Oregon : Integrating Health Services for People with Mental Illness or Substa...
Bridging The Gaps
1. CABHP 12 TH ANNUAL SUMMER INSTITUTE JULY 21, 2011 Bridging the Gaps: Agencies Working Together to Provide Re-Entry Planning for Women with Co-Occurring Disorders.
37. People with serious mental illness are overrepresented in U.S. criminal justice system Source: Teplin, 1990; Teplin, Abram, & McClelland, 1996 % Steadman, Osher, et al. (2009): 14% men and 31% women
38. Most have co-occurring substance abuse disorders Source: The National GAINS Center, 2004
39. Most are supervised in the community…and often “fail” Sources: Bureau of Justice Statistics (2007); Skeem, Emke-Francis, et al. (2006) Probation Prison Parole Jail
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45. “ Central eight” for criminal behavior (Andrews, 2006) *** p <.001, ** p <.01, * p <.05, PMI > Non-PMI, Skeem, Nicholson, & Kregg (2008) Risk Factor Need History of criminal behavior Build alternative behaviors Antisocial personality pattern*** Problem solving skills, anger management Antisocial cognition* Develop less risky thinking Antisocial peers Reduce association with criminal others Family and/or marital discord** Reduce conflict, build positive relationships Poor school and/or work performance* Enhance performance, rewards Few leisure or recreation activities Enhance outside involvement Substance abuse Reduce use
46. Targeting Criminogenic Need: Results from Meta-Analyses Reduction in Recidivism Increase in Recidivism Source: Gendreau, P., French, S.A., and A.Taylor (2002). What Works (What Doesn’t Work) Revised 2002. Invited Submission to the International Community Corrections Association Monograph Series Project
Steadman et al. – 14% men and 31% women 3 out of 4 have co-occurring substance abuse disorder
Interventions often more effective in the community “ Make it or break it” – penetrate more deeply Twice the likelihood
Persons with Mental Illnesses have more of these risk factors than those without
Stage 1: The way that client’s are referred to NCADD varies. We are gender specific and work closely with pregnant women as well. When scheduling an appointment, it is important to consider whether or not the women are pregnant. If pregnant, they are scheduled within 48 hours and if not within 7 days.
This section directly correlates with Dimension 4: Readiness for Change.