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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
          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


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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