OBJECTIVES: The study aimed to estimate the prevalence of homelessness
among mentally disordered offenders entering the criminal justice and
forensic mental health systems, to compare base rates of arrest for violent
and nonviolent criminal charges among homeless and domiciled persons with
mental illness, and to examine patterns in the categories of victims chosen
by these two groups. METHODS: The authors analyzed data from structured
psychiatric interviews and criminal and psychiatric records of 77 homeless
defendants and 107 domiciled defendants referred for psychiatric
examination by the criminal and supreme courts in Manhattan over a
six-month period. RESULTS: Mentally disordered defendants had 40 times the
rate of homelessness found in the general population, and 21 times the rate
in the population of mentally ill persons in the city. The overall rate of
criminal offenses was 35 times higher in the homeless mentally ill
population than in the domiciled mentally ill population. The rate of
violent crimes was 40 times higher and the rate of nonviolent crimes 27
times higher in the homeless population. Homeless defendants were
significantly more likely to have been charged with victimizing strangers.
CONCLUSIONS: Homeless mentally ill persons appear to be grossly
overrepresented among mentally disordered defendants entering the criminal
justice and forensic mental health systems and to have a higher base rate
of arrest for both violent and nonviolent crimes than domiciled mentally
ill persons.
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