Put the material beyond the reach of millions of Americans - over the last 50 years we are in the institutionalization of people with mental illness, often in inhuman conditions, locked in a move unprecedented and alarming rate. These people are not all equal. They are a heterogeneous group.
>> A small subgroup of patients do not resemble the former State hospitals and their presence in our jails / prisons is one of the most blatant and disturbing images that youcare systems failed. The availability of models for intensive care, including treatment in hospital for some is critical.
>> Many more people with mental illness in our prisons are less debilitating, and access to proper care and community support to do very well.
>> A third group includes people with mental illness, the characteristics associated with the arrest of high rates of recurrence have. These individuals would be better served with a good treatment andclaims, which include interventions targeting their risk factors for dynamic arrest.
When we on the needs of these people to take the legitimate concerns of public safety, all members of the community try to conditions in these prisons, which are designed to hold and not for therapeutic purposes, which are often far worse than the conditions in hospitals described in 1940. In addition, if the people involved with co-occurring disorders leave justicePrisons, are pushing for recycling again and again left alone by the criminal justice system. In addition, people who are involved in the justice system is often the additional stigma of criminal records, access to basic needs of the community, how do you say housing, education and employment, to get even more difficult.
The ability to form effective to implement, and report to the treatment provider of quality servicesMeeting the needs of specialized treatment is critical to creating an effective system of community care for people experiencing serious mental illness. In the absence of what is now seen as essential services for people with mental illness in the community, people will continue to be more expensive, low-end services in hospitals, crisis centers, emergency room and the judiciary will be forced.
The result is a recycling of individuals between prisons, detention centers,Shelters, shelters for the homeless and short-term - public health, public safety, public administration and the implications are frighteningly high. Now more than ever, as we strive to care for our most vulnerable citizens, we have this serious threat to public health and public security crisis. It 's time to open and honest about the deplorable conditions that exist and take action to solve them. Here is a solution in the form of a plan in 2 phases.
Phase1:
>> Managing Forensic Intensive Case
>> Housing Support
>> Peer Support
>> Drugs accessible and appropriate
These four services are those that we believe are minimally necessary to break the cycle of the disease, the arrest and imprisonment, and recidivism. We believe that these services - quickly, economically and implemented with positive results - described briefly below. However, these benefits can only be effective if the programs that arestructured and composed of people who understand and are willing to trauma as a risk factor for mental problems and address criminal justice involvement. A trauma informed system that can secure the specific characteristics of the trauma, please, health and public safety, and to transform the lives of individuals.
Forensic Intensive Case Management (FICM) is justice for the people involved with the multiple and complex needs and functions of the services provided, when and where you need designed.FICM focused instead on agency providing services directly, making it less expensive than ACT. For a model of mediation service to be effective, communities need accessible and appropriate services that can be connected to the people. What makes these services "forensic" and "Criminal Justice savvy", it means that suppliers to understand the criminal justice system and the dilemmas of participating customers.
housing support for mental health patients is durable, affordableBody in conjunction with a wide range of support services, including treatment of mental disorders and related substances. Housing support can significantly reduce the likelihood of a relapse in prisons and penitentiaries, and is less expensive on a daily basis as a prison or prison. Unfortunately, affordable housing in short supply in many communities and ex-offenders with drug offenses often have problems for public housing assistance. Accommodation for ex-offenders must balance the needs ofThe monitoring and the provision of social services.
peer support services can expand the continuum of services for people with and substance-related mental disorders and can help you manage your treatment. Forensic Peer Specialists bring practical experience with systems of multiple services and the possibility of one-to-one for people who struggle for life belongs to recover. The practice of consumer-driven care - such as the inclusion of consumers, mental health service as an example Design, delivery and evaluation - is the heart of a transformed mental health system.
Internet and related drugs supports continuity of care for people with mental disorders, their treatment is often disturbed when they are involved in the criminal justice system. They may not be an appropriate medication in jail or prison, or an adequate follow-up when they return to the community. E 'imperative that people use to mental illness and co-occurring substanceDisorders> have identified access to the right drug at the right dose for their condition as a medical doctor by the individual with his own.
Step 2:
Obviously, the Phase 1 services are necessary but not sufficient. Services in support of the system of basic care are more evidence-based practices for people with severe mental illness. These services can be costly or difficult to implement than the four mentioned above, but we encourage the States andCommunity and development of these services by consolidating support in politics, in practice, and to move the implementation worthwhile.
Phase 2 includes:
>> Integrated Dual Diagnosis Treatment, which provides treatment for substance-related mental disorders at the same time and in the same setting
>> Supported employment, an evidence-based practice that helps to find people with mental illness to obtain and maintain competitive employment
>>assertive community treatment (ACT) / Forensic Assertive Community Treatment (FACT), a model of service delivery in which treatment is delivered by a team of professionals providing services, which is an individual needs to determine the time necessary and
>> Cognitive behavioral therapy aimed to insult specific risk factors, a series of interventions, within the two institutional and community settings that have a value if it extends the research communityTreatment programs.
This list of evidence-based practices and promising, is not an exhaustive list of examples. Obviously there are many things that can be jail or a substance to be done to prevent persons with mental disorders and the use of arrest and detention and returned successfully to their communities in prison. We understand that in times of financial difficulty, of new dollars may not be available. However, even if the money is not always change for new systems, new ways of thinking requiredam.
To public health and public security needs of our communities requires a full year of collaboration, both behavioral health and criminal justice. Nor can we continue as before. The criminal justice system needs to do the job properly screening, assessment and individualized interventions for prisoners and inmates identified with mental diseases. Researchers from the behavior of the health system is necessary to refine and deliver evidence-based practices with aAware of its responsibility not only to improve the lives of their customers, but to factors that place with criminal recidivism in these clients and customers more directly involved as partners in a process of recovery that the concerns of the community to recognize public safety interventions address.
We must go to a day when people with mental health and substance use disorders do not receive the effective interventions in communities need and deserve, and the jails and prisonsmost are forced to serve as the primary de facto treatment facilities. We know what works to meet the needs of people with mental health and substance-related disorders that have been successful contacts with the criminal justice system, we must now do what works. The time to act is now!
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