The Relationship of Treatment Retention of Severely Mentally Ill Substance Abusing Individuals, in a Jail Diversion Program, to Insight, Level of Coercion and Type of Treatment Received

Justine M. Schmollinger, New York University
Nahama Broner, New York University
Kevin Walsh, New York University
Damon Mayrl, New York University

ABSTRACT
This presentation focuses on data obtained from a study of jail detainees dually diagnosed as severely and persistently mentally ill and substance abusing, that have either volunteered or been mandated by the court to community based treatment through a jail diversion program compared to those not diverted. The presentation will begin with a description of the participant's demographics, baseline mental health, substance abuse and criminal justice service use, and level of insight and perceived coercion at the time of entrance to the study (N=230). Then data on differential changes in insight into mental health and substance abuse problems and treatment needs, and perceived coercion collected at three month and 12 month follow-up will be presented, along with type of diversion received (mandated versus not), type of treatment services received and criminal justice recidivism data. Discussion will focus on whether insight into one's illness and treatment needs and perceived coercion contribute to successful one-year outcomes for this population, within the context of the treatment received (e.g., degree of integration and degree of coercive setting), the level of coercion of the diversion program and the presenting substance use and psychiatric disorders.

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Updated 05/20/2006