Psychiatric Quarterly

, Volume 75, Issue 2, pp 151–164 | Cite as

Persons with Severe Mental Disorders in the Criminal Justice System: Challenges and Opportunities

  • J. Steven Lamberti
  • Robert L. Weisman


Persons with schizophrenia and other severe mental disorders are at risk for falling through the cracks between the criminal justice and mental health systems. This article is based on a panel discussion between representatives from both systems that recently convened at a regional conference to discuss integration of services. The purpose of the panel discussion was to identify challenges and opportunities related to integrating mental health and criminal justice services at each phase of the criminal justice process. A synopsis of the discussion is presented, along with new models of service delivery designed to prevent the inappropriate arrest and incarceration of persons with severe mental disorders.

diversion incarceration schizophrenia criminal justice mental health 


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  1. 1.
    Butterfield, F: Prisons replace hospitals for the nation's mentally ill. The New York Times, Vol CXL VII, March 1998.Google Scholar
  2. 2.
    Lamb, RH, Weinberger, LE: Persons with severe mental illness in jails and prisons: A review. Psychiatric Services 49(4):483-492, 1998.Google Scholar
  3. 3.
    Health Care Reform for Americans with Severe Mental Illness: Report of the National Advisory Mental Health Council. American Journal of Psychiatry 150(10):1447-1465, 1993.Google Scholar
  4. 4.
    Criminal Justice/Mental Health Consensus Project. Council of State Governments, 2002.Google Scholar
  5. 5.
    Correctional Populations in the United States: Bureau of Justice Statistics, U.S. Department of Justice, NCJ 192929, 1998.Google Scholar
  6. 6.
    U.S. Census: Economics and Statistics Administration, U.S. Department of Commerce, 2000.Google Scholar
  7. 7.
    Deane, MW, Steadman, HJ, Borum, R, et al: Emerging partnerships between mental health and law enforcement. Psychiatric Services 50(1):99-101, 1999.Google Scholar
  8. 8.
    Amnesty International: Race, Rights and Police Brutality., 2001.Google Scholar
  9. 9.
    Dupont, RT, Cochran, CS: The Memphis CIT Model, in Serving Mentally Ill Offenders: Challenges and Opportunities for Mental Health Professionals. Edited by Landsberg, G, Rock, M, Berg, L, Smiley, A, New York, Springer, 2002, pp. 59-69.Google Scholar
  10. 10.
    Borum, R, Williams, M, Deane, MA, et al: Police perspectives on responding to mentally ill people in crisis: Perceptions of program effectiveness. Behavioral Sciences and the Law 16:393-405, 1998.Google Scholar
  11. 11.
    Steadman, HJ, Deane, MW, Borum, R, Morrissey, JP: Comparing outcomes of major models of police responses to mental health emergencies. Psychiatric Services 51(5):645-649, 2000.Google Scholar
  12. 12.
    Hayes, LM: National study of jail suicides: Seven years later. Psychiatric Quarterly 60(1):7-29, 1989.Google Scholar
  13. 13.
    Draine, J, Solomon, P: Describing and evaluating jail diversion services for persons with serious mental illness. Psychiatric Services 50(1):56-61, 1999.Google Scholar
  14. 14.
    Goldkamp, JD, Irons-Guynn, C: Emerging Judicial Strategies for the Mentally Ill in the Criminal Caseload: Mental Health Courts in Fort Lauderdale, Seattle, San Bernardino, and Anchorage. U.S. Department of Justice, Bureau of Justice Assistance Monograph NCJ 182504, 2000.Google Scholar
  15. 15.
    Petrilla, J: The Effectiveness of the Broward Mental Health Court: An Evaluation. University of South Florida Policy Brief, Number 16, 2002.Google Scholar
  16. 16.
    Trupin, E, Richards, H, Wertheimer, DM, et al: Seattle Municipal Court: Mental Health Court Evaluation Report. City of Seattle Municipal Court, 2001.Google Scholar
