In this study, I examined how people with serious mental illness defined and prioritized their service needs when released from jail and how these service priorities shaped the sequencing of help-seeking activities after their release. Data included ethnographic observations and interviews with the staff and clients of a mental health reentry program and responses to an open-ended questionnaire that was given to the program’s clients (N = 115). Sixty-three percent of the clients identified housing and 35% identified financial assistance as one of their two most important service needs, whereas only 12% selected treatment services. These service priorities reflect a hierarchy in help-seeking activities postrelease in which clients’ access to treatment services was predicated on their ability to first find sustainable economic and material support. I conclude that reentry programs need to have the resources required to meet both the basic and treatment needs of people with serious mental illness leaving jail.
AbramK. M.TeplinL. A. (1991). Co-occurring disorders among mentally ill jail detainees: Implications for public policy. American Psychologist, 46, 1036–1045. doi:10.1037/0003-066X.46.10.1036
2.
AndersenR. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter?Journal of Health and Social Behavior, 36, 1–10. Retrieved from www.jstor.org/stable/2137284
3.
BeckerM. H.MaimanL. A. (1975). Sociobehavioral determinants of compliance with health and medical care recommendations. Medical Care, 13, 10–24. doi:10.1097/00005650-197501000-00002.
4.
Blank WilsonA.DraineJ. (2006). Collaborations between criminal justice and mental health systems for prisoner reentry. Psychiatric Services, 57, 875–878. doi:10.1176/appi.ps.57.6.875
5.
BoothroydR. A.MercadoC. C.PoythressN. G.ChristyA.PetrilaJ. (2005). Clinical outcomes of defendants in mental health court. Psychiatric Services, 56, 829–834. doi:10.1176/appi.ps.56.7.829
6.
BronerN.LattimoreP. K.CowellA. J.SchlengerW. E. (2004). Effects of diversion on adults with co-occurring mental illness and substance use: Outcomes from a national multi-site study. Behavioral Sciences and the Law, 22, 519–541. doi:10.1002/bsl.605
7.
ConlyC. H. (2005). Helping inmates obtain federal disability benefits: Serious medical and mental illness, incarceration, and federal disability entitlement programs (Report to the National Institute of Justice). Cambridge, MA: Abt Associates. Retrieved from https://www.ncjrs.gov/pdffiles1/nij/grants/211989.pdf
8.
CorriganP. W.MueserK. T.BondG. R.DrakeR. E.SolomonP. (2008). Principles and practice of psychiatric rehabilitation: An empirical approach. New York: Guilford.
9.
CosdenM.EllensJ.SchnellJ.Yamini-DioufY. (2005). Efficacy of a mental health treatment court with assertive community treatment. Behavioral Science and the Law, 23, 199–214. doi:10.1002/bsl.638
10.
CuddebackG. S.ScheyettA.Pettus-DavisC.MorrisseyJ. P. (2010). General medical problems of incarcerated persons with severe and persistent mental illness: A population-based study. Psychiatric Services, 61, 45–49. doi:10.1176/appi.ps.61.1.45
11.
DenzinN. K. (1989). The research act: A theoretical introduction to sociological methods (3rd ed.). Englewood Cliffs, NJ: Prentice Hall.
12.
DittonP. M. (1999). Mental health and treatment of inmates and probationers (Bureau of Justice Statistics Special Report, NCJ 174463). Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from http://bjs.ojp.usdoj.gov/content/pub/pdf/mhtip.pdf
13.
DraineJ.Blank WilsonA.MetrauxS.HadleyT.EvansA. C. (2010). The impact of mental illness status on the length of jail detention and the legal mechanism of jail release. Psychiatric Services, 61, 458–462. doi:10.1176/appi.ps.61.5.458
14.
DraineJ.HermanD. B. (2007). Critical time intervention for reentry from prison for persons with mental illness. Psychiatric Services, 58, 1577–1581. doi:10.1176/appi.ps.58.12.1577
15.
DraineJ.McTigheL.BourgoisP. (2011). Education, empowerment and community based structural reinforcement: An HIV prevention response to mass incarceration and removal. International Journal of Law and Psychiatry, 34, 295–302. doi:10.1016/j.ijlp.2011.07.009
16.
DraineJ.SalzerM. S.CulhaneD. P.HadleyT. R. (2002). Role of social disadvantage in crime, joblessness, and homelessness among persons with serious mental illness. Psychiatric Services, 53, 565–573. doi:10.1176/appi.ps.53.5.565
17.
