Contents
Preface.....................................................................................................................vii Acknowledgments..................................................................................................... ix
Introduction.............................................................................. 1 Why Now?.................................................................................................................. 3 The Lack of a Link between Behavioral Health Disorders and Violence or Other Crimes............................................................................................ 5 The Problem through Different Lenses........................................................................ 7 Jail and Prison Officials............................................................................................................. 7 Sentenced Individuals with Behavioral Health Disorders and Their Families................................. 9 Judges and Court Staff .............................................................................................................. 9 Probation and Parole Authorities and Officers.......................................................................... 10 Community Behavioral Health Service Providers....................................................................... 10 Criminal Justice and Behavioral Health Systems’ Competing Priorities..................................... 11
The Need for a Framework for Coordinating Services across Systems........................ 12
Part I: Current Responses to Individuals with Mental Health and Substance Use Disorders and Corrections Involvement.... 13 Mental Health Treatment.......................................................................................... 13 Substance Abuse Treatment..................................................................................... 16 Mental Health and Substance Use Appearing Together.............................................. 19 Corrections: Custody, Control, and Supervision......................................................... 20 Screening and Assessment....................................................................................... 25 The Relationship between Behavioral Health Needs and Criminogenic Risk/Need: Assembling the Parts............................................................................................... 26 Mental Illness as a Responsivity Factor..................................................................................... 26 Substance Use Disorders as Both a Criminogenic Risk and Responsivity Issue.......................... 27
Closing Thoughts on RNR......................................................................................... 27