Contrasting jail diversion and in-jail services for mental illness and substance abuse: do they serve the same clients?
Baseline data from a study of jail diversion services and in-jail behavioral health services were used to examine the differences in clients served by these two models of responding to people with co-occurring mental health and substance abuse problems in the criminal justice system. Clients of the diversion service had more acute psychiatric symptoms and were more likely to have a diagnosis of psychosis NOS. Clients of the in-jail service were more likely to have been on probation or parole in the past and to have received substance abuse treatment. Different service models may attract and serve different populations of clients. Diversion services may cast a wider net that includes clients who may not have otherwise been involved in forensic services.
Draine
Jeffrey
J
Social Work and Psychiatry, School of Social Work, Philadelphia, PA 10104, USA. jdraine@ssw.upenn.edu
Blank
Amy
A
Kottsieper
Petra
P
Solomon
Phyllis
P
D000328:Adult; D001521:Behavior Therapy / Q000331:legislation & jurisprudence*; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence; D003159:Community-Institutional Relations / Q000331:legislation & jurisprudence; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D004637:Emergency Services, Psychiatric / Q000331:legislation & jurisprudence; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000331:legislation & jurisprudence*; D010043:Outcome and Process Assessment, Health Care; D010414:Pennsylvania; D011329:Prisoners / Q000331:legislation & jurisprudence* / Q000523:psychology; D011330:Prisons / Q000331:legislation & jurisprudence*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation*; D012008:Recurrence; D012017:Referral and Consultation / Q000331:legislation & jurisprudence*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation*; D014754:Violence / Q000331:legislation & jurisprudence / Q000517:prevention & control / Q000523:psychology