Two Systems, One Population:: Achieving Equity in Mental Healthcare for Criminal Justice and Marginalized Populations

Psychiatr Clin North Am. 2020 Sep;43(3):525-538. doi: 10.1016/j.psc.2020.05.006. Epub 2020 Jun 30.

Abstract

The mental health system is often not readily accessible, culturally responsive, or a reliable source of effective interventions for society's most vulnerable populations. Modern-era studies estimate the number of persons diagnosed with serious mental illness in correctional facilities is more than 3 times the amount in hospitals. Understanding mass incarceration and the criminalization of mental illness is imperative to address mental health inequities. This article examines the interplay of mental health and criminal justice inequities, the historical context for the prevailing extant approaches to correctional mental health treatment, and programmatic approaches to addressing these inequities.

Keywords: Criminal justice system diversion; Criminal justice system reform; Interdisciplinary collaboration.

Publication types

  • Review

MeSH terms

  • Criminal Law*
  • Health Equity*
  • Humans
  • Mental Disorders* / therapy
  • Mental Health
  • Mental Health Services*
  • Social Marginalization*