. Bazemore, G., & Schiff, M. (2005). Juvenile justice reform and restorative justice: Building theory and policy from practice. Portland, OR: Willan.Google Scholar
  7. Bender, D. S., Dolan, R. T., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H., et al. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158, 295–302.PubMedCrossRefGoogle Scholar
  8. Bender, V., King, M., & Torbet, P. (2006). Advancing accountability: Moving toward victim restoration. Juvenile & Family Court Journal, 57, 53–67.CrossRefGoogle Scholar
  9. Blumenthal, S., Craissati, J., & Minchin, L. (2009). The development of a specialist hostel for the community management of personality disordered offenders. Criminal Behaviour and Mental Health, 19, 43–53. doi: 10.1002/cbm.720.PubMedCrossRefGoogle Scholar
  10. Bowden-Jones, O., Iqbal, M. Z., Tyrer, P., Seivewright, N., Cooper, S., & Judd, A. (2004). Prevalence of personality disorder in alcohol and drug services and associated comorbidity. Addiction, 99, 1306–1314.PubMedCrossRefGoogle Scholar
  11. Brooner, R. K., King, V. L., Kidorf, M., Schmidt, C. W., & Bigelow, G. E. (1997). Psychiatric and substance use comorbidity among treatment seeking opioid abusers. Archives of General Psychiatry, 54, 71–80.PubMedCrossRefGoogle Scholar
  12. Chang, H., & Saunders, D. G. (2002). Predictors of attrition in two types of group programs for men who batter. Journal of Family Violence, 17, 273–291.CrossRefGoogle Scholar
  13. Daughters, S. B., Stipelman, B. A., Sargeant, M. N., Schuster, R., Bornovalova, M. A., & Lejuez, C. W. (2008). The interactive effects of antisocial personality disorder and court-mandated status on substance abuse treatment dropout. Journal of Substance Abuse Treatment, 34, 157–164. doi: 10.1016/j.jsat.2007.02.007.PubMedCentralPubMedCrossRefGoogle Scholar
  14. Derks, F. C. H. (1996). A forensic day treatment program for personality-disordered criminal offenders. International Journal of Offender Therapy and Comparative Criminology, 40, 123–134. doi: 10.1177/0306624X96402005.CrossRefGoogle Scholar
  15. Driessen, M., Veltrup, C., Wetterling, T., John, U., & Dilling, H. (1998). Axis I and Axis II comorbidity in alcohol dependence and the two types of alcoholism. Alcoholism, Clinical and Experimental Research, 22, 77–86.PubMedCrossRefGoogle Scholar
  16. Easton, C. J., Oberleitner, L. M., Scott, M. C., Crowley, M. J., Babuscio, T. A., & Carroll, K. M. (2012). Differences in treatment outcome among Marijuana-dependent young adults with and without antisocial personality disorder. The American Journal of Drug and Alcohol Abuse, Early Online, 1-9. doi:  10.3109/00952990.2011.643989.
  17. Eckhardt, C., Holtzworth-Munroe, A., Norlander, B., Sibley, A., & Cahill, M. (2008). Readiness to change, partner violence subtypes, and treatment outcomes among men in treatment for partner assault. Violence and Victims, 23, 446–475.PubMedCrossRefGoogle Scholar
  18. Ekselius, L., Lindstrom, E., Knorring, L., Bodlund, O., & Kullgren, G. (1994). Comorbidity among the personality disorders in DSM-III-R. Personality and Individual Differences, 17, 155–160.CrossRefGoogle Scholar
  19. Fazel, S., & Danesh, J. (2002). Serious mental disorder in 23,000 prisoners: A systematic review of 62 surveys. The Lancet, 359, 545–550. doi: 10.1016/S0140-6736(02)07740-1.CrossRefGoogle Scholar
  20. Festinger, D. S., Marlowe, D. B., Lee, P. A., Kirby, K. C., Bovasso, G., & McLellan, A. T. (2002). Status hearings in drug court: When more is less and less is more. Drug and Alcohol Dependence, 68, 151–157.PubMedCrossRefGoogle Scholar
  21. Glaze, L. E. (2011). Correctional Population in the United States, 2010. Washington, DC: Bureau of Justice Statistics.Google Scholar
  22. Glaze, L. E., & Bonczar, T. P. (2011). Probation and Parole in the United States, 2010. Washington, DC: Bureau of Justice Statistics.Google Scholar
  23. Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J., et al. (2004). Prevalence, correlates, and disability of personality disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 65, 948–958.PubMedCrossRefGoogle Scholar
  24. Greenberg, W. M., Otero, J., & Villanueva, L. (1994). Irregular discharges from a dual diagnosis unit. American Journal of Drug and Alcohol Abuse, 20, 355–371.PubMedCrossRefGoogle Scholar
