Forensic Mental Health: Framing Integrated Solutions, 1st Edition (Paperback) book cover

Forensic Mental Health

Framing Integrated Solutions, 1st Edition

By Michele P. Bratina


290 pages | 47 B/W Illus.

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Paperback: 9781138935396
pub: 2017-03-03
Hardback: 9781138935389
pub: 2017-03-03
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pub: 2017-02-24
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Forensic Mental Health: Framing Integrated Solutions describes a criminal justice–mental health nexus that touches every population—juvenile and adult male and female offenders, probationers and parolees, the aging adult prison population, and victims of crime. In the United States today, the criminal justice system functions as a mental health provider, but at great cost to society. The author summarizes the historical roots of this crisis and provides an overview of mental illness and symptoms, using graphics to illustrate the most prevalent disorders encountered by police and other first responders. Bratina demonstrates in detail how the Sequential Intercept Model (SIM) supports integration of the U.S. healthcare and justice systems to offer more positive outcomes for offenders with mental illness.

This book takes a multidisciplinary approach, addressing social work, psychology, counseling, and special education, and covers developments such as case-law related to the right to treatment and trauma-informed care. Designed for advanced undergraduates, this text also serves as a training resource for practitioners working with the many affected justice-involved individuals with mental illness, including juveniles, veterans, and substance abusers.


The way we handle mental health and mental illness in our society is neither fair nor effective. We have dumped so much of it onto the criminal justice system, which isn't any good for people who need treatment; it also puts police and correctional officers in impossible situations where they are bound to fail, sometimes tragically. Professor Bratina and the other contributors to this book do a fine job of dissecting the current situation and describing solutions that would greatly improve the terrible mess our negligence has created.--Gary Cordner, Professor Emeritus, Kutztown University

Table of Contents


List of Contributors


CHAPTER 1— An Overview of the Mental Health–Criminal Justice Nexus


Mental Health: An Introduction to Disorders, Prevalence, and Common Terminology

Intersections of Criminal Justice and Mental Health: Forensic/Justice-Involved PwMI

Service Utilization/Treatment Engagement

Competing Interests? Challenges in Managing Justice-Involved PwMI

Take-Home Message

CHAPTER 2— Historical Responses to Mental Illness

Advancements in Psychosurgery


Societal Responses to Mental Illness: Thematic Eras

Take-Home Message

CHAPTER 3— The Sequential Intercept Model


Why Diversion?

Mental Illness and the Criminal Justice System: An Integrative Framework

Take-Home Message

CHAPTER 4—Foundations of Mental Health and Substance Abuse

Community Mental Health Act


Comprehensive Assessment

Mental Health Disorders

Substance Use Disorders

Co-occurring Disorders

Working with Juveniles

Medication Management

Case Examples

Sidebar: My Experience

Take-Home Message

CHAPTER 5— Intercept One : Police–Citizen Encounters


Police as First Responders

Specialized Police Responses to Crisis Events

Additional Complexities of LEO–Citizen Encounters: Responding to Special Populations

The Mental Health and Well-Being of Police

Take-Home Message

CHAPTER 6— Intercept Two: Pretrial Issues, Adjudication, and Sentencing/Jail


Post-Booking Diversion: An Overview

Diversion Strategies

Determining Diversion Program Effectiveness

Processing and Disposition

Take-Home Message

CHAPTER 7— Intercept Three : Secure Confi nement and Court


Part One: Beyond Initial Detention—PwMI Incarcerated

Part Two: Diversion Strategies at Intercept Three

Take-Home Message

CHAPTER 8— Intercept Four : Reentry to the Community from Secure Detention


Section One: Reentry for PwMI

Section Two: Effective Reintegration and the Role of Professional Service Providers

Section Three: Best Practices in Reentry Programming for PwMI

Take-Home Message

CHAPTER 9— Intercept Five : Community-Based Corrections and Support Services


Mental Health and Community Corrections

Summary of Post-Commitment Needs

Agency Collaboration and Systems Integration

Resistance to Treatment

Take-Home Message

CHAPTER 10— Conclusions and Suggestions for Change


Review of the Issues and Suggestions for Change

Contemporary Issues in Forensic Mental Health: The Role of Trauma

Take-Home Message


About the Author

Michele P. Bratina is an Assistant Professor in the Criminal Justice Department at West Chester University in West Chester, Pennsylvania. Previously, she was the Forensic and Children’s Mental Health Coordinator for the Florida Department of Children and Families in the 19th Judicial Circuit—a role that inspired this book. She is First Vice President of the Northeastern Association of Criminal Justice Sciences (NEACJS) Academy of Criminal Justice Sciences and holds the position of Executive Counselor for the Academy of Criminal Justice Sciences (ACJS) Juvenile Justice Section. Her research interests and publications revolve around issues related to human exploitation, criminological theory, race, social structure, ethnicity and crime, and forensic mental health. She has published her work in the Journal of Ethnicity in Criminal Justice and in the International Journal of Police Science and Management.

Subject Categories

BISAC Subject Codes/Headings:
SOCIAL SCIENCE / Criminology
SOCIAL SCIENCE / People with Disabilities
SOCIAL SCIENCE / Disease & Health Issues


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