NCJ Number
202338
Journal
Federal Probation Volume: 67 Issue: 2 Dated: September 2003 Pages: 32-39
Date Published
September 2003
Length
8 pages
Annotation
This article reviews the research on the prevalence and treatment of co-occurring disorders in offender populations.
Abstract
The literature regarding the prevalence and seriousness of co-occurring disorders among those with substance abuse problems is reviewed. While exact figures vary somewhat, the prevalence of co-occurring mental illness and substance abuse, especially among incarcerated offenders, is quite high. The authors go on to discuss treatment implications for those substance abusers with co-occurring disorders. The treatment of this population presents serious challenges to the treatment community and patients tend to have poor treatment outcomes in comparison to substance abusers with no co-occurring disorder. The diversion, screening and assessment, treatment plan, pharmacological treatment, integration of treatment, phases of treatment, and continuity of care for substance abusers with co-occurring disorders are all reviewed. Next, the article reviews different types of treatment programming available to offenders with co-occurring disorders. The effectiveness and efficacy of mental health courts and jail diversion programs are examined. Specific programs in Oregon, Colorado, and New York are briefly described. The article compares studies of the treatment outcomes of the various types of treatment programs available to this population. Some types of prison programs and jail case management approaches have been met with success in the treatment of offenders with co-occurring disorders. The authors offer recommendations for the future treatment of the co-occurring disorder population and future directions of research in this field. It is recommended that the range of treatment options available to those with co-occurring disorders be expanded and the continuity of care be improved. References