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. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Mentally Ill Offenders in the Community
- 2. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Prevalence of Mental Illness in the Criminal Justice System • One quarter of all jail and prison inmates have been diagnosed with a mental illness • 89,000 were on medication • 51,000 had been hospitalized • 94% had their parole revoked • 75% are dually diagnosed
- 3. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 The criminal justice system and the problems of mental illness • Untrained staff • Lack of assessment and diagnosis • Lack of treatment resources and facilities
- 4. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Common Types of Mental Illness in the Criminal Justice System • Mood Disorders • Schizophrenic Disorder • Personality Disorder • Dual diagnosis
- 5. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Post Traumatic Stress Disorder Symptoms: Flashbacks Nightmares Emotional numbness Sleep disturbances Depression Anger Guilt
- 6. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 PTSD Treatment • Cognitive-Behavioral Therapy • Group therapy • Exposure Therapy • Family therapy • Medication
- 7. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Bi-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. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Bi-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. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Treatment of Bi Polar Disorder • Medication • Psychosocial Treatment • Family Therapy
- 10. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Schizophrenia Symptoms • Distorted perceptions of reality • Hallucinations and illusions • Delusions • Disordered thinking • Emotional expressions
- 11. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Schizophrenia Treatment • Anti-psychotic drugs • Social and vocational training • Individual psychotherapy • Family education • Self-help groups
- 12. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Borderline Personality Symptoms • Intense anger, depression & anxiety • Episodes of impulsive aggression, self injury, and substance abuse • Feelings of unworthiness • Feelings of isolation • Feelings of mistreatment
- 13. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Borderline Personality Treatment • Group and individual psychotherapy • Anti-depressant drugs • Anti psychotic drugs
- 14. www.cjcj.org © Center on Juvenile and Criminal Justice 2013 40 Boardman Place San Francisco, CA 94103 Community Treatment of the Mentally Ill • Identification and classification • Specialized caseloads • Intensive supervision • Support services and specialized interventions • Relapse prevention