Wilson Amy Blank, Bonfine Natalie, Phillips Jonathan, Swaine Jamie, Scanlon Faith, Parisi Anna, Ginley Caroline, Morgan Robert
University of North Carolina at Chapel Hill, Chapel Hill, USA.
Northeast Ohio Medical University, Ravenna, USA.
Health Justice. 2025 Jan 11;13(1):3. doi: 10.1186/s40352-025-00315-x.
Individuals with serious mental illness (SMI) have disproportionately high rates of criminal legal system involvement. For many, this becomes a repeated cycle of arrest and incarceration. Treatments that address symptoms of mental illness are a critical component of the continuum of services for people with SMI in the legal system; yet on their own, psychiatric treatments have not been successful at reducing criminal legal system involvement for this population. Research suggests that criminogenic risk factors, the major drivers of criminal legal system involvement, are disproportionately prevalent among individuals with SMI. However, promising criminogenic-focused interventions have only just begun to be adapted for individuals with SMI. The proposed study will examine the capacity of Forging New Paths (FNP), a novel criminogenic-focused group intervention developed for individuals with SMI, to engage its primary and secondary outcomes when delivered in community mental health settings.
The proposed pilot study will engage a small-scale clinical trial comprising three cycles of FNP delivered in a community mental health center in a Southeastern state in the U.S. The anticipated total sample size is N = 72 and will consist of community-dwelling adults with SMI who have a moderate or higher criminogenic risk level and a history of criminal legal system contact. This study will examine the extent to which FNP is able to engage its primary (aggression and community tenure) and secondary (criminal attitudes and impulsivity) treatment outcomes.
FNP provides an important new service for community-based mental health settings to reduce criminal legal system involvement (and recidivism) among the individuals they serve with SMI.
NCT06290648.
患有严重精神疾病（SMI）的个体卷入刑事法律系统的比例极高。对许多人来说，这成为了一个反复的逮捕和监禁循环。针对精神疾病症状的治疗是法律系统中为患有SMI的人提供的连续服务的关键组成部分；然而，仅靠精神科治疗并未能成功减少该人群对刑事法律系统的卷入。研究表明，犯罪ogenic风险因素是刑事法律系统卷入的主要驱动因素，在患有SMI的个体中普遍存在。然而，有前景的以犯罪ogenic为重点的干预措施才刚刚开始适用于患有SMI的个体。拟议的研究将考察“开辟新路径”（FNP）——一种为患有SMI的个体开发的新型以犯罪ogenic为重点的团体干预措施——在社区心理健康环境中实施时实现其主要和次要结果的能力。
拟议的试点研究将进行一项小规模临床试验，包括在美国东南部一个州的社区心理健康中心进行三个周期的FNP。预期的总样本量为N = 72，将由患有SMI的社区居住成年人组成，他们具有中度或更高的犯罪ogenic风险水平且有刑事法律系统接触史。本研究将考察FNP在多大程度上能够实现其主要（攻击性和社区居住期限）和次要（犯罪态度和冲动性）治疗结果。
FNP为社区心理健康环境提供了一项重要的新服务，以减少其服务的患有SMI个体对刑事法律系统的卷入（和再犯）。
NCT06290648。
