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Decriminalizing severe mental illness by reducing risk of contact with the criminal justice system, including for forensic patients

Published online by Cambridge University Press:  06 May 2020

Kimberlie Dean Open the ORCID record for Kimberlie Dean [Opens in a new window] ,
Sara Singh  and
Yin-Lan Soon
Kimberlie Dean*
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia Justice Health and Forensic Mental Health Network, Matraville, New South Wales, Australia
Sara Singh
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
Yin-Lan Soon
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia Justice Health and Forensic Mental Health Network, Matraville, New South Wales, Australia
*
*Address correspondence to: Kimberlie Dean, School of Psychiatry, University of New South Wales, Level 1, AGSM Building, UNSW Sydney, Kensington, NSW 2052, Australia. (Email: k.dean@unsw.edu.au)
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Abstract

Risk of contact with the criminal justice system (CJS) is greater among those with mental illness, including severe mental illness—an observation that many argue reflects a process of “criminalizing” mental illness. Forensic patients represent a subgroup at one end of a spectrum of such criminalization, typically with histories of serious violence and psychotic illness. Strategies for decriminalizing mental illness in this context should consider a range of approaches, including intervening to prevent CJS contact in those with severe mental illness, particularly in the early or emerging stages of psychosis. However, it may be that even gold standard mental healthcare applied universally is insufficient to address CJS contact risks. While there is now an extensive literature documenting the relatively low rates of repeat CJS contact for forensic patients released from secure care, appropriate comparison groups are lacking and the key ingredients of any benefits of treatment are unknown. The CJS may well have something to learn from forensic mental health systems and services given the abject failure to stem rates of prison-release reoffending internationally. Understanding how to best identify risk and effectively intervene to prevent CJS contact in those with mental illness, whether early in the course of psychosis or following release from secure care, remains a priority for those seeking to address the criminalization of mentally illness in our communities.

Keywords

Forensic patientssevere mental illnessoffendingdecriminalizationviolence introduction.
Type
Review
Information
CNS Spectrums , Volume 25 , Issue 5 , October 2020 , pp. 687 - 700
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

References:

Segal, A, Daffern, M, Thomas, S, Ferguson, M. Needs and risks of patients in a state-wide inpatient forensic mental health population. Int J Ment Health Nurs. 2010;19(4):223–230.CrossRefGoogle Scholar
Shah, A, Waldron, G, Boast, N, Coid, JW, Ullrich, S. Factors associated with length of admission at a medium secure forensic psychiatric unit. J Forensic Psychiatry Psychol. 2011;22(4):496–512.Google Scholar
Fazel, S, Seewald, K. Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis. Br J Psychiatry. 2012;200(5):364–373.Google ScholarPubMed
Fazel, S, Gulati, G, Linsell, L, Geddes, JR, Grann, M. Schizophrenia and violence: systematic review and meta-analysis. PLoS Med. 2009;6(8):e1000120.CrossRefGoogle ScholarPubMed
Short, T, Thomas, S, Mullen, P, Ogloff, JR. Comparing violence in schizophrenia patients with and without comorbid substance‐use disorders to community controls. Acta Psychiatr Scand. 2013;128(4):306–313.Google ScholarPubMed
Sariaslan, A, Larsson, H, Lichtenstein, P, Fazel, S. Neighborhood influences on violent reoffending risk in released prisoners diagnosed with psychotic disorders. Schizophr Bull. 2017;43(5):1011–1020.Google ScholarPubMed
