@article{ref1,
title="Transitions between jail and community-based treatment for individuals with co-occurring disorders",
journal="Psychiatric services",
year="2011",
author="Hanna, Julie and Essenmacher, Lynnette and Zeoli, April M. and Kubiak, Sheryl Pimlott",
volume="62",
number="6",
pages="679-681",
abstract="OBJECTIVE: This study assessed transitions to community mental health services among individuals with co-occurring disorders upon release from jail. METHODS: Data from jail and public mental health systems in Wayne County, Michigan, were merged to identify 677 individuals diagnosed as having a serious mental illness and substance use disorder who had been jailed a total of 1,774 times over 48 months starting in 2003. RESULTS: Only 33% of incarcerations (N=573) were followed by community-based treatment; 44% (N=803) were followed by treatment during a subsequent incarceration, and 23% (N=398) by no treatment. Generalized estimating equations found that individuals with schizophrenia and substance dependence were the most likely to obtain community treatment. CONCLUSION: By integrating discharge planning, community mental health providers and jails may ensure a continuum of care that facilitates treatment engagement, limits repeated incarcerations, and improves well-being.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.62.6.679",
url="http://dx.doi.org/10.1176/appi.ps.62.6.679"
}