The overrepresentation of individuals with mental illness in the criminal justice system is a major challenge facing criminal justice and mental health professionals and policy makers. This article discusses the recently enacted diversion legislation aimed at intercepting and transferring individuals with mental illness to mental health facilities for treatment in Ghana. Importantly, recommendations aimed at ensuring effective implementation of the diversion legislation using the Sequential Intercept Model have been proffered. Efforts to improve the organization and delivery of mental health services, as well as effective collaboration between the criminal justice and public mental health systems should be given priority.
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References
1.
AdjorloloS. (2015). Can teleneuropsychology help meet the neuropsychological needs of Western Africans? The case of Ghana. Applied Neuropsychology: Adult, 22(5), 388–398. doi: 10.1080/23279095.2014.949718
2.
AdjorloloS.Adu-PokuS.Andoh-ArthurJ.BotchwayI.MlyakadoB. P. (2015). Demographic factors, childhood maltreatment and psychological functioning among university students in Ghana: A retrospective study. International Journal of Psychology. doi: 10.1002/ijop.12248 (advance online publication).
3.
AdjorloloS.AgboliJ.M.ChanH. C. O. (2015). Criminal responsibility and the insanity defence in Ghana: The examination of legal standards and assessment issues. Psychiatry, Psychology and Law, 1–12. doi: 10.1080/13218719.2015.1113606
4.
AdjorloloS.ChanH. C. O. (2014). The controversy of defining serial murder: Revisited. Aggression and Violent Behavior, 19(5), 486–491. doi: 10.1016/j.avb.2014.07.003
5.
AdjorloloS.ChanH. C. O. (2015a). Forensic assessment via videoconferencing: Issues and practice considerations. Journal of Forensic Psychology Practice, 15(3), 185–204. doi: 10.1080/15228932.2015.1015363
6.
AdjorloloS.ChanH. C. O. (2015b). The nature of instrumentality and expressiveness of homicide crime scene behaviors: A review. Trauma, Violence, & Abuse. doi: 10.1177/1524838015596528 (advance online publication).
7.
AdjorloloS.ChanH. C. O.AgboliJ. M. (2016). Adjudicating offenders with mental disorders in Ghana: The criminal and mental health legislations. International Journal of Law and Psychiatry, 45, 1–8. doi:10.1016/j.ijlp.2016.02.001
8.
AdjorloloS.EgbenyaD. L. (2016). Executive functioning profiles of adult and juvenile male sexual offenders: A systematic review. The Journal of Forensic Psychiatry & Psychology, 1–27. doi: 10.1080/14789949.2016.1141431(advance online publication).
9.
AdjorloloS.EllingsenG. (2013). Readiness assessment for implementation of electronic patient record in Ghana: A case of University of Ghana hospital. Journal of Health Informatics in Developing Countries, 7(2), 128–140. doi:
10.
AndrewsD. A.BontaJ.HogeR. D. (1990). Classification for effective rehabilitation: Rediscovering psychology. Criminal Justice and Behavior, 17(1), 19–52. doi: 10.1177/0093-854890017001004
11.
BarkeA.NyarkoS.KlechaD. (2011). The stigma of mental illness in southern Ghana: Attitudes of the urban population and patients' views. Social Psychiatry and Psychiatric Epidemiology, 46(11), 1191–1202. doi: 10.1007/s00127-010-0290-3
12.
BurkeH. R. (2012). Criminal justice theory: An introduction (2nd ed). London, UK: Routledge.
13.
BurnsP. J.HidayV. A.RayB. (2013). Effectiveness 2 years post exit of a recently established mental health court. American Behavioral Scientist, 57(2), 189–208. doi:10.1177/0002764212465416
14.
ChenC.OuJ. J.ZhouJ. S.ZhangY. D.CaiW. X.WangX. P. (2013). The comparison of disposal attitudes towards forensic psychiatric patients among police officers, psychiatrists and community members in China. Journal of Forensic and Legal Medicine, 20(8), 986–990. doi: 10.1016/j.jflm.2013.08.015
15.
CoidJ.PetruckevitchA.BebbingtonP.JenkinsR.BrughaT.LewisG. (2003). Psychiatric morbidity in prisoners and solitary cellular confinement, I: Disciplinary segregation. The Journal of Forensic Psychiatry & Psychology, 14(2), 298–319. doi: 10.1080/1478994031000095510
16.
ComptonM. T.BahoraM.WatsonA. C.OlivaJ. R. (2008). A comprehensive review of extant research on crisis intervention team (CIT) programs. Journal of the American Academy of Psychiatry and the Law Online, 36(1), 47–55.
