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Mentally Ill Offenders Mentally Ill Offenders and and Sex Offenders Sex Offenders

Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

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Page 1: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Mentally Ill Offenders and Mentally Ill Offenders and Sex OffendersSex Offenders

Page 2: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

The ProblemThe Problem

Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system for control.

Page 3: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

HistoryHistory

Why has society relied on the CJ system rather than the health care system to control so many mental health cases?

Page 4: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

HistoryHistory

• 1970s Economic Recession• Business Closings $$$$ Strained States• States Sought Budget Cuts

• Targeted Unpopular Programs• Targeted Programs With Low Voter Backlash• Saved Money• Eliminated Potential Political Liabilities

Page 5: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

RealityReality

Programs that cost the most and have the least impact on voting members of society usually deal with:

Page 6: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

What Happened?What Happened?

There was a major initiative to close state mental hospitals or greatly reduce the number of patients.

How could this be done?

Page 7: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

What HappenedWhat Happened

If medication worked, why was there a problem?

Page 8: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

How Prevalent Is The How Prevalent Is The Problem?Problem?

• More than a half million probationers and 180,000 state inmates are believed to be mentally ill.

Page 9: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Who Are These Cases?Who Are These Cases?

Mentally ill probation cases most generally fit the following description.

Page 10: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Corrections ProblemsCorrections Problems

• Correctional staff typically have little training in identifying and dealing with mental health cases.

Page 11: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Corrections ProblemsCorrections Problems

• The problem is exacerbated with the serious psychotic offender who typically poses the greatest risk to society.

Page 12: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Mentally Ill Offender ProblemsMentally Ill Offender Problems

• Understanding and Remembering Directions

• Behavioral Requirements May Difficult or Impossible to Satisfy

• Inaccessible or Overtaxed Community Mental Health Resources

• Service Integration Is Lacking

Page 13: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

ImplicationImplication

Effective supervision of the mentally ill correctional client population is critical.

Page 14: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Some Successful StrategiesSome Successful Strategies

Some successful strategies and programs have been developed to deal with these cases.

Page 15: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Specialized Mental Health Specialized Mental Health ProgramsPrograms

• Fully Utilize Existing MH Services• Locate and Use Existing MH Professionals• Develop Alternative Funding Sources

Page 16: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Specialized Training For Specialized Training For Correctional StaffCorrectional Staff

• Identification and Assessment• Effective TX Modalities• Location of TX Providers• Confidentiality Laws RE: Mental Illness• Reasonable Expectations• Cross Training With MH Staff

Page 17: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Specialized Supervision Specialized Supervision Policies and ProceduresPolicies and Procedures

• Specialized Caseloads• Consider Likelihood of Relapse• Develop Progressive Sanctions

• Realizing This Is A Different Client Population

Page 18: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Overall GoalOverall Goal

Deal with mental health criminal cases in the most effective manner.

Page 19: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Sex OffendersSex Offenders

Page 20: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Public PerceptionPublic Perception

Even murderers are accepted by communities with less resistance than the average sex offender.

Why?

Page 21: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Public ResistancePublic Resistance

• Nature of the Criminal Offenses• Trauma the Offenses Cause Victims• Long Term Psychological Effects

• Especially On Young Victims

Page 22: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Why Use Community Why Use Community Corrections?Corrections?

Most sex offenders will eventually be released from prison.

Page 23: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Keeping Track Of Keeping Track Of Sex OffendersSex Offenders

Notification Laws were established to create and maintain a central registry, which would serve as a community resource, so sex offenders would not be able to hide from citizens interested in knowing if their neighborhoods were at risk.

Page 24: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Sex Offender Sex Offender Supervision StrategiesSupervision Strategies

• Offender Containment Programs• Specialized Caseloads• Interagency Cooperation Programs• Community Education Programs

Page 25: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Offender Containment Offender Containment ProgramsPrograms

The goal has less to do with offender rehabilitation than with public safety.

Page 26: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Offender Containment Offender Containment ProgramsPrograms

• Program Beliefs

Page 27: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Offender Containment Offender Containment ProgramsPrograms

• Program Beliefs• Most sex-related crime is done in secret and

planned in advance.• Most sex offenders are high functioning

persons with well-developed social and cognitive skills.

Page 28: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Offender Containment Offender Containment ProgramsPrograms

• Program Beliefs• Sex offenders typically have serious and deep-

rooted psychological problems, and they are able to create convincing facades to hide the truth about their actions.

• Sex offenders are likely to be repeat offenders and typically commit many and varied acts of sexual deviancy over the course of their lives.

Page 29: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Offender Containment Offender Containment ProgramsPrograms

What do offender containment programs regard as highest priority?

Page 30: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Offender Containment Offender Containment Program StructureProgram Structure

• Five Key Points• Public safety is paramount.• Sex offender POs require specialized training.• All facets of offenders life must be involved.• Maintain consistent public policy.• Ongoing program evaluation is essential.

Page 31: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Specialized CaseloadsSpecialized Caseloads

Can specialized caseloads be utilized without an offender containment program approach to supervision?

Page 32: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Interagency Cooperation Interagency Cooperation ProgramsPrograms

How can interagency cooperation programs enhance offender supervision and reduce the risk of recidivism?

Page 33: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Community Education Community Education ProgramsPrograms

What is the major focus of community education programs in relation to sex offenders?

Page 34: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Ethical QuestionsEthical Questions

• Do sex offender notification laws and community education programs infringe of sex offender rights?

Page 35: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

Ethical QuestionsEthical Questions

• Do sex offender notification laws and community education programs actually serve to increase the likelihood of sex offender recidivism (Labeling Theory)?

Page 36: Mentally Ill Offenders and Sex Offenders. The Problem Mental illness and the lack of sufficient mental health care have driven offenders into the CJ system

What WorksWhat Works

The Supervision Triangle