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Clinical Case Studies, Vol. 6, No. 4, 362-378 (2007)
DOI: 10.1177/1534650106299158

Individuals With Serious Mental Illness in the Criminal Justice System

The Case of Richard P.

Arthur J. Lurigio

Loyola University Chicago, Illinois

John Fallon

This paper presents a case study that illuminates the clinical and practical challenges that accompany the treatment of people with serious mental illness (SMI) and criminal involvement. We discuss the historical conditions that led to the influx of a large number of people with SMI into the criminal justice system. We discuss the case history of Richard P., which illustrates the use of Assertive Community Treatment (ACT) to care for criminally involved people with SMI. We focus on the ACT model that was employed by Thresholds to treat Richard P. It was known as the Thresholds Jail Program. We track his progress in the program and explicate the case management considerations that are most salient in treating offenders with SMI.

Key Words: criminalization • mental illness • crime • deinstitutionalization • mental health services • probation • ACT


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