Premium
A prison mental health in‐reach model informed by assertive community treatment principles: evaluation of its impact on planning during the pre‐release period, community mental health service engagement and reoffending
Author(s) -
McKenna Brian,
Skipworth Jeremy,
Tapsell Rees,
Madell Dominic,
Pillai Krishna,
Simpson Alexander,
Cavney James,
Rouse Paul
Publication year - 2015
Publication title -
criminal behaviour and mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 54
eISSN - 1471-2857
pISSN - 0957-9664
DOI - 10.1002/cbm.1942
Subject(s) - assertive community treatment , prison , mental health , mental illness , assertiveness , psychiatry , medicine , service (business) , psychology , nursing , criminology , social psychology , business , marketing
Background It is well recognised that prisoners with serious mental illness (SMI) are at high risk of poor outcomes on return to the community. Early engagement with mental health services and other community agencies could provide the substrate for reducing risk. Aim To evaluate the impact of implementing an assertive community treatment informed prison in‐reach model of care (PMOC) on post‐release engagement with community mental health services and on reoffending rates. Methods One hundred and eighty prisoners with SMI released from four prisons in the year before implementation of the PMOC were compared with 170 such prisoners released the year after its implementation. Results The assertive prison model of care was associated with more pre‐release contacts with community mental health services and contacts with some social care agencies in some prisons. There were significantly more post‐release community mental health service engagements after implementation of this model ( Z = −2.388, p = 0.02). There was a trend towards reduction in reoffending rates after release from some of the prisons ( Z = 1.82, p = 0.07). Conclusions and implications for practice Assertive community treatment applied to prisoners with mental health problems was superior to ‘treatment as usual’, but more work is needed to ensure that agencies will engage prisoners in pre‐release care. The fact that the model showed some benefits in the absence of any increase in resources suggests that it may be the model per se that is effective. Copyright © 2014 John Wiley & Sons, Ltd.