  17. 17.
    Ditton, P: Mental Health and Treatment of Inmates and Probationers. Bureau of Justice Statistics, U.S. Department of Justice, NCJ 174463, 1999.Google Scholar
  18. 18.
    Hayes, LM: Prison Suicide: An Overview and Guide to Prevention. National Center on Institutions and Alternatives. U.S. Department of Justice, 1995.Google Scholar
  19. 19.
    Jail Suicide/Mental Health Update, Vol 10, No 3, Summer 2001.Google Scholar
  20. 20.
    California Department of Corrections, Suicide Prevention in the California Department of Corrections: Annual Report, 1990. Sacramento, CA, 1991.Google Scholar
  21. 21.
    New York State Commission of Correction: Suicide in State and Local Correctional Facilities: A Three-Year Study. Albany, New York State Commission of Correctional Medical Review Board, 1982.Google Scholar
  22. 22.
    American Correctional Association: Standards for Adult Correctional Institutions, 3rd ed, 1990.Google Scholar
  23. 23.
    National Commission on Correctional Health Care: Standards for Health Services in Jails, 1996.Google Scholar
  24. 24.
    Hayes, LM: Jail standards and suicide prevention: Another look. Jail Suicide/Mental Health Update 6(4):1-8, 1996.Google Scholar
  25. 25.
    Cox, JF, Landsberg, G, Paravati, MP: The essential components of a crisis intervention program for local jails. Psychiatric Quarterly 60(1):103-118, 1989.Google Scholar
  26. 26.
    Mitak, M: Innovative program for mentally ill inmates. JAMA 285(21):2703-2704, 2001.Google Scholar
  27. 27.
    Solomon, P, Draine, J, Marcus, S: Predicting incarceration of clients of a psychiatric probation and parole service. Psychiatric Services 53(1):50-56, 2002.Google Scholar
  28. 28.
    National Institute of Justice: NIJ Survey of Probation and Parole Agency Directors. Washington, DC, U.S. Government Printing Office, 1995.Google Scholar
  29. 29.
    Gold Award Article: Prevention of jail and hospital recidivism among persons with severe mental illness. Project Link, Department of Psychiatry, Rochester, New York. Psychiatric Services 50(11):1477-1480, 1999.Google Scholar
  30. 30.
    Psychiatric Services in Jails and Prisons, 2nd ed. Washington, DC, American Psychiatric Association, 2000.Google Scholar
  31. 31.
    Steadman, HJ, Barbera, SS, Dennis, DL: A national survey of jail diversion programs for mentally ill detainees. Hospital and Community Psychiatry 45(11):1109-1113, 1994.Google Scholar
  32. 32.
    Lamberti, JS, Weisman, RL: Preventing incarceration of adults with severe mental illness: Project Link, in Serving Mentally Ill Offenders. Edited by Landsberg, G, Rock, M, Berg, L, New York, Springer, 2002, pp. 133-143.Google Scholar
  33. 33.
    Lamberti, JS, Weisman, RL, Faden, DI: Forensic Assertive Community Treatment (FACT): An Emerging Model of Care. Presented at the 55th Institute on Psychiatric Services, Boston, MA, October 31, 2003.Google Scholar
  34. 34.
    Gold Award Article: Helping mentally ill people break the cycle of jail and homelessness. The Thresholds, State, County Collaborative Jail Linkage Project, Chicago. Psychiatric Services 52(10):1380-1382, 2001.Google Scholar
  35. 35.
    Lamberti, JS, Weisman, RL, Schwarzkopf, SB, et al: The mentally ill in jails and prisons: Towards an integrated model of prevention. Psychiatric Quarterly 72(1):63-77, 2001.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2004

Authors and Affiliations

  • J. Steven Lamberti
    • 1
  • Robert L. Weisman
    • 2
    • 3
  1. 1.University of Rochester Medical CenterRochester
  2. 2.Project Link and ACT ProgramsUSA
  3. 3.University of Rochester Medical CenterRochester

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