Risk for Violence and Recidivism Among Diverted and Non-Diverted Mentally Ill Substance Using Jail Detainees With co-Morbid Trauma and Psychopathy: Preliminary Results From a 12-Month Follow-Up Study

Nahama Broner, New York University
Justine M. Schmollinger, New York University

This presentation focuses on risk for violence and recidivism for a severely persistently mentally ill substance using criminal justice involved urban population who have co-morbid trauma and psychopathy, under study as part of a four year evaluation of New York City's Department of Mental Health post-booking comprehensive case management jail and court-based diversion models. The presentation begins with a description of the intervention and the baseline legal, psychiatric, and psychosocial characteristics of 108 post-booking pre-sentenced diverted experimental research participants and 130 non-diverted matched comparison jail detainees. Then preliminary analyses of 12-month follow-up data as compared to baseline and three-month follow-up, within and between groups, will be presented focusing on childhood abuse history, adult history of being victimized and of victimizing, PTSD, trauma symptoms, general psychiatric symptoms, substance use, psychopathy, and risk for violence, along with collateral recidivism and services data. This data analysis builds upon previous significant findings at three-month follow-up regarding the relationship between trauma, psychopathy and baseline risk. Discussion will focus on population characteristics and the implication regarding differential supervision and treatment matching.

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Updated 05/20/2006