This comprehensive book addresses the complex issues associated with the criminalization of mentally ill offenders in the United States and the ways in which social workers and other mental health professionals can best channel their efforts to create better services and treatment. Specialists in law enforcement, community-based mental health and outreach, the legal community, the corrections environment, and substance abuse providers present best practices and programs that offer rehabilitation alternatives to mentally ill offenders. Unique to this volume is the perspective provided by key players of the criminal justice system including a judge, a prosecutor, an advocate, a defense attorney, and a mentally ill offender. The last section provides in-depth research into the challenges of placing the dually-diagnosed offender into alternative-to-incarceration programs.

Contributors to this volume present and discuss new data which suggest that major mental disorder substantially increases the risk of violent crime. These findings come at a crucial time, since those who suffer from mental disorders are increasingly living in the community, rather than in institutions. The book describes the magnitude and complexity of the problem and offers hope that humane, effective intervention can prevent violent crime being committed by the seriously mentally disordered.

Prepared at the request of Assembly member Helen Thomson, Chair, Assembly Select Committee on Mental Health.

An urgent exposéf the mental health crisis in our courts, jails, and prisons America has made mental illness a crime. Jails in New York, Los Angeles, and Chicago each house more people with mental illnesses than any hospital. As many as half of all people in America's jails and prisons have a psychiatric disorder. One in four fatal police shootings involves a person with such disorders. In this revelatory book, journalist Alisa Roth goes deep inside the criminal justice system to show how and why it has become a warehouse where inmates are denied proper treatment, abused, and punished in ways that make them sicker. Through intimate stories of people in the system and those trying to fix it, Roth reveals the hidden forces behind this crisis and suggests how a fairer and more humane approach might look. Insane is a galvanizing wake-up call for criminal justice reformers and anyone concerned about the plight of our most vulnerable.