Psychiatr Serv. 2013 Sep 1;64(9):843-9. doi: 10.1176/appi.ps.201200144.
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.
A comprehensive search (1980-2012) of more than 30 generic and specialist databases identified 6,571 published and unpublished studies.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.
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.
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.
作者对刑事司法联络和转移（CJLD）服务有效性的研究进行了回顾，这些研究将接受这些服务的参与者的结果与未接受干预或标准干预的精神病罪犯的结果进行了比较。作者综合了有关心理健康状况或犯罪累犯变化的现有证据。
对 30 多个通用和专业数据库进行了全面检索（1980-2012 年），共检索到 6571 篇已发表和未发表的研究。这些研究在方法学方法和总体质量上差异很大，根据 Campbell-Cochrane 指南进行了系统评价。有 10 项研究符合纳入标准。主要结果包括犯罪行为减少和干预后心理健康变化。
综合研究结果表明，CJLD 服务似乎能够有效地发现有精神障碍的罪犯，并且参与 CJLD 服务对刑事司法和心理健康结果有积极影响。
尽管现有研究的方法学仅具有中等严格性，但总体研究结果表明，CJLD 服务可能是有益的。其有效性取决于服务提供模式、社区服务的可用性以及有精神障碍的罪犯参与治疗的程度。成功实施 CJLD 服务需要更清楚地认识到护理系统原则的重要性。
