Objective: This study assessed the effectiveness of a postbooking jail diversion program for a homeless population with mental illness in South Florida, as measured by rate of arrests after admission to the program. The program (termed relationship-based care) is structured to ensure access to psychiatric and primary health care, delivered within a theoretical framework developed for working with this population.
Methods: Data were reviewed from the Criminal Justice Information System in Miami-Dade County for 229 adults who were arrested and found to be appropriate for jail diversion. Data for 151 individuals who were consecutively diverted to the relationship-based care program were compared with data for a control group of 78 individuals who had been diverted to other programs in the community. Arrest rates for each participant during the year before diversion were compared with arrest rates for the year after diversion. In addition, for persons in the relationship-based care program, demographic data, type of homelessness (chronic or situational), and number of psychiatric contacts were analyzed to determine the impact of these variables on outcome.
Results: A highly significant reduction in arrest rates for individuals diverted to the relationship-based care program was observed. However, the arrest rate for the control group remained nearly identical before and after diversion. For the relationship-based care group, prediversion arrest rates, duration of participation in the program, and number of psychiatric contacts accounted for a significant portion of the recidivism variance.
Conclusions: The relationship-based care model described here appears to be an effective strategy for reducing criminal recidivism. Length of participation in the program and involvement in psychiatric treatment were correlated with reduced arrest rates. Identifying individuals who are at risk of poor engagement in community services and subsequent premature departure remains a challenge.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1176/ps.2009.60.6.766 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Periodontitis and chronic kidney disease: A bidirectional relationship based on inflammation and oxidative stress.
World J Clin Cases
December 2024
Department of Medical and Life Sciences, Centro Universitario de la Ciénega, Universidad de Guadalajara, Ocotlán 47810, Mexico.
Chronic kidney disease (CKD) and chronic periodontitis (CP) are prevalent conditions which significantly impact public health worldwide. Both diseases share inflammatory and oxidative stress mechanisms, an indication of a likely bidirectional relationship. This editorial explored the association between CKD and CP by highlighting common inflammatory mechanisms and recent research findings that address this interrelationship.
View Article and Find Full Text PDF"There was no services that I could access so I just stayed on the street…using until I went into labour.": A qualitative study of accessibility and cultural safety of services for perinatal substance use in British Columbia, Canada.
J Subst Use Addict Treat
December 2024
Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby V5A 1S6, British Columbia, Canada; Health Economic Research Unit, Centre for Advancing Health Outcomes, 570-1081 Burrard St., St. Paul's Hospital, Vancouver V6Z 1Y6, British Columbia, Canada. Electronic address:
Background: Perinatal substance use is a critical public health challenge, impacting both mother and fetus. Its prevalence has increased in British Columbia, Canada, disproportionately impacting First Nations people. For specialized perinatal substance use services to be effective, they must be accessible and safe.
View Article and Find Full Text PDFPrevalence and treatment of perinatal anxiety: diagnostic interview study.
BJPsych Open
December 2024
Faculty of Health, Southern Cross University, Australia.
Background: Anxiety affects around one in five women during pregnancy and after birth. However, there is no systematic information on the proportion of women with perinatal anxiety disorders who want or receive treatment.
Aims: To examine (a) the prevalence of anxiety disorders during pregnancy and after birth in a population-based sample, and (b) the proportion of women with anxiety disorders who want treatment and receive treatment.
[From "doing for" to "doing with" users: how to develop health partnerships in primary care?].
Soins
December 2024
CAPPS Bretagne, 2 rue Henri-le-Guilloux, 35 000 Rennes, France.
Partnership in healthcare is a cooperative relationship based on complementary knowledge between patients and professionals, which fosters the self-determination of the former. This article draws on the framework of the Montreal model applied to primary care, as well as the results of a research project that identified the key success factors for integrating patient partners into a multi-professional nursing home.
View Article and Find Full Text PDFPreserving the Midwifery Model of Care on a High Acuity Labor and Delivery Unit: Midwives' Perspectives Working in a US Tribal Health System.
J Midwifery Womens Health
December 2024
Native Primary Care Center, Southcentral Foundation, Anchorage, Alaska.
Today nearly 9 out of 10 certified nurse-midwives/certified midwives (CNMs/CMs) attend births in hospitals. As the demand for hospital midwifery care has increased over the last quarter century, CNM/CMs' scope of practice has expanded to include care for high-risk patients. Hospital CNMs/CMs are faced with the challenge of balancing support for physiologic birth with an increasingly complex pregnant population cared for in a medicalized ecosystem.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!