Keers, R, Ullrich, S, DeStavola, B, Coid, J. Association of violence with emergence of persecutory delusions in untreated schizophrenia. Am J Psychiatry. 2014;171(3):332–339.CrossRefGoogle ScholarPubMed
Fazel, S, Yu, R. Psychotic disorders and repeat offending: systematic review and meta-analysis. Schizophr Bull. 2011;37(4):800–810.CrossRefGoogle ScholarPubMed
Walsh, E, Gilvarry, C, Samele, C, et al. Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with standard care. BMJ. 2001;323(7321):1093CrossRefGoogle ScholarPubMed
Swanson, JW, Swartz, MS, Wagner, HR, Burns, BJ, Borum, R, Hiday, VA. Involuntary out-patient commitment and reduction of violent behaviour in persons with severe mental illness. Br J Psychiatry. 2000;176(4):324–331.CrossRefGoogle ScholarPubMed
Swanson, JW, Swartz, MS, Elbogen, EB, Dorn, RA. Reducing violence risk in persons with schizophrenia: olanzapine versus risperidone. J Clin Psychiatry. 2004;65(12):1666–1673.Google ScholarPubMed
Rampling, J, Furtado, V, Winsper, C, et al. Non-pharmacological interventions for reducing aggression and violence in serious mental illness: a systematic review and narrative synthesis. Eur Psychiatry. 2016;34:17–28.CrossRefGoogle ScholarPubMed
Petersen, L, Nordentoft, M, Jeppesen, P, et al. Improving 1-year outcome in first-episode psychosis: OPUS trial. Br J Psychiatry. 2005;187(S48):s98–s103.CrossRefGoogle Scholar
Stevens, H, Agerbo, E, Dean, K, Mortensen, PB, Nordentoft, M. Reduction of crime in first-onset psychosis: a secondary analysis of the OPUS randomized trial. J Clin Psychiatry. 2013;74(5):e439–444.CrossRefGoogle ScholarPubMed
Nielssen, OB, Malhi, GS, McGorry, PD, Large, MM. Overview of violence to self and others during the first episode of psychosis. J Clin Psychiatry. 2012;73(5):e580–e587.CrossRefGoogle ScholarPubMed
Brucato, G, Appelbaum, PS, Lieberman, JA, et al. A longitudinal study of violent behavior in a psychosis-risk cohort. Neuropsychopharmacology. 2018;43(2):264–271.CrossRefGoogle Scholar
Dean, K, Singh, S, Kemp, R, Johnson, A, Nielssen, O. Profile and post-release-reoffending patters in a 25-year Australian cohort of male and female forensic patients. 2019. Submitted.Google Scholar
Nielssen, O, Large, M. Rates of homicide during the first episode of psychosis and after treatment: a systematic review and meta-analysis. Schizophr Bull. 2010;36(4):702–712.CrossRefGoogle ScholarPubMed
Fazel, S, Fiminska, Z, Cocks, C, Coid, J. Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis. Br J Psychiatry. 2016;208(1):17–25.CrossRefGoogle ScholarPubMed
Pasewark, RA, Bieber, S, Bosten, KJ, et al. Criminal recidivism among insanity acquittees. Int J Law Psychiatry. 1982;5(3–4):365–375.CrossRefGoogle ScholarPubMed
Black, D. A 5-year follow-up study of male patients discharged from Broadmoor hospital. In: Gunn, J, Farrington, D, eds. Abnormal Offenders, Delinquency, and the Criminal Justice System. Chichester, UK; New York, NY: Wiley; 1982:307–323.Google Scholar
Bogenberger, RP, Pasewark, RA, Gudeman, H, et al. Follow-up of insanity acquittees in Hawaii. Int J Law Psychiatry. 1987;10(3):283–295.CrossRefGoogle ScholarPubMed
Silver, SB, Cohen, MI, Spodak, MK. Follow-up after release of insanity acquittees, mentally disorder offenders, and convicted felons. Bull Am Acad Psychiatry Law. 1989;17(4):387–400.Google Scholar
Rice, M, Harris, G, Lang, C, et al. Recidivism among male insanity acquittees. J Psychiatry Law. 1990;18(3–4):379–403.CrossRefGoogle Scholar
McGreevy, M, Steadman, H, Dvoskin, J, et al. New York state’s system of managing insanity acquittees in the community. Hosp Community Psychiatry. 1991;42(5):512–517.Google Scholar
Nicholson, R, Norwood, S, Enyart, C. Characteristics and outcomes of insanity acquittees in Oklahoma. Behav Sci Law. 1991;9(4):487–500.CrossRefGoogle ScholarPubMed
