Transitions between jail and community-based treatment for individuals with co-occurring disorders

Psychiatr Serv. 2011 Jun;62(6):679-81. doi: 10.1176/ps.62.6.pss6206_0679.


Objective: This study assessed transitions to community mental health services among individuals with co-occurring disorders upon release from jail.

Methods: Data from jail and public mental health systems in Wayne County, Michigan, were merged to identify 677 individuals diagnosed as having a serious mental illness and substance use disorder who had been jailed a total of 1,774 times over 48 months starting in 2003.

Results: Only 33% of incarcerations (N=573) were followed by community-based treatment; 44% (N=803) were followed by treatment during a subsequent incarceration, and 23% (N=398) by no treatment. Generalized estimating equations found that individuals with schizophrenia and substance dependence were the most likely to obtain community treatment.

Conclusion: By integrating discharge planning, community mental health providers and jails may ensure a continuum of care that facilitates treatment engagement, limits repeated incarcerations, and improves well-being.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Community Mental Health Services*
  • Comorbidity
  • Continuity of Patient Care
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Michigan
  • Middle Aged
  • Patient Discharge*
  • Prisoners / psychology*
  • Psychotic Disorders / psychology
  • Psychotic Disorders / rehabilitation*
  • Referral and Consultation
  • Secondary Prevention
  • Social Adjustment
  • Substance-Related Disorders / rehabilitation*
  • Young Adult