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Treatment and Reentry Approaches for Offenders with Co-occurring Disorders

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Public Health Behind Bars

A number of factors explain the influx of inmates with co-occurring disorders to jails and prisons. These include the closing and “downsizing” of state mental hospitals, adoption of restrictive civil commitment criteria, inadequate access to community support services, widespread availability of relatively cheap and rapidly addicting street drugs, and law enforcement efforts to eliminate drug use and drug-related street crime. Studies examining persons with mental disorders in community settings indicate that having co-occurring disorders increases the risk for community violence and for arrest (Monahan et al., 2001, 2005). Once arrested, persons with co-occurring disorders are more likely to be incarcerated, and once incarcerated, these persons remain in jail significantly longer than other inmates, and are more likely to receive a sentence that involves a period of custody (Bureau of Justice Statistics, 2006; Peters, Sherman, & Osher, in press). This chapter explores emerging and innovative approaches for treatment and reentry of offenders who have co-occurring disorders in jails, prisons, and diversion settings. Key areas highlighted in this chapter include evidence-based models of treatment, program features and principles, reentry approaches, and program outcomes. Several challenges to correctional program implementation and funding are also explored, and implications are discussed for policy development and future research.

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Authors and Affiliations

  1. Department of Mental Health Law and Policy, Louis de la Parte, University of South Florida, Tampa, FL, USA

    Roger H. Peters PhD & Nicole M. Bekman MA

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  1. Roger H. Peters PhD
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  2. Nicole M. Bekman MA
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Editors and Affiliations

  1. John Jay College of Criminal Justice, The City University of New York, 32 Parkway Drive, 10522, Dobbs Ferry, NY, USA

    Robert B. Greifinger MD

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Peters, R.H., Bekman, N.M. (2007). Treatment and Reentry Approaches for Offenders with Co-occurring Disorders. In: Greifinger, R.B. (eds) Public Health Behind Bars. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71695-4_22

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  • DOI: https://doi.org/10.1007/978-0-387-71695-4_22

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