Tellefsen, C, Cohen, M, Silver, S, et al. Predicting success on conditional release for insanity acquittees: regionalized versus nonregionalized hospital patients. Bull Am Acad Psychiatry Law. 1992;20(1):87–100.Google ScholarPubMed
Bailey, J, Macculloch, M. Patterns of reconviction in patients discharged directly to the community from a special hospital: implications for aftercare. J Forensic Psychiatry. 1992;3(3):445–461.CrossRefGoogle Scholar
Komer, B, Galbraith, D. Recidivism among individuals detained under a warrant of the Lieutenant-Governor living in the community. Canadian J Psychiatry. 1992;37(10):694–698.CrossRefGoogle Scholar
Wiederanders, M. Recidivism of disordered offenders who were conditionally vs. unconditionally released. Behavioral Sciences and the Law. 1992;10(1):141–148.CrossRefGoogle Scholar
Macculloch, M, Bailey, J, Jones, C, et al. Nineteen male serious reoffenders who were discharged direct to the community from a special hospital: I. General characteristics. J Forensic Psychiatry. 1993;4(2):237–248.CrossRefGoogle Scholar
Macculloch, M, Bailey, J, Jones, C, et al. Nineteen male serious reoffenders who were discharged direct to the community from a special hospital: II. Illustrated clinical issues. J Forensic Psychiatry. 1993;4(3):451–469.CrossRefGoogle Scholar
Cope, R, Ward, M. What happens to special hospital patients admitted to medium security? J Forensic Psychiatry. 1993;4(1):13–24.CrossRefGoogle Scholar
Russo, G. Follow-up of 91 mentally ill criminals discharged from the maximum security hospital in Barcelona P.G. Int J Law Psychiatry. 1994;17(3):279–301.CrossRefGoogle ScholarPubMed
Reiss, D, Grubin, D, Meux, C. Young ‘psychopaths’ in special hospital: treatment and outcome. Br J Psychiatry. 1996;168(1):99–104.CrossRefGoogle ScholarPubMed
Wiederanders, M, Bromley, D, Choate, P. Forensic conditional release programs and outcomes in three states. Int J Law Psychiatry. 1997;20(2):249–257.CrossRefGoogle ScholarPubMed
Green, B, Baglioni, A. Length of say, leave and re-offending by patients from a Queensland security patients hospital. Austr NZ J Psychiatry. 1998;32(6):839–847.CrossRefGoogle Scholar
Steels, M, Roney, G, Larkin, E, et al. Discharged from special hospital under restrictions: a comparison of the fates of psychopaths and the mentally ill. Crim Behav Ment Health. 1998;8(1):39–55.CrossRefGoogle Scholar
Luettgen, J, Chrapko, W, Reddon, J. Preventing violent re-offending in not criminally responsible patients: an evaluation of a continuity of treatment program. Int J Law Psychiatry. 1998;21(1):89–98.CrossRefGoogle Scholar
Buchanan, A. Criminal conviction after discharge from special (high security) hospital: incidence in the first 10 years. Br J Psychiatry. 1998;172(6):472–476.CrossRefGoogle ScholarPubMed
Friendship, C, McClintock, T, Rutter, S, et al. Re-offending: patients discharged from a regional secure unit. Crim Behav Ment Health. 1999;9(3):226–236.CrossRefGoogle Scholar
Maden, A, Rutter, S, McClintock, T, et al. Outcome of admission to a medium secure psychiatric unit: I. Short- and long-term outcome. Br J Psychiatry. 1999;175(4):313–316.CrossRefGoogle ScholarPubMed
Baxter, R, Rabe-Hesketh, S, Parrot, J. Characteristics, needs and reoffending in a group of patients with schizophrenia formerly treated in medium security. J Forensic Psychiatry. 1999;10(1):69–83.CrossRefGoogle Scholar
Kravitz, H, Kelly, J. An outpatient psychiatry program for offenders with mental disorders found not guilty by reason of insanity. Psychiatr Serv. 1999;50(12):1597–1606.CrossRefGoogle Scholar
Falla, S, Sugarman, P, Roberts, L. Reconviction after discharge from a regional secure unit. Med Sci Law. 2000;40(2):156–157.CrossRefGoogle ScholarPubMed
Edwards, J, Steed, P, Murray, K. Clinical and forensic outcome 2 years and 5 years after admission to a medium secure unit. J Forensic Psychiatry. 2002;13(1):68–87.CrossRefGoogle Scholar
