Mindful Continuing Education

Processing and Treating Mentally Ill Criminal Offenders: Current Practices

Introduction

1. Although individuals with mental illness are over represented in the US criminal justice system, many prisons, jails and communities are not equipped to handle this growing population.

A. True B. False

Research Objective and Focus: Severe Mental Illness among Individuals Involved in the Criminal Justice System

2. In jails and prisons, many inmates have multiple diagnoses and co-occurring disorders, and pre-existing mental health conditions are often exacerbated by correctional environments.

A. True B. False

Findings

3. Each of the following is an accurate statement about the scope of the problem of mental illness in correctional facilities EXCEPT:

A. Prisoners suffering from mental illness are more likely to have experienced homelessness, prior incarceration, and substance abuse than those without mental illness B. Social and criminogenic factors among offenders often predispose them to mental illness C. Prison conditions often exacerbate pre-existing mental illness, especially as a result of fear of victimization D. Younger prisoners generally have higher rates of mental health issues than their younger peers, which is may be due to lack of experience and familiarity with the system

4. One promising trend in US corrections is that since the prison population has tripled in the past 25 years, there has been an increase in the focus on mental health needs of inmates.

A. True B. False

Costs Associated with Managing Mentally Ill Individuals in the Criminal Justice System

5. In addition to direct mental health care costs, mentally ill prisoners have higher rates of misconduct and accidents in prisons and higher rates of recidivism.

A. True B. False

Current Practice and Policy

6. Federal statutes determine whether mentally ill individuals in the criminal justice system should be held liable for their criminal acts, and states must adhere to such statutes.

A. True B. False

Definition of Mental Health Impairments Provided in the Statutes

7. While many states approach defining mental illness from a behavioral or symptomatic perspective, others focus on specific abnormalities:

A. Assessment and evaluation B. Treatment requirements C. Clinical ramifications D. Lawful consequences

Criminal Responsibility of Mentally Ill Individuals

8. Each state is responsible for assessing the mental capacity at the time of the crime for individuals whose competency is in question, which in general is merely a summary of legal technicalities.

A. True B. False

9. According to New York State Department of Corrections, which of the following is NOT one of the AXIS-1 diagnoses included in the definition of seriously mentally ill?

A. Schizophrenia B. Delirium C. Delusional Disorder D. Bipolar Disorder I and II

10. While mental status is an integral part of the clinical assessment of prisoners, risk of incidence while incarcerated such as suicide, violence, and substance dependence must also be evaluated.

A. True B. False

Mental Health Courts

11. As an alternative to traditional court proceedings, mental health courts (MHC) are diversionary mechanisms that offer the following to mentally ill offenders:

A. Problem-solving solutions B. Formal community support C. Integrated case-management D. Early identification and intervention

12. While MHCs operate differently in terms of eligibility criteria, generally the two types of eligibility criteria are considered: clinical eligibility and legal eligibility.

A. True B. False

Effective of MHCs

13. Extensive empirical data has indicated that MHCs have greater effectiveness in reducing recidivism rates than interventions provided in correctional facilities.

A. True B. False

Other Criminal Justice Programs and Policies-Rigorously Evaluated Programs

14. Which of the following is NOT one of the focus areas of the rigorously evaluated programs that offer promising re-entry results for mentally ill offenders?

A. Multi-disciplinary interventions B. Collaborative planning C. Accountability-driven needs assessment D. Risk management

15. Once mentally ill offenders leave jail or prison, they may become overwhelmed by the stresses and challenges associated with reentry into society, and may need immediate referral to mental health services to comply with treatment goals.

A. True B. False

Policy Evaluations

16. A promising policy for reducing recidivism rates for offenders with severe mental illness is to offer Medicaid enrollment at the time of jail release.

A. True B. False

Release Probation and Parole Polices

17. Recent legislation enacted in Montana assists mentally ill parolees and probationers by ensuring the coordination of community based services in which of the following areas:

A. Substance abuse treatment and general health care B. Employment and housing C. Faith-based services D. All of the above

18. One of the most beneficial aspects of diversion programs for mentally ill offenders is that they may help to eliminate criminal justice ramifications such as:

A. Social stigma B. Worsening of mental health symptoms while in jail or prison C. Loss of valuable connections with others D. None of the above


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