Use of the criminal justice system to leverage mental health treatment: effects on treatment adherence and satisfaction.


Journal Article

In efforts to divert persons with mental illness from jails and prisons, the option of community mental health treatment in lieu of incarceration is sometimes offered. In addition, community treatment can be mandated, or "leveraged," as a condition of probation or parole. However, little is known about the characteristics and attitudes of persons who are and who are not leveraged into community mental health treatment via the criminal justice (CJ) system. In the present study, over 1,000 outpatients with mental disorders were queried about their experiences with CJ leverages, as well as their clinical and treatment histories. Persons who had experienced at least one form of CJ leverage were more likely to be younger and male and to have more hospitalizations than persons who had never experienced a CJ leverage. However, leverage experience was not associated with treatment compliance and satisfaction, or perceptions of coercion and mandate efficacy, particularly when demographic characteristics were considered.

Full Text

Duke Authors

Cited Authors

  • Redlich, AD; Steadman, HJ; Robbins, PC; Swanson, JW

Published Date

  • 2006

Published In

Volume / Issue

  • 34 / 3

Start / End Page

  • 292 - 299

PubMed ID

  • 17032951

Pubmed Central ID

  • 17032951

International Standard Serial Number (ISSN)

  • 1093-6793


  • eng

Conference Location

  • United States