EmersonR. M.FretzR. I.ShawL. L. (1995). Writing ethnographic field notes. Chicago: University of Chicago Press.
18.
FisherW. H.DrakeR. E. (2007). Forensic mental illness and other policy misadventures. Commentary on “Extending assertive community treatment to criminal justice settings: Origins, current evidence, and future directions.”Community Mental Health Journal, 43, 545–548. doi:10.1007/s10597-007-9094-7
19.
FreudenbergN.DanielsJ.CrumM.PerkinsT.RichieB. E. (2005). Coming home from jail: The social and health consequences of community reentry for women, male adolescents, and their families and communities. American Journal of Public Health, 95, 1725–1736. doi:10.2105/AJPH.2004.056325
20.
GrobG. (1991). From asylum to community: Mental health policy in modern America. Princeton, NJ: Princeton University Press.
21.
GuerinoP.HarrisonP. M.SabolW. J. (2011). Prisoners in 2010 (Bureau of Justice Statistics Bulletin, NCJ 236096). Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from http://bjs.ojp.usdoj.gov/content/pub/pdf/p10.pdf
22.
JamesD. J.GlazeL. E. (2006). Mental health problems of prison and jail inmates (Bureau of Justice Statistics Special Report, NCJ 213600). Washington, DC: Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from www.bjs.gov/content/pub/pdf/mhppji.pdf
23.
KatzM. B. (1996). In the shadow of the poor house: A social history of welfare in America (10th anniversary ed.). New York: Basic Books.
24.
KesslerR. C.BerglundP. A.BruceM. L.KochJ. R.LaskaE. M.LeafP. J.. . . WangP. S. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36(6, Pt. 1), 987–1007.
25.
KubiakS. P.EssenmacherL.HannaJ.ZeoliA. (2011). Co-occurring serious mental illness and substance use disorders within a countywide system: Who interfaces with the jail and who does not?Journal of Offender Rehabilitation, 50, 1–17. doi:10.1080/10509674.2011.536717
26.
LambH. R.WeinbergerL. E.GrossB. H. (1999). Community treatment of severely mentally ill offenders under the jurisdiction of the criminal justice system: A review. Psychiatric Services, 50, 907–913.
27.
LewisC. E.FeinR.MechanicD. (1976). A right to health: The problem of access to primary medical care. New York: John Wiley.
28.
LipskyM. (1980). Street-level bureaucracy: Dilemmas of the individual in public services. New York: Russell Sage Foundation.
29.
LuhrmannT. M. (2008). “The street will drive you crazy”: Why homeless psychotic women in the institutional circuit in the United States often say no to offers of help. American Journal of Psychiatry, 165, 15–20. doi:10.1176/appi.ajp.2007.07071166
30.
Mallik-KaneK.VisherC. A. (2008, February). Health and prisoner reentry: How physical, mental, and substance abuse conditions shape the process of reintegration. Washington, DC: Urban Institute, Justice Policy Center. Retrieved from www.urban.org/UploadedPDF/411617_health_prisoner_reentry.pdf
31.
MarcusG. E. (1998). Ethnography through thick and thin. Princeton, NJ: Princeton University Press.
32.
MarunaS.LeBelT. P. (2003). Welcome home? Examining the “re-entry court” concept from a strengths-based perspective. Western Criminology Review, 4, 91–107.
33.
MaslowA. H. (1970). Motivation and personality (2nd ed.). New York: Harper & Row.
34.
MechanicD. (1986). From advocacy to allocation: The evolving American health care system. New York: Free Press.
35.
MechanicD. (2008). Mental health and social policy: Beyond managed care (5th ed.). New York: Pearson Education.
36.
MetrauxS.CulhaneD. P. (2006). Recent incarceration history among a sheltered homeless population. Crime & Delinquency, 52, 504–517. doi:10.1177/0011128705283565
37.
MorrisseyJ. P.CuddebackG. S.CuellarA. E.SteadmanH. J. (2007). The role of Medicaid enrollment and outpatient service use in jail recidivism among persons with severe mental illness. Psychiatric Services, 58, 794–801. doi:10.1176/appi.ps.58.6.794
38.
MorrisseyJ. P.MeyerP.CuddebackG. S. (2007). Extending assertive community treatment to criminal justice settings: Origins, current evidence, and future directions. Community Mental Health Journal, 43, 527–544. doi:10.1007/s10597-007-9092-9
39.
