6. mentally ill offenders in the community

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CJCJ's Executive Director Daniel Macallair, is a practitioner-in-residence at San Francisco State University (SFSU)'s Department of Criminal Justice Studies. These slides are from his Community Corrections and Sentencing course materials.

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6. mentally ill offenders in the community

  1. 1. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Mentally Ill Offenders in theCommunity
  2. 2. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Prevalence of Mental Illness in the CriminalJustice System• One quarter of all jail and prison inmates have beendiagnosed with a mental illness• 89,000 were on medication• 51,000 had been hospitalized• 94% had their parole revoked• 75% are dually diagnosed
  3. 3. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103The criminal justice system and theproblems of mental illness• Untrained staff• Lack of assessment and diagnosis• Lack of treatment resources and facilities
  4. 4. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Common Types of Mental Illness in theCriminal Justice System• Mood Disorders• Schizophrenic Disorder• Personality Disorder• Dual diagnosis
  5. 5. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Post Traumatic Stress DisorderSymptoms:FlashbacksNightmaresEmotional numbnessSleep disturbancesDepressionAngerGuilt
  6. 6. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103PTSD Treatment• Cognitive-Behavioral Therapy• Group therapy• Exposure Therapy• Family therapy• Medication
  7. 7. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Bi-Polar Disorder (depressive episode)• Anxious or empty mood• Feelings of hopelessness• Feelings of guilt, worthlessness• Loss of interest in pleasure• Decreased energy• Chronic Pain
  8. 8. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Bi-Polar Disorder (mania phase)• Increased energy• Euphoric mood• Extreme irritability• Racing thoughts• Inflated sense of self• Poor judgment• Drug abuse• Provocative and aggressive behavior
  9. 9. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Treatment of Bi Polar Disorder• Medication• Psychosocial Treatment• Family Therapy
  10. 10. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Schizophrenia Symptoms• Distorted perceptions of reality• Hallucinations and illusions• Delusions• Disordered thinking• Emotional expressions
  11. 11. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Schizophrenia Treatment• Anti-psychotic drugs• Social and vocational training• Individual psychotherapy• Family education• Self-help groups
  12. 12. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Borderline Personality Symptoms• Intense anger, depression & anxiety• Episodes of impulsive aggression, self injury, andsubstance abuse• Feelings of unworthiness• Feelings of isolation• Feelings of mistreatment
  13. 13. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Borderline Personality Treatment• Group and individual psychotherapy• Anti-depressant drugs• Anti psychotic drugs
  14. 14. www.cjcj.org© Center on Juvenile and Criminal Justice 201340 Boardman PlaceSan Francisco, CA 94103Community Treatmentof the Mentally Ill• Identification and classification• Specialized caseloads• Intensive supervision• Support services and specialized interventions• Relapse prevention

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