Calsyn Robert J, Yonker Robert D, Lemming Matthew R, Morse Gary A, Klinkenberg W Dean
University of Missouri-St. Louis, 63121, USA.
Crim Behav Ment Health. 2005;15(4):236-48. doi: 10.1002/cbm.24.
People with severe mental illness and substance use disorders (dual disorder) often have considerable contact with the criminal justice system.
To test the effects of client characteristics on six criminal justice outcomes among homeless (at intake) people with mental illness and substance misuse disorders.
The sample was of participants in a randomized controlled trial comparing standard treatment, assertive community treatment (ACT) and integrated treatment (IT). Data were analysed using hierarchical logistic regression.
Half the sample was arrested and a quarter incarcerated during the two-year follow-up period. The regression models explained between 22% and 35% of the variance of the following criminal justice measures: (1) major offences, (2) minor offences, (3) substance-use-related offences, (4) incarcerations, (5) arrests, and (6) summons. Prior criminal behaviour was the strongest predictor of all of the dependent variables; in general, demographic and diagnostic variables were not. Similarly, neither the type nor the amount of mental health treatment received predicted subsequent criminal behaviour.
Elsewhere the authors have shown that ACT and IT had advantages for health and stability of accommodation but these analyses suggest that more specialized interventions are needed to reduce criminal behaviour in dual disorder individuals.
患有严重精神疾病和物质使用障碍（双重障碍）的人经常与刑事司法系统有大量接触。
测试服务对象特征对患有精神疾病和物质滥用障碍的无家可归者（在接受治疗时）的六项刑事司法结果的影响。
样本来自一项随机对照试验的参与者，该试验比较了标准治疗、积极社区治疗（ACT）和综合治疗（IT）。使用分层逻辑回归分析数据。
在两年的随访期内，一半的样本被逮捕，四分之一被监禁。回归模型解释了以下刑事司法指标方差的22%至35%：（1）重大犯罪，（2）轻微犯罪，（3）与物质使用相关的犯罪，（4）监禁，（5）逮捕，以及（6）传票。先前的犯罪行为是所有因变量的最强预测因素；一般来说，人口统计学和诊断变量则不是。同样，接受的心理健康治疗的类型和数量都不能预测随后的犯罪行为。
作者在其他地方表明，积极社区治疗和综合治疗在健康和住宿稳定性方面具有优势，但这些分析表明，需要更专门的干预措施来减少双重障碍个体的犯罪行为。
