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Online Program

331377
Critical Time Intervention for Men with Mental Illnesses Leaving Prison


Tuesday, November 3, 2015 : 4:50 p.m. - 5:10 p.m.

Jeffrey Draine, Temple University College of Public Health, Philadelphia, PA
Daniel Herman, Ph.D., Hunter College Silberman School of Social Work
Beth Angell, PhD, MSSW, Graduate School of Social Work, Rutgers University, New Brunswick, NJ
Liat Kriegel, MSW, School of Social Work, University of Southern California, Los Angeles, CA
Eugene Brusilovskiy, College of Public Health, TU Collaborative on Community Inclusion, Temple University, Philadelphia, PA
Stacey Barrenger, Silver School of Social Work, New York University
Audio (mp3) recording Recorded Presentation (mp4)
Background and Purpose: Incarceration and release policies in the US produce a large population of vulnerable people entering and leaving prisons, including people with serious mental illnesses. Critical Time Intervention is an established Evidence Based Practice shown to enhance continuity of support for persons with severe mental illnesses leaving hospitals and shelters. 

Methods: 216 men with mental illnesses recruited from the mental health services of a state prison were randomized to either Critical Time Intervention or a comparison condition called Enhanced Reentry Planning (ERP). Participants were followed for up to 18 months after release from prison. Outcomes reported are initial engagement with Critical Time Intervention case managers and services after release from prison as well as reincarceration. 

Results: Compared with assignment to Enhanced Reentry Planning, Critical Time Intervention was associated with stronger engagement with community care practitioners after release. In a model that explained 56% of the variance in practitioner responsiveness, F (df = 12, 81) = 8.47 (p < 001). Critical Time Intervention had the strongest effect among the variables in the model (B = .557, SE = 114, p < .001). 

Conclusions and Implications: Effectively transitioning vulnerable populations from prison to community remains a challenging venture The accessibility and capacity of services in the community settings are a key element of this challenge. We will present tests of theory driven meditational models towards outcomes relating to health, social integration, and criminal justice involvement. Social isolation and limited network resources are more essential elements of the challenge than access to psychiatric care alone.

Learning Areas:

Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the structure and framework of Critical Time Intervention (CTI). Explain how it is applied to the experience of prison release for men with mental illness. Evaluate the evidence for effectiveness of CTI for this population. Describe next steps in research and development of CTI for men leaving prision.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Ph.D. candidate and collaborator with Prof. Dr. Jeffrey Draine in research on Critical Time Intervention for people with mental illness leaving prison.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4440.0: In the Spirit of 'Do No Harm:' Research Perspectives on Services for Incarcerated Mental Health Consumers