To examine the prevalence of homelessness and its relationship to mental disorder, criminal behaviour, and health care.
Method:
Interview and file data were collected for 790 male admissions to a large, pretrial jail facility over a 12-month period.
Results:
A significant relationship was found between homelessness and severe mental disorder as well as between homelessness and prior psychiatric history. There were no significant differences found between the homeless and the nonhomeless on the types of crimes for which they were incarcerated or on contact with health care services within the past year.
Conclusion:
The findings indicate the need for a link between the jail and community services for homeless individuals.
GuyEPlattJJZwerlingIBullockS.Mental health status of prisoners in an urban jail. Criminal Justice and Behavior1985;12:29–53.
2.
HartSDRoeschRCorradoRRCoxDN. The Referral Decision Scale: A validation study. Law and Human Behavior1993;17:611–23.
3.
PogrebinMRPooleED. Deinstitutionalization and increased arrest rates among the mentally disordered. Journal of Psychiatry and the Law1987; Spring: 117–27.
4.
RoeschR.Mental health interventions in pretrial jails. In: DaviesGMLloyd-BostockSMcMurranMWilsonC, editors. Psychology and law: Advances in research. Berlin: De Greuter; 1995. p 520–31.
5.
SteadmanHJMcCartyDWMorrisseyJP. The mentally ill in jail. New York: Guilford; 1989.
6.
TeplinLA. Criminalizing mental disorder: The comparative arrest rate of the mentally ill. Am Psychol1984;39:794–811.
7.
AxelsonGLWahlOF. Psychotic versus nonpsychotic misdemeanants in a large county jail: An analysis of pretrial treatment by the legal system. Int J Law Psychiatry1992;15:379–86.
8.
FisherPJ. Criminal activity among the homeless: A study of arrests in Baltimore. Hospital and Community Psychiatry1988;39:46–51.
9.
TeplinL.The criminalization hypothesis: Myth, misnomer, or management strategy. In: ShahSASalesBD, editors. Law and mental health: Major developments and research needs. Rockville (MD): US Department of Health and Human Services; 1991. p 149–83.
10.
MartellDA. Homeless mentally disordered offenders and violent crimes: Preliminary research findings. Law and Human Behavior1991;15:333–46.
11.
MichaelsDZolothSRAlcabesPBraslowCASafyerS.Homelessness and indicators of mental illness among inmates in New York City's correctional system. Hospital and Community Psychiatry1992;43:150–5.
12.
GelbergLLinnLSLeakeBD. Mental health, alcohol and drug use, and criminal history among homeless adults. Hospital and Community Psychiatry1988;145:191–6.
13.
VitelliR.The homeless inmate in a maximum-security prison. Canadian Journal of Criminology1993;35:323–31.
14.
OverallJEGorhamDR. The Brief Psychiatric Rating Scale. Psychological Reports1962;10:799–812.
15.
HartSDHemphillJF. Prevalence of and service utilization by mentally disordered offenders at the Vancouver Pretrial Services Centre. British Columbia Corrections Branch; 1989. Contract nr COR-22153. Available from: Stephen Hart, Department of Psychology, Simon Fraser University, Burnaby, BC.
16.
LukoffDLibermanRPNuechterleinKH. Symptom monitoring in the rehabilitation of schizophrenic patients. Schizophr Bull1986;12:578–602.
17.
OverallJE. Brief Psychiatric Rating Scale and Brief Psychiatric History Form. In: KellerPARittLG, editors. Innovations in clinical practice: A source book. Sarasota (FL): Professional Resource Exchange; 1983. p. 307–16.
18.
NeighborsH.The prevalence of mental disorder in Michigan prisons. DIS Newsletter1987;4:8–11.
19.
FowlesDC. Biological variables in psychopathology: A psycho-biological perspective. In: SutkerPBAdamsHE, editors. Comprehensive handbook of psychopathology. New York: Plenum Press; 1993. p. 57–82.
20.
OgloffJRPRoeschR.Using community mental health centers to provide comprehensive mental health services to local jails. In: OgloffJRP, editor. Law and psychology: The broadening of the discipline. Durham (NC): Carolina Academic Press; 1992. p 244–60.
21.
OgloffJRPTienGRoeschREavesD.A model for the provision of jail mental health services: An integrative, community-based approach. Journal of Mental Health Administration1991;18:209–22.
22.
SteadmanHJ. Boundary spanners: A key component for the effective interactions of the justice and mental health systems. Law and Human Behavior1992;16:75–87.
23.
LeukfeldCG. Chronic mental illness. Health and Social Work1991;16:7–10.
24.
BelcherJR. Are jails replacing the mental health system for the homeless mentally ill?Community Ment Health J1988;24:185–95.
