Recidivism rates among mentally ill inmates: impact of the Connecticut Offender Reentry Program.

This study compares data from the Connecticut Offender Reentry Program (CORP) and retrospective data for inmates who received standard treatment planning services from the Connecticut Department of Mental Health and Addictions Services (DMHAS). Analysis of DMHAS data investigated characteristics (demographic, psychiatric, and prison classification scores) and recidivism rates of 883 individuals. A program evaluation was later completed on a separate cohort of 88 individuals who participated in CORP. Comparison of the study results found that 14.1% of the CORP participants were rearrested within 6 months of discharge compared to 28.3% of the DMHAS group. This study concluded that younger age and having a co-occurring substance use disorder appear to be predictors of recidivism. A distinctly smaller percentage of CORP participants were recidivistic, indicating support for specialized reentry programs.

Treatment of impulsive aggression in correctional settings.

PURPOSE: This article reports the implementation of Dialectical Behavioral Therapy-Corrections Modified (DBT-CM) for difficult to manage, impulsive and/or aggressive correctional populations. METHODS: Participants were English-speaking women (n = 18) and men (n = 45) of diverse cultural backgrounds between the ages of 16 and 59 years old retained in state-run prisons in Connecticut. Following consent, and a psychological assessment battery, twice-weekly DBT-CM groups were held over 16 weeks followed by random assignment to DBT coaching or case management condition, with sessions taking place individually for eight weeks. Data analysis. A mixed effects regression model was used to test the hypotheses: participants will show decreased aggression, impulsivity, and psychopathology, as well as improved coping, after completing the DBT-CM groups; and will show greater reduction in targeted behaviors than those receiving case management at the six month and 12 month follow-up assessment periods. RESULTS: Significant reduction in targeted behavior was found from baseline to following the 16 week DBT-CM skills treatment groups. Both case management and DBT coaching were significant at 12 month follow-up. A significant difference was found for adult men and women. CONCLUSIONS: The study supports the value of DBT-CM for management of aggressive behaviors in prison settings.