It was hypothesized that clients receiving case management services will improve to a moderate
extent in terms of a variety of psychosocial and clinical outcomes compared with clients served
by the usual system of care. It was further hypothesized that clients served by an Assertive
Community Treatment (ACT) team will have significantly greater improvement than clients
served by forensic case managers working individually. Two hundred seriously mentally ill
inmates leaving jail were assigned to three conditions, and 94 remained in the study at 1 year.
One-year outcomes were analyzed by service condition, using a hierarchical block discriminant
function analysis. Contrary to the hypothesis, more clients in the experimental condition returned
to jail within a year. No differences were found among the three conditions in social or clinical
outcomes. Greater jail recidivism among clients receiving the more intensive service raises
questions concerning tendencies to emphasize monitoring with this population.
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