OsherF. C.SteadmanH. J. (2007). Adapting evidence-based practices for persons with mental illness involved with the criminal justice system. Psychiatric Services, 58, 1472–1478. doi:10.1176/appi.ps.58.11.1472
40.
OsherF. C.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, 79–96. doi:10.1177/0011128702239237
41.
PadgettD. K. (2008). Qualitative methods in social work research (2nd ed.). Thousand Oaks, CA: Sage.
42.
PescosolidoB. A. (1992). Beyond rational choice: The social dynamics of how people seek help. American Journal of Sociology, 97, 1096–1138. doi:10.1086/229863
43.
PescosolidoB. A.GardnerC. B.LubellK. M. (1998). How people get into mental health services: Stories of choice, coercion and “muddling through” from “first-timers.”Social Science & Medicine, 46, 275–286. doi:10.1016/S0277-9536(97)00160-3
44.
PetersiliaJ. (2003). When prisoners come home: Parole and prisoner reentry. New York: Oxford University Press.
45.
RochefortD. A. (Ed.). (1989). Handbook on mental health policy in the United States. Westport, CT: Greenwood.
46.
SchramS. F. (1995). Words of welfare: The poverty of social science and the social science of poverty. Minneapolis: University of Minnesota Press.
47.
SkeemJ. L.LoudenJ. E. (2006). Toward evidence-based practice for probationers and parolees mandated to mental health treatment. Psychiatric Services, 57, 333–342. doi:10.1176/appi.ps.57.3.333
48.
SnowdenL. R. (2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3, 181–187. doi:10.1023/A:1013172913880
49.
SnowdenL. R.ThomasK. (2000). Medicaid and African American outpatient mental health treatment. Mental Health Services Research, 2, 115–120. doi:10.1023/A:1010161222515
SpauldingA. C.SealsR. M.PageM. J.BrzozowskiA. K.RhodesW.HammettT. M. (2009). HIV/AIDS among inmates of and releases from US correctional facilities, 2006: Declining share of epidemic but persistent public health opportunity. PLoS One, 4(11), e7558. doi:10.1371/journal.pone.0007558
52.
SteadmanH. J.NaplesM. (2005). Assessing the effectiveness of jail diversion programs for persons with serious mental illness and co-occurring substance use disorders. Behavioral Sciences & the Law, 23, 163–170. doi:10.1002/bsl.640
53.
SteadmanH. J.OsherF. C.RobbinsP. C.CaseB.SamuelS. (2009). Prevalence of serious mental illness among jail inmates. Psychiatric Services, 60, 761–765. doi:10.1176/appi.ps.60.6.761
54.
StiffmanA. R.PescosolidoB. A.CabassaL. J. (2004). Building a model to understand youth service access: The gateway provider model. Mental Health Services Research, 6, 189–198. doi:10.1023/B:MHSR.0000044745.09952.33
55.
StraussA.CorbinJ. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.
56.
TakeuchiD. T.CheungM. K. (1998). Coercive and voluntary referrals: How ethnic minority adults get into mental health treatment. Ethnicity and Health, 3, 149–158.doi:10.1080/13557858.1998.9961857
57.
TeplinL. A.AbramK. M.McClellandG. M. (1996). Prevalence of psychiatric disorders among incarcerated women: Pretrial jail detainees. Archives of General Psychiatry, 53, 505–512. doi:10.1001/archpsyc.1996.01830060047007
58.
ThornicroftG.TansellaM. (1999). The mental health matrix: A manual to improve services. Cambridge, UK: Cambridge University Press.
59.
TorreyE. F. (1995). Jails and prisons—America’s new mental hospitals. American Journal of Public Health, 85, 1611–1613. doi:10.2105/AJPH.85.12.1611
60.
VogelW. M.NoetherC. D.SteadmanH. J. (2007). Preparing communities for re-entry of offenders with mental illness: The ACTION approach. Journal of Offender Rehabilitation, 45, 167–188. doi:10.1300/J076v45n01_12
61.
WardT.MarunaS. (2007). Rehabilitation: Beyond the risk paradigm. New York: Routledge.
62.
WolffN. (1998). Interactions between mental health and law enforcement systems: Problems and prospects for cooperation. Journal of Health Politics, Policy and Law, 23, 133–174. doi:10.1215/03616878-23-1-133