17.
DeaneM. W.SteadmanH. J.BorumR.VeyseyB. M.MorrisseyJ. P. (1999). Emerging partnerships between mental health and law enforcement. Psychiatric Services, 50(1), 99–101. doi:10.1176/ps.50.1.99
18.
DouglasK. S.HartS. D.WebsterC. D.BelfrageH. (2013). HCR-20v3: Assessing risk of violence—User guide. Burnaby, Canada: Mental Health, Law, and Policy Institute, Simon Fraser University.
19.
DraineJ.WolffN.JacobyJ. E.HartwellS.DuclosC. (2005). Understanding community re-entry of former prisoners with mental illness: A conceptual model to guide new research. Behavioral Sciences & the Law, 23(5), 689–707. doi: 10.1002/bsl.642
20.
EdgelyM. (2009). Common law sentencing of mentally impaired offenders in Australian courts: A call for coherence and consistency. Psychiatry, Psychology and Law, 16(2), 240–261. doi:
21.
Eno LoudenJ.SkeemJ. L. (2007). Constructing insanity: Jurors' prototypes, attitudes, and legal decision-making. Behavioral Sciences & the Law, 25(4), 449–470. doi:10.1002/bsl.760
22.
FazelS.DaneshJ. (2002). Serious mental disorder in 23,000 prisoners: A systematic review of 62 surveys. The Lancet, 359(9,306), 545–550. doi:10.1016/S0140-6736(02)07740-1
23.
FazelS.SeewaldK. (2012). Severe mental illness in 33,588 prisoners worldwide: Systematic review and meta-regression analysis. British Journal of Psychiatry, 200(5), 364–373 doi: 10.1192/bjp.bp.111.096370
24.
FishbeinD.SheppardM.HydeC.HubalR.NewlinD.SerinR. (2009). Deficits in behavioral inhibition predict treatment engagement in prison inmates. Law and Human Behavior, 33(5), 419–435. doi: 10.1007/s10979-008-9163-7
HanssonL.MarkströmU. (2014). The effectiveness of an anti-stigma intervention in a basic police officer training programme: A controlled study. BMC Psychiatry, 14(1), 1–8. doi: 10.1186/1471-244X-14-55
29.
HidayV. A.WalesH. W.RayB. (2013). Effectiveness of a short-term mental health court: Criminal recidivism one year post exit. Law and Human Behavior, 37(6), 401–411. doi:10.1037/lhb0000030
30.
JamesD. V. (2006). Court diversion in perspective. Australian & New Zealand Journal of Psychiatry, 40(6/7), 529–538. doi: 10.1111/j.1440-1614.2006.01835.x
31.
JamesD. V. (2010). Diversion of mentally disordered people from the criminal justice system in England and Wales: An overview. International Journal of Law and Psychiatry, 33(4), 241–248. doi: 10.1016/j.ijlp.2010.06.006
32.
JoyalC. C.Plante-BeaulieuJ.de ChanteracA. (2014). The neuropsychology of sexual offenders: A meta-analysis. Sexual Abuse: A Journal of Research and Treatment, 26(2), 149–177. doi: 10.1177/1079063213482842
33.
LambH. R.WeinbergerL. E. (2001). Persons with severe mental illness in jails and prisons: A review. New Directions for Mental Health Services, 2001(90), 29–49. doi: 10.1002/yd.23320019005
34.
LimL.DayA. (2011). Mental health diversion courts: Some directions for further development. Psychiatry, Psychology and Law, 20(1), 36–45. doi:10.1080/13218719.2011.619059
35.
MatejkowskiJ.OstermannM. (2015). Serious mental illness, criminal risk, parole supervision, and recidivism: Testing of conditional effects. Law and Human Behavior, 39(1), 75–86. doi: 10.1177/0093854809354370
36.
MorganA. B.LilienfeldS. O. (2000). A meta-analytic review of the relation between antisocial behavior and neuropsychological measures of executive function. Clinical Psychology Review, 20(1), 113–136. doi: 10.1016/S0272-7358(98)00096-8
37.
MunetzM. R.GriffinP. A. (2006). Use of the Sequential Intercept Model as an approach to decriminalization of people with serious mental illness. Psychiatric Services, 57(4), 544–549. doi: doi:10.1176/ps.2006.57.4.544
38.
OgilvieJ. M.StewartA. L.ChanR. C. K.ShumD. H. K. (2011). Neuropsychological measures of executive function and antisocial behavior: A meta-analysis. Criminology, 49(4), 1063–1107. doi: 10.1111/j.1745-9125.2011.00252.x
39.
