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Brief Reports   |    
Transitional Case Management for Reducing Recidivism of Individuals With Mental Disorders and Multiple Misdemeanors
Sriram Chintakrindi, M.A.; Allison Upton, Psy.D.; Ann-Marie Louison, M.S.W.; Brian Case, M.A.; Henry J. Steadman, Ph.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.201200190
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Mr. Chintakrindi, Dr. Upton, and Ms. Louison are affiliated with the Center for Alternative Sentencing and Employment Services, 346 Broadway, 3rd Floor, New York, NY 10013 (e-mail: schintakrindi@cases.org). Mr. Case and Dr. Steadman are with Policy Research Associates, Inc., Delmar, New York.

Copyright © 2013 by the American Psychiatric Association


Objective  The purpose of this study was to measure the impact of a transitional case management (TCM) program targeted to individuals with mental disorders and multiple arrests for misdemeanor offenses.

Methods  The sample included 178 individuals who were diverted from jail at arraignment (N=125) or who voluntarily enrolled in TCM (N=53). Number of arrests and case management sessions attended were compared.

Results  The mean±SD number of arrests of the 178 participants declined by 31% from the 12 months preenrollment to the 12 months postenrollment. Lifetime arrests and age were significant factors in the count of arrests postenrollment. Diverted and voluntary participants had similar numbers of postenrollment arrests (2.5±3.0 and 2.5±3.5, respectively). Differences in mean postenrollment arrests for diverted participants who completed or did not complete TCM were not significant. Diverted and voluntary participants received an equivalent mean number of case management sessions.

Conclusions  Individuals in TCM experienced a reduction in arrests in the 12 months postenrollment.

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Table 1Negative binomial regression of arrests in the 12-month postenrollment period for 178 transitional case management participants
Table Footer Note

a Incidence rate ratio, adjusted for gender, age, race-ethnicity, diagnosis, homelessness, substance use, lifetime arrests, court diversion, and case management sessions

Table Footer Note

b Entered into the model as a quadratic term because of the curvilinear relationship between age and arrests



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