Chapter IV: Incarceration and Reentry
Policy Statement 23: Maintaining Contact Between Individual and Mental Health System
Recommendation c: Develop an understanding of the factors leading to community reintegration success or failure for clients with mental illness who have been released from prison.
Much is already known about the factors that affect a client's chances of establishing him or herself in the community upon release from prison. For instance, many clients have an immediate need for income-assistance, so re-establishment of benefits is an important step to be addressed at the earliest possible opportunity. Similarly, safe, affordable, permanent housing is closely correlated with success in the community. For almost all persons with mental illness leaving prison, addressing housing needs must be seen as a high priority.
Maintaining contact between the mental health system and individuals who have entered it from prison also provides opportunities for other factors to be more clearly understood. It is important for the community provider to understand the factors that led up to arrest. The planning of effective services involves attention to these matters to ensure services are delivered that reduce the likelihood of rearrest. Community providers must incorporate this understanding into an individualized treatment plan. The needs of a mother who has been incarcerated for crimes directly related to substance abuse will necessarily differ from those of a young male imprisoned on a personal assault conviction. It is important for any service provider to systematically evaluate its approaches, and in this area especially it is necessary to build training curricula on the experiences of those staff, clients, and families attempting to bridge the worlds of prison and mental health. In a well-functioning system, recognition of individual needs will come with experience, and responsiveness will thus become more effective.
Example: Forensic Transition Program, Massachusetts Department of Mental Health
Operated by the Massachusetts Department of Mental Health (DMH), the transition program is a statewide initiative that assists DMH-eligible preadjudicated and convicted inmates. It provides tracking and release planning services. Program staff collaborate with relevant departments, agencies, and vendors to facilitate the transition of ex-offenders with mental illness into communities across the state. They work with inmates with mental illness in correctional facilities at least three months before release to coordinate relevant psychosocial and criminal information for the transition and treatment planning process after release. Staff also provide case coordination and consultation to community providers for up to three months after release to address any immediate obstacles to client community adjustment. The Forensic Transition Program works with inmates who will be under community supervision as well as those who have completed their sentence. [1]
By maintaining contact with recently released offenders with mental illness and providing effective services for them, community mental health providers demonstrate their willingness and ability to perform an important public safety function.
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Hartwell et al., pp. 73-81
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