OgunlesiA.OgunwaleA.De WetP.RoosL.KaliskiS. (2012). Guest editorial: Forensic psychiatry in Africa: Prospects and challenges. African Journal of Psychiatry, 15(1), 3–7. doi:10.4314/ajpsy.v15i1.1
40.
OmarM. A.GreenA. T.BirdP. K.MirzoevT.FlisherA. J.KigoziF. (2010). Mental health policy process: A comparative study of Ghana, South Africa, Uganda and Zambia. International Journal of Mental Health Systems, 4(24), 1–10. doi:10.1186/1752-4458-4-24
41.
OsherF.SteadmanH. J.BarrH. (2003). A best practice approach to community reentry from jails for inmates with co-occurring disorders: The APIC model. Crime & Delinquency, 49(1), 79–96. doi: 10.1177/0011128702239237
42.
PsarraV.SestriniM.SantaZ.PetsasD.GerontasA.GarnetasC. (2008). Greek police officers' attitudes towards the mentally ill. International Journal of Law and Psychiatry, 31(1), 77–85. doi: 10.1016/j.ijlp.2007.11.011
Read, U. M., & Doku, V. C. (2012). Mental health research in Ghana: A literature review. Ghana Medical Journal, 46(S2), 29–38.
45.
RobertsM.MoganC.AsareJ. (2014). An overview of Ghana's mental health system: Results from an assessment using the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS). International Journal of Mental Health Systems, 8(1), 16. doi:10.1186/1752-4458-8-16
46.
RochaN. B. F.MarquesA. B.FortunaR. B.AntunesA.HoakenP. N. S. (2014). Effectiveness of cognitive remediation for female inmates: A pilot study. The Journal of Forensic Psychiatry & Psychology, 25(2), 224–237. doi: 10.1080/14789949.2014.884617
47.
SarteschiC. M.VaughnM. G.KimK. (2011). Assessing the effectiveness of mental health courts: A quantitative review. Journal of Criminal Justice, 39(1), 12–20. doi:10.1016/j.jcrimjus.2010.11.003
48.
SipsmaH.Ofori-AttaA.CanavanM.Osei-AkotoI.UdryC.BradleyE. (2013). Poor mental health in Ghana: Who is at risk?BioMed Central Public Health, 13(1), 288. doi: 10.1186/1471-2458-13-288
49.
SirotichF. (2009). The criminal justice outcomes of jail diversion programs for persons with mental illness: A review of the evidence. Journal of the American Academy of Psychiatry and the Law Online, 37(4), 461–472.
50.
SkeemJ. L.Eno LoudenJ. (2006). Toward evidence-based practice for probationers and parolees mandated to mental health treatment. Psychiatric Services, 57(3), 333–342.
51.
SkeemJ. L.WinterE.KennealyP. J.Eno LoudenJ.TatarJ. R.II. (2014). Offenders with mental illness have criminogenic needs, too: Toward recidivism reduction. Law and Human Behavior, 38(3), 212–224. doi: 10.1037/lhb0000054
52.
SteadmanH. J.BarberaS. S.DennisD. L. (1994). A national survey of jail diversion programs for mentally ill detainees. Psychiatric Services, 45(11), 1109–1113. doi:10.1176/ps.45.11.1109
53.
SteadmanH. J.StainbrookK. A.GriffinP.DraineJ.DupontR.HoreyC. (2001). A specialized crisis response site as a core element of police-based diversion programs. Psychiatric Services, 52(2), 219–222. doi:10.1176/appi.ps.52.2.219
54.
TankebeJ. (2010). Public confidence in the police: Testing the effects of public experiences of police corruption in Ghana. British Journal of Criminology, 50(2), 296–319. doi:10.1093/bjc/azq001
55.
WalesH. W.HidayV. A.RayB. (2010). Procedural justice and the mental health court judge's role in reducing recidivism. International Journal of Law and Psychiatry, 33(4), 265–271. doi: 10.1016/j.ijlp.2010.06.009
56.
WardT.StewartC. (2003). Criminogenic needs and human needs: A theoretical model. Psychology, Crime & Law, 9(2), 125–143. doi: 10.1080/1068316031000116247
57.
World Health Organization. (2007). Ghana: A Progressive mental health law. The Country Summary Series: Ghana. Geneva, Switzerland: WHO Department of Mental Health and Substance Abuse.
58.
ZagarR. J.BuschK. G.IsbellS. A.HughesJ. R. (2009). An empirical theory of the development of homicide within individuals. Psychological Reports, 104(1), 199–245. doi: 10.2466/PR0.104.1.199-245
