Figure A. Analytic framework for interventions for adults with serious mental illness who are involved with the criminal justice system. Figure A depicts the population, treatment, and intermediate- and patient-oriented outcomes that are assessed in this report. On the far left side of the figure is a medium-sized box (Box 1) in which we describe the populations of interest: adults with SMI with and without a co-occurring alcohol or substance abuse diagnosis who are involved in one of the criminal justice system settings of interest. A right pointing arrow directs the reader to a larger box (Box 2) showing the criminal justice settings for Key Question 1 (KQ1) and Key Question 2 (KQ2). KQ1 compares interventions within an incarceration setting (jail, prison, or forensic hospital) or the same intervention applied across incarceration settings. KQ2 compares interventions provided during the transition from incarceration (jail, prison, or forensic hospital) to the community (e.g., family/home, halfway house). For KQ2, the comparisons are different interventions applied within an incarceration-to-community setting, the same intervention applied across settings, or an incarceration intervention compared with an incarceration-to-community transitional intervention. To the right is a smaller square box (Box 3) which lists the intermediate outcomes assessed in this report. “Intermediate outcomes,” which may lead to improved patient-oriented outcomes, include adherence with treatment and mental health service access or use. To the far right of the diagram in a large rectangular box (Box 4) we list the patient-oriented outcomes assessed: suicide and suicide attempts, quality of life, independent functioning, psychiatric symptoms, new mental health diagnosis, substance- or alcohol use, hospitalization for SMI, time to rehospitalization, time to relapse, dangerousness to others, and recidivism and other criminal justice outcomes. Underneath Box 2 is a downward pointing arrow which directs the reader to the fact that we gathered information on any treatment-related adverse events.

Figure AAnalytic framework for interventions for adult offenders with serious mental illness

Note: KQ = Key Question.; SMI = serious mental illness

From: Executive Summary

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.

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