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50 J. Offender Rehab. 1 (2011)

handle is hein.journals/wjor50 and id is 1 raw text is: journal of Offender Rehabilitation, 50:1-17, 2011 1 Routledge Copyright 0 Taylor & Francis Group, LLC Group ISSN: 1050-9674 print/1540-8558 online DOI: 10.1080/10509674.2011.536717 Co-occurring Serious Mental Illness and Substance Use Disorders Within a Countywide System: Who Interfaces With the Jail and Who Does Not? SHERYL PIMLOTT KUBIAK School of Social Work, Michigan State University, East Lansing, Michigan, USA LYNNETTE ESSENMACHER and JULIE HANNA School of Medicine, Wayne State University, Detroit, Michigan, USA APRIL ZEOLI School of Criminal justice, Michigan State University, East Lansing, Michigan, USA The presence ofa co-occurring substance use disorder increases the risk of incarceration for those with a serious mental illness. To examine the interface between jail and mental health systems, a sample of 1,440 individuals diagnosed with both disorders was followed for 48 months using administrative data. The majority (630%o) experienced incarceration with a median length of stay of 14 days. Predictors of incarceration were a more severe substance use diagnosis and younger age. These findings inform community- wide discussions aimed at enhancing coordination and collabor- ation between systems with the specific goal of decreasing the high prevalence of jail interface for this population. KEYWORDS administrative data, jail, longitudinal, mental health, system collaboration INTRODUCTION One unintended consequence of deinstitutionalization-coupled with a lack of access to adequate treatment within the community may be a greater number of individuals with serious mental illness (SMI) confined in criminal Address correspondence to Sheryl Pimlott Kubiak, School of Social Work, Michigan State University, 254 Baker Hall, East Lansing, MI 48824, USA. E-mail: spk@msu.edu

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