Offender populations are noted for the high numbers of individuals with mental illness, including serious mental illness, such as psychosis.
1-3 The high costs of incarceration combined with its questionable rehabilitative and deterrent qualities have prompted moves to consider community-based alternatives for certain offender groups,
4 including diversion into treatment for those with mental illness.
5 Internationally, studies have found reduced rates of reoffending and other positive outcomes in those diverted by the courts into community-based mental health treatment.
6-8 Albalawi et al
9 recently reported the results of a population-based data-linkage study finding that reoffending was reduced in individuals with psychosis who received a treatment order from the local courts compared with those receiving punitive sanctions (eg, fines, community orders, bonds). Several studies have examined the effect of mandating contact with mental health services on reoffending as part of transitioning from prison to the community.
10-12 In addition to these studies, psychotropic medication use has been shown to reduce violent and nonviolent offenses in individuals with psychosis.
13-15