Table 19Summary of findings for Key Question 1 and Key Question 2

Key QuestionComparisonOutcomeSOE Grade
Key Question 1 – incarceration settingClozapine vs. other antipsychoticsPsychiatric symptomsLow in favor of antipsychotics other than clozapine
Clozapine vs. other antipsychoticsIndependent functioningInsufficient
Risperidone vs. other antipsychoticsPsychiatric symptoms; institutional infractionsInsufficient
High dose chlorpromazine vs. standard dosePsychiatric symptomsInsufficient
Cognitive problem solving group (R&R) vs. treatment as usualPsychiatric symptomsInsufficient
Cognitive group therapy vs. individual supportive therapyPsychiatric symptomsInsufficient
Modified therapeutic community vs. intensive outpatientPsychiatric symptoms; substance abuse; criminal justice outcomesInsufficient
Modified therapeutic community vs. standard mental health treatmentPsychiatric symptoms; substance abuse; criminal justice outcomesInsufficient
Key Question 2 – incarceration-to-community transition settingDischarge planning with benefit-application assistance vs. no application assistanceMental health service use upon releaseaLow in favor of discharge planning with benefit-application assistance
Intensive jail treatment followed by high-fidelity IDDT vs. intensive jail treatment followed by treatment as usualPsychiatric symptoms (crisis visits)Insufficient
IDDT vs. treatment as usual in the communityPsychiatric hospitalization (administrative records)Low in favor of IDDT
Mentally ill chemical abuser treatment vs. treatment as usualFunction (correctional facility agent reports)Insufficient
Mentally ill chemical abuser treatment vs. treatment as usualMedication adherence (correctional facility agent reports)Insufficient
Mentally ill chemical abuser treatment vs. treatment as usualSubstance use (urinalysis)Insufficient
IDDT vs. treatment as usual in the communityMental health service use upon release (administrative records)aLow in favor of IDDT
IDDT vs. treatment as usualMental health service use during incarceration (administrative records)aLow in favor of IDDT
Mentally ill chemical abuser vs. treatment as usualInstitutional infractions (time in segregation; conduct reports)Insufficient
Interpersonal therapy vs. psychoeducationPsychiatric symptoms (HRSD); substance abuse (urinalysis)Insufficient
a

Intermediate outcome

HRSD = Hamilton Rating Scale for Depression; IDDT = integrated dual diagnosis treatment; R&R = Reasoning and Rehabilitation; SOE = strength of evidence

Intermediate outcome

From: Discussion

Cover of Interventions for Adult Offenders With Serious Mental Illness
Interventions for Adult Offenders With Serious Mental Illness [Internet].
Comparative Effectiveness Reviews, No. 121.
Fontanarosa J, Uhl S, Oyesanmi O, et al.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.