  25. Grilo, C. M., Sanislow, C. A., Shea, M. T., Skodol, A. E., Stout, R. L., Gunderson, J. G., et al. (2005). Two-year prospective naturalistic study of remission from major depressive disorder as a function of personality disorder comorbidity. Journal of Consulting and Clinical Psychology, 73(1), 78–85. doi: 10.1037/0022-006X.73.1.78.PubMedCentralPubMedCrossRefGoogle Scholar
  26. Hopwood, C. J., Malone, J. C., Ansell, E. B., Sanislow, C. A., Grilo, C. M., McGlashan, T. H., et al. (2011). Personality assessment in DSM-5: Empirical support for rating severity, style, and traits. Journal of Personality Disorders, 25, 305–320. doi: 10.1521/pedi.2011.25.3.305.PubMedCrossRefGoogle Scholar
  27. Kokkevi, A., Stefanis, N., Anastasopoulou, E., & Kostogianni, C. (1998). Personality disorders in drug abusers: Prevalence and their association with AXIS I disorders as predictors of treatment retention. Addictive Behaviors, 23, 841–853.PubMedCrossRefGoogle Scholar
  28. Langevin, R. (2006). Acceptance and completion of treatment among sex offenders. International Journal of Offender Therapy and Comparative Criminology, 50, 402–417. doi: 10.1177/0306624X06286870.PubMedCrossRefGoogle Scholar
  29. Larochelle, S., Diguer, L., Laverdière, O., Gamache, D., Greenman, P. S., & Descoteaux, J. (2010). Psychological dimensions of antisocial personality disorder as predictors of psychotherapy noncompletion among sexual offenders. Bulletin of the Menninger Clinic, 74, 1–28.PubMedCrossRefGoogle Scholar
  30. Lattimore, P. K., Broner, N., Sherman, R., Frisman, L., & Shafer, M. S. (2003). A comparison of pre-booking and post-booking diversion programs for mentally ill substance abusing individuals with justice involvement. Journal of Contemporary Criminal Justice, 19, 30–64.CrossRefGoogle Scholar
  31. Lurigio, A. J., Cho, Y. I., Swartz, J. A., Johnson, T. P., Graf, I., & Pickup, L. (2003). Standardized assessment of substance-related, other psychiatric, and comorbid disorders among probationers. International Journal of Offender Therapy and Comparative Criminology, 47, 630–652. doi: 10.1177/0306624X03257710.PubMedCrossRefGoogle Scholar
  32. MacKenzie, D. L., Browning, K., Skroban, S. B., & Smith, D. A. (1999). The impact of probation on the criminal activities of offenders. Journal of Research in Crime and Delinquency, 36, 423–453.CrossRefGoogle Scholar
  33. Madeddu, F., Prunas, A., & Hartmann, D. (2009). Prevalence of Axis II disorders in a sample of clients undertaking psychiatric evaluation for sex reassignment surgery. Psychiatric Quarterly, 80, 261–267.PubMedCrossRefGoogle Scholar
  34. Magyar, M. S., Edens, J. F., Lilienfeld, S. O., Douglas, K. S., Poythress, N. G, Jr., & Skeem, J. L. (2012). Using the personality assessment inventory to predict male offenders’ conduct during and progression through substance abuse treatment. Psychological Assessment, 24, 216–225. doi: 10.1037/a0025359.PubMedCrossRefGoogle Scholar
  35. Maxwell, S. R., & Gray, M. K. (2000). Deterrence: Testing the effects of perceived sanction certainty on probation violations. Sociological Inquiry, 70, 117–136.CrossRefGoogle Scholar
  36. Meier, P. S., & Barrowclough, C. (2009). Mental health problems: Are they or are they not a risk factor for drop out from drug treatment? A systematic review of the evidence. Drugs: Education, Prevention and Policy, 16, 7–38. doi: 10.1080/09687630701741030.Google Scholar
  37. Messina, N. P., Wish, E. D., & Nemes, S. (1999). Therapeutic community treatment for substance abusers with antisocial personality disorder. Journal of Substance Abuse Treatment, 17, 121–128.PubMedCrossRefGoogle Scholar
  38. Mumola, C. J., & Bonczar, T. P. (1998). Substance abuse and treatment of adults on probation, 1995. Washington, DC: Bureau of Justice Statistics.Google Scholar
  39. Newton-Howes, G., Tyrer, P., & Johnson, T. (2006). Personality disorder and the outcome of depression: meta analysis of published studies. British Journal of Psychiatry, 188, 13–20. doi: 10.1192/bjp.188.1.13.PubMedCrossRefGoogle Scholar
  40. Olver, M. E., Stockdale, K. C., & Wormith, J. S. (2011). A meta-analysis of predictors of offender treatment attrition and its relationship to recidivism. Journal of Consulting and Clinical Psychology, 79, 6–21.PubMedCrossRefGoogle Scholar
