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Catalog
Supporting Clients Who Have Been Justice-Involved
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The document is from an APA and SAMHSA Initiative titled "Supporting persons with SMI who are or have been justice-involved." It discusses challenges clinicians face when working with individuals who have been involved in the criminal justice system and have serious mental illnesses (SMI). These challenges include a lack of understanding of the criminal justice system, discomfort with certain patient personality styles, limited resources, and burnout. Stigma and fear surrounding individuals who are justice-involved also play a role in these challenges.<br /><br />The document emphasizes the importance of information sharing between the behavioral health and justice systems and the use of risk assessment tools to identify and reduce criminal recidivism. Approaches like cognitive-behavioral therapy (CBT) for correctional populations and programs such as Moral Reconation Therapy, Thinking for a Change, and the Good Lives Model are discussed as strategies to address criminogenic needs and reduce recidivism.<br /><br />The document highlights the impact of trauma on individuals who are justice-involved and emphasizes the importance of trauma-informed approaches in their treatment. It explains the ACEs framework (Adverse Childhood Events) that assesses the impact of childhood trauma on individuals' health and well-being. Trauma can disrupt neurocircuits and lead to hyperarousal and chronic stress. The document suggests that understanding trauma and implementing trauma-informed practices can facilitate working with justice-involved individuals with SMI.<br /><br />Other topics discussed in the document include the need for collaboration between mental health services providers and correctional supervision, the importance of addressing whole health and co-occurring substance use disorders, and the need for professionals to understand and translate behavior and attitudes shaped by the correctional system. The document concludes by highlighting the rewarding aspects of working with justice-involved individuals with SMI and providing resources for consultation and support.
Keywords
Supporting persons with SMI
justice-involved individuals
challenges clinicians face
criminal justice system
risk assessment tools
trauma-informed approaches
co-occurring substance use disorders
collaboration mental health services
cognitive-behavioral therapy
correctional populations
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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