0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Letters   |    
Assertive Treatment and Arrest of Probationers
Phyllis Solomon, Ph.D.; Jeffrey Draine, Ph.D.; Steven Marcus, Ph.D.
Psychiatric Services 2002; doi: 10.1176/appi.ps.53.8.1033-a

In reply: We agree with Dr. Parker that it is important to know what program service elements are effective in reducing reincarceration of probationers and parolees involved in the mental health system. However, this was not the objective of the study reported in the article, which examined the impact of the usual community mental health services delivered by a variety of agencies on reincarceration of probationers and parolees. Our study did not examine the type of specialized program for forensic clients that Dr. Parker describes.

The practical implications of the study's results are similar to those of our previous research (1,2,3): providers who do not have the clinical skills to work with difficult forensic clients frequently resort to monitoring clients' behaviors and using the leverage gained from violations of stipulations to reincarcerate forensic clients rather than providing therapeutic treatment. In Dr. Parker's program, a team serving 250 clients may not have the time for intensive observation.

The finding of a higher reincarceration rate hearkens back to the findings of aftercare studies conducted in the 1970s. In some of those studies, patients in aftercare programs had higher rates of rehospitalization. The programs provided greater opportunities to observe clients' behaviors, which resulted in rehospitalization when clients became symptomatic. Even though the intent of intensive supervision programs is not to incarcerate probationers and parolees, studies have found that participants in these programs have higher rates of incarceration than those who receive usual supervision because others have greater opportunities to observe any criminal violations (4).

Care must be taken to ensure that service providers offer forensic clients meaningful rehabilitation and that they do not merely view themselves as extensions of probation and parole officers, whose job it is to monitor compliance with stipulations of community placement.

Solomon P, Draine J, Meyerson A: Jail recidivism and receipt of community mental health services. Hospital and Community Psychiatry 45:793-797,  1994
[PubMed]
 
Solomon P, Draine J: One-year outcomes of a randomized trial of case management with seriously mentally ill clients leaving jail. Evaluation Review 19:256-273,  1995
[CrossRef]
 
Draine J, Solomon P: Jail recidivism and the intensity of case management services among homeless persons with mental illness leaving jail. Journal of the American Academy of Psychiatry and the Law 22:245-261,  1994
 
Tonry M: Stated and latent functions of ISP. Crime and Delinquency 36:174-191,  1991
 
+

References

Solomon P, Draine J, Meyerson A: Jail recidivism and receipt of community mental health services. Hospital and Community Psychiatry 45:793-797,  1994
[PubMed]
 
Solomon P, Draine J: One-year outcomes of a randomized trial of case management with seriously mentally ill clients leaving jail. Evaluation Review 19:256-273,  1995
[CrossRef]
 
Draine J, Solomon P: Jail recidivism and the intensity of case management services among homeless persons with mental illness leaving jail. Journal of the American Academy of Psychiatry and the Law 22:245-261,  1994
 
Tonry M: Stated and latent functions of ISP. Crime and Delinquency 36:174-191,  1991
 
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
Topic Collections
Psychiatric News
PubMed Articles