Livingston, J, Wilson, D, Tien, G, et al. A follow-up study of persons found not criminally responsible on account of mental disorder in British Columbia. Canadian J Psychiatry. 2003;48(6):408–415.CrossRefGoogle Scholar
Lee, D. Community-treated and discharged forensic patients: an 11-year follow-up. Int J Law Psychiatry. 2003;26(3):289–300.CrossRefGoogle Scholar
Parker, G. Outcomes of assertive community treatment in an NGRI conditional release program. J Am Acad Psychiatry Law. 2004;32(3):291–303.Google Scholar
Bertman-Pate, L, Burnett, D, Thompson, J, et al. The New Orleans forensic aftercare clinic: a seven year review of hospital discharged and jail diverted clients. Behav Sci Law. 2004;22(1):159–169.CrossRefGoogle ScholarPubMed
Maden, A, Scott, F, Burnett, R, et al. Offending in psychiatric patients after discharge from medium secure units: prospective national cohort study. Br Med J. 2004;328(7455):1534.CrossRefGoogle ScholarPubMed
Jamieson, L, Taylor, P. A re-convictions study of special (high security) hospital patients. Br J Criminol. 2004;44(5):783–802.CrossRefGoogle Scholar
Jamieson, L, Taylor, PJ. Patients leaving English high security hospitals: do discharge cohorts and their progress change over time? Int J Forensic Ment Health. 2005;4(1):71–87.CrossRefGoogle Scholar
Alexander, R, Crouch, K, Halstead, S, et al. Long-term outcome from a medium secure service for people with intellectual disability. J Intellect Disabil Res. 2006;50(4):305–315.CrossRefGoogle ScholarPubMed
Simpson, A, Jones, R, Evans, C, et al. Outcome of patients rehabilitated through a New Zealand forensic psychiatry service: a 7.5 year retrospective study. Behav Sci Law. 2006;24(6):833–843.CrossRefGoogle ScholarPubMed
Skipworth, J, Brinded, P, Chaplow, D, et al. Insanity acquittee outcomes in New Zealand. Austr NZ J Psychiatry. 2006;40(11–12):1003–1009.CrossRefGoogle ScholarPubMed
Coid, J, Hickey, N, Kahtan, N, et al. Patients discharged from medium secure forensic psychiatry services: reconvictions and risk factors. Br J Psychiatry. 2007;190(3):223–229.CrossRefGoogle ScholarPubMed
Davies, S, Clarke, M, Hollin, C, et al. Long-term outcome after discharge from medium secure care: a cause for concern. Br J Psychiatry. 2007;191(1):70–74.CrossRefGoogle ScholarPubMed
Yoshikawa, K, Taylor, P, Yamagami, A, et al. Violent recidivism among mentally disordered offenders in Japan. Crim Behav Ment Health. 2007;17(3):137–151.CrossRefGoogle ScholarPubMed
Vitacco, M, Van Rybroek, G, Rogstad, J, et al. Developing services for insanity acquitteess conditionally released into the community: maximizing success and minimizing recidivism. Psychol Serv. 2008;5(2):118–125.CrossRefGoogle Scholar
Blattner, R, Dolan, M. Outcome of high security patients admitted to a medium secure unit: the Edenfield Centre study. Med Sci Law. 2009;49(4):247–256.CrossRefGoogle ScholarPubMed
Sahota, S, Davies, S, Duggan, C, et al. The fate of medium secure patients discharged to generic or specialised services. J Forensic Psychiatry Psychol. 2009;20(1):74–84.CrossRefGoogle Scholar
Ong, K, Carroll, A, Reid, S, et al. Community outcomes of mentally disordered homicide offenders in Victoria. Austr NZ J Psychiatry. 2009;43(8):775–780.CrossRefGoogle ScholarPubMed
Bjørkly, S, Sandli, C, Moger, T, et al. A follow-up interview of patients eight years after discharge from a maximum security forensic psychiatry unit in Norway. Int J Forensic Ment Health. 2010;9(4):343–353.CrossRefGoogle Scholar
Miraglia, R, Hall, D. The effect of length of hospitalization on re-arrest among insanity plea acquittees. J Am Acad Psychiatry Law. 2011;39(4):524–534.Google ScholarPubMed
Nilsson, T, Wallinius, M, Gustavson, C, et al. Violent recidivism: a long-term follow-up study of mentally disordered offenders. PLoS One. 2011;6(10):e25768.CrossRefGoogle Scholar
Green, B, Stedman, T, Chapple, B, et al. Criminal justice outcomes of those appearing before the Mental Health Tribunal: a record linkage study. Psychiatry Psychol Law. 2011;18(4):573–587.CrossRefGoogle Scholar
