Continuity of care is at risk of being compromised as individuals with serious mental illness move from the community to correctional environments and back to the community. Furthermore, these transitions create disruptions that make re-engagement difficult for a variety of reasons related to the individuals’ sense of disruption of their lives and needing to focus on basic needs that may seem more critical than mental health treatment at times, as well as provider lack of knowledge of their reentry into the community and the issues that the individuals may be facing. Data is replete with examples of the difficulties faced after release from incarceration by individuals with serious mental illness, especially those with co-occurring substance use disorders. These difficulties can include risks of re-arrest, substance use relapse, suicide and overdose and other poor health outcomes. Several promising and evidence-informed models of services have been developed and studied to adapt specific supports for individuals with mental illness and co-occurring conditions during times of transition and beyond. These include the MISSION-Criminal Justice Model, FACT teams, and Critical Time Intervention, to name a few.  This webinar will focus on important issues that can arise upon release and when supporting individuals with serious mental illness in the community after release from a correctional setting. 

Format

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.

This presentation was recorded on January 28, 2022.

Learning Objectives

• Discuss reentry and data regarding outcomes for persons with mental illness and substance use disorders returning to the community from incarceration. 
• Discuss emerging models of support following release and related data such as MISSION-CJ, FACT teams and Critical Time Intervention. 
• Discuss actions that can be helpful for providers as they support individuals with SMI returning to their communities from incarceration. 

Outline

• Examine data on post-release outcomes for persons with serious mental illness 
• Discuss challenges of reentry  
• Review models of support following release and related data 
• Introduction to emerging research on reentry 
• Presenter Q&A 

Target Audience

Counselor, Nurse/Nurse Practitioner, Peer Specialist/Peer Support, Pharmacist, Physician (Non-psychiatrist), Physician Assistant, Psychiatrist, Psychologist, Social Worker 

Instructional Level

Introductory 

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: January 31, 2022 
Program End Date: January 31, 2025

Program Review Date: February 24, 2023

Ongoing Interdisciplinary Discussion Board

After completing the course, engage with colleagues in the mental health field through SMI Adviser's Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, nursing continuing professional development contact hours (NCPD, formerly CNE), CE credit for psychologists, CE credit for social workers, or a certificate of participation may do so by viewing the presentation recording and completing the evaluation.

Participants claiming CE credit for psychologists and those claiming CE credit for Social workers, must have full attendance to claim credit. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), NCPD (nurses), CE certificate (psychologists), CE certificate (social workers) or certificate of participation (other disciplines) showing the event date and hours earned.  

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The APA designates this enduring event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content. 

Nurses/Nurse Practitioners

The American Psychiatric Nurses Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. 

Social Workers 

American Psychiatric Association, provider #1743, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. American Psychiatric Association maintains responsibility for this course. ACE provider approval period: 05/18/2021 - 05/18/2024. Social workers completing this course receive 1.0 continuing education credits. 

Faculty and Planner Disclosures

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Instructor

• Debra A. Pinals, MD serves as the director of the Program in Psychiatry, Law, and Ethics and as a clinical professor of psychiatry at the University of Michigan Medical School. She is a clinical adjunct professor at the University of Michigan Law School. She also is the medical director of behavioral health and forensic programs for the Michigan Department of Health and Human Services. She is board certified in psychiatry and forensic psychiatry, and is a board certified in addiction medicine. From 2008 to 2016, she was the assistant commissioner of forensic services, and between 2012 and 2014, she was the interim state medical director for the Massachusetts Department of Mental Health. During her career she has been a clinical psychiatrist in community mental health, inpatient settings, forensic and correctional facilities, emergency rooms, and court clinics. Dr. Pinals has no financial relationships to disclose. 

Planners

• Sherin Khan, LCSW, Thresholds. Ms. Khan has no financial relationships to disclose.  
• Donna Rolin, PhD, APRN, University of Texas at Austin. Dr. Rolin has no financial relationships to disclose. 
• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no financial relationships to disclose.  
• Amy Cohen, PhD, American Psychiatric Association. Dr. Cohen has no financial relationships to disclose. 
• John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no financial relationships to disclose.  

Reviewers

• Donna Rolin, PhD, APRN, University of Texas at Austin. Dr. Rolin has no relevant financial relationships to disclose. (Reviewed on 2/24/23)

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This website requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be:  Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIadviserhelp@psych.org for technical assistance