首页> 外文期刊>Psychiatric services: a journal of the American Psychiatric Association >Effectiveness of criminal justice liaison and diversion services for offenders with mental disorders: a review.
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Effectiveness of criminal justice liaison and diversion services for offenders with mental disorders: a review.

机译:对精神障碍罪犯的刑事司法联络和转移服务的效力:审查。

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OBJECTIVE The authors reviewed studies of the effectiveness of criminal justice liaison and diversion (CJLD) services in which outcomes of participants in these services were compared with those of offenders with mental illness who received no intervention or a standard intervention. The authors synthesized existing evidence with respect to changes in mental health status or criminal recidivism. METHODS A comprehensive search (1980-2012) of more than 30 generic and specialist databases identified 6,571 published and unpublished studies. The studies, which varied considerably in methodological approach and overall quality, were systematically appraised according to Campbell-Cochrane guidelines. Ten studies met inclusion criteria. Key outcomes included a reduction in offending and postintervention changes in mental health. RESULTS Synthesized findings indicated that CJLD services appeared to be effective in identifying offenders with mental disorders and that participation in CJLD services had a positive impact on criminal justice and mental health outcomes. CONCLUSIONS Although the methodologies of existing studies are only moderately rigorous, the overall findings suggest that CJLD services can be beneficial. Their effectiveness depends on the model of service delivery, the availability of community services, and the engagement of offenders with mental disorders in treatment. The successful implementation of CJLD services requires a clearer recognition of the importance of systems-of-care principles.
机译:目的作者回顾了对刑事司法联络和转移(CJLD)服务有效性的研究,将这些服务参与者的结果与未接受干预或标准干预的患有精神疾病的罪犯进行了比较。作者综合了有关心理健康状况或犯罪累犯的现有证据。方法全面搜索(1980-2012年)的30多个通用和专业数据库,确定了6,571个已发表和未发表的研究。研究方法,方法和整体质量差异很大,根据坎贝尔-科克伦(Campbell-Cochrane)指南进行了系统评价。十项研究符合纳入标准。主要成果包括减少精神健康方面的犯罪和干预后变化。结果综合发现表明,CJLD服务似乎可以有效地识别患有精神障碍的罪犯,参与CJLD服务对刑事司法和心理健康结局具有积极影响。结论尽管现有研究的方法学仅较为严格,但总体研究结果表明CJLD服务可能是有益的。其有效性取决于提供服务的模式,社区服务的可用性以及罪犯对精神障碍患者的参与待遇。成功实施CJLD服务需要更清晰地认识到护理系统原则的重要性。

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