Tabita, B, de Santi, M, Kjellin, L. Criminal recidivism and mortality among patients discharged from a forensic medium secure hospital. Nordic J Psychiatry. 2012;66(4):283–289.CrossRefGoogle ScholarPubMed
Lund, C, Hofvander, B, Forsman, A, et al. Violent criminal recidivism in mentally disordered offenders: a follow-up study of 13–20 years through different sanctions. Int J Law Psychiatry. 2013;36(3–4):250–257.CrossRefGoogle ScholarPubMed
Howard, R, McCarthy, L, Huband, N, et al. Re-offending in forensic patients released from secure care: the role of antisocial/borderline personality disorder co-morbidity, substance dependence and severe childhood conduct disorder. Crim Behav Ment Health. 2013;23(3):191–202.CrossRefGoogle ScholarPubMed
Hayes, H, Kemp, RI, Large, MM, Nielssen, OB. A 21-year retrospective outcome study of New South Wales forensic patients granted conditional and unconditional release. Austr NZ J Psychiatry. 2014;48(3):259–282.CrossRefGoogle ScholarPubMed
Charette, Y, Crocker, A, Seto, M, et al. The national trajectory project of individuals found not criminally responsible on account of mental disorder in Canada. Part 4: criminal recidivism. Canadian J Psychiatry. 2015;60(3):127–134.CrossRefGoogle Scholar
Nagtegaal, M, Boonmann, C. Conditional release of forensic psychiatric patients consistent with or contrary to behavioural experts’ recommendations in the Netherlands: prevalence rates, patient characteristics and recidivism after discharge from conditional release. Behav Sci Law. 2016;34(2–3):257–277.CrossRefGoogle ScholarPubMed
Norko, M, Wasser, T, Magro, H, et al. Assessing insanity acquittee recidivism in Connecticut. Behav Sci Law. 2016;34(2–3):423–443.CrossRefGoogle ScholarPubMed
Krona, H, Nyman, M, Andreasson, H, et al. Mentally disordered offenders in Sweden: differentiating recidivists from non-recidivists in a 10-year follow-up study. Nordic J Psychiatry. 2017;71(2):102–109.CrossRefGoogle Scholar
Simpson, A, Chatterjee, S, Duchcherer, M, et al. Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code. J Forensic Psychiatry Psychol. 2018;29(6):867–881.CrossRefGoogle Scholar
Richer, K, Cheng, J, Haag, AM. Historical recidivism rates of Alberta’s not criminally responsible population. J Community Safety Well-Being. 2018;3(2):59–64.CrossRefGoogle Scholar
Nielssen, O, Yee, NY, Dean, K, Large, M. Outcome of serious violent offenders with psychotic illness and cognitive disorder dealt with by the New South Wales criminal justice system. Austr NZ J Psychiatry. 2019;53(5):441–446.CrossRefGoogle ScholarPubMed
BOCSAR. Re-Offending Statistics for NSW. NSW Bureau of Crime Statistics and Research (NSW Justice); 2017. Sydney, New South Wales, Australia.Google Scholar
Fazel, S, Wolf, A, Fimińska, Z, Larsson, H. Mortality, rehospitalisation and violent crime in forensic psychiatric patients discharged from hospital: rates and risk factors. PLoS ONE. 2016;11(5):e0155906.CrossRefGoogle ScholarPubMed
Skeem, JL, Winter, E, Kennealy, PJ, Louden, JE, Tatar, JR IInd. Offenders with mental illness have criminogenic needs, too: toward recidivism reduction. Law Hum Behav. 2014;38(3):212–224.CrossRefGoogle ScholarPubMed
MacKenzie, DL, Farrington, DP. Preventing future offending of delinquents and offenders: what have we learned from experiments and meta-analyses? J Experiment Criminol. 2015;11(4):565–595.CrossRefGoogle Scholar
Monson, CM, Gunnin, DD, Fogel, MH, Kyle, LL. Stopping (or slowing) the revolving door: factors related to NGRI acquittees’ maintenance of a conditional release. Law Hum Behav. 2001;25(3):257–267.CrossRefGoogle ScholarPubMed
Milosevic, A, Ahmed, AG, Adamson, D, Michel, SF, Rodrigues, NC, Seto, MC. Evaluation of a substance use treatment program for forensic psychiatric inpatients. J Substance Use. 2018;23(6):640–647.CrossRefGoogle Scholar