  41. Parhar, K. K., Wormith, S. J., Derkzen, D. M., & Beauregard, A. M. (2008). Offender coercion in treatment : A meta-analysis of effectiveness. Criminal Justice and Behavior, 35, 1109–1135.CrossRefGoogle Scholar
  42. Parker, G., Hadzi-Pavlovic, D., Both, L., Kumar, S., Wilhelm, K., & Olley, A. (2004). Measuring disordered personality functioning: To love and to work reprised. Acta Psychiatrica Scandinavica, 110, 230–239.PubMedCrossRefGoogle Scholar
  43. Poythress, N. G., Edens, J. F., Skeem, J. L., Lilienfeld, S. O., Douglas, K. S., Frick, P. J., et al. (2010). Identifying subtypes among offenders with antisocial personality disorder: A cluster-analytic study. Journal of Abnormal Psychology, 119, 389–400. doi: 10.1037/a0018611.PubMedCrossRefGoogle Scholar
  44. Ravndal, E., Vaglum, P., & Lauritzen, G. (2005). Completion of long-term inpatient treatment of drug abusers: A prospective study from 13 different units. European Addiction Research, 11, 180–185. doi: 10.1159/000086399.PubMedCrossRefGoogle Scholar
  45. Rounsaville, B. J., Kranzler, H. R., Ball, S. A., Tennen, H., Poling, J., & Triffleman, E. (1998). Personality disorders in substance abusers: Relation to substance use. Journal of Nervous and Mental Disease, 186, 87–95.PubMedCrossRefGoogle Scholar
  46. Samuel, D. B., LaPaglia, D. M., Maccarelli, L. M., Moore, B. A., & Ball, S. A. (2011). Personality disorders and retention in a therapeutic community for substance dependence. American Journal on Addictions, 20, 555–562. doi: 10.1111/j.1521-0391.2011.00174.x.PubMedCrossRefGoogle Scholar
  47. Schwalbe, C. S. (2012). Toward an integrated theory of probation. Criminal Justice and Behavior, 39, 185–201. doi: 10.1177/0093854811430185.CrossRefGoogle Scholar
  48. Skeem, J. L., & Manchak, S. (2008). Back to the future: from Klockars’ model of effective supervision to evidence-based practice in probation. Journal of Offender Rehabilitation, 47, 220–247.CrossRefGoogle Scholar
  49. Steadman, H., Monahan, J., Appelbaum, P., Grisso, T., Mulvey, E., Roth, L., et al. (1994). Designing a new generation of risk assessment research. In J. Monahan & H. Steadman (Eds.), Violence and mental disorder: Developments in risk assessment (pp. 297–318). Chicago: University of Chicago Press.Google Scholar
  50. Sussner, B. D., Kline, A., Smelson, D. A., Losonczy, M., & Salvatore, S. J. (2008). The role of psychosocial characteristics in premature discharge from residential services for homeless veterans. Psychological Services, 5, 341–350.CrossRefGoogle Scholar
  51. Sutker, P. B., & Allain, A. N, Jr. (1988). Issues in personality conceptualizations of addictive behaviors. Journal of Consulting and Clinical Psychology, 56, 172–182.PubMedCrossRefGoogle Scholar
  52. Svrakic, D. M., Whitehead, C., Przybeck, T. R., & Cloninger, C. R. (1993). Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Archives of General Psychiatry, 50, 991–999.PubMedCrossRefGoogle Scholar
  53. Tull, M. T., & Gratz, K. L. (2012). The impact of borderline personality disorder on residential substance abuse treatment dropout among men. Drug and Alcohol Dependence, 121, 97–102.PubMedCentralPubMedCrossRefGoogle Scholar
  54. Verheul, R. (2001). Co-morbidity of personality disorders in individuals with substance use disorders. European Psychiatry, 16, 274–282.PubMedCrossRefGoogle Scholar
  55. Verheul, R., Andrea, H., Berghout, C. C., Dolan, C., Busschbach, J. V., van der Kroft, P. J. A., et al. (2008). Severity indices of personality problems (SIPP-118): Development, factor structure, reliability, and validity. Psychological Assessment, 20, 23–34. doi: 10.1037/1040-3590.20.1.23.PubMedCrossRefGoogle Scholar
  56. Wexler, D. B. (2001). The development of therapeutic jurisprudence: From theory to practice. In L. E. Frost & B. R. J. (Eds.), The evolution of mental health law. Washington, DC: American Psychological Association Press.Google Scholar
  57. Widiger, T. A., & Clark, L. A. (2000). Toward DSM-V and the classification of psychopathology. Psychological Bulletin, 126, 946–963.PubMedCrossRefGoogle Scholar
  58. Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162, 1911–1918. doi: 10.1176/appi.ajp.162.10.1911.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of New HavenWest HavenUSA

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