Mental health of adults in contact with the criminal justice system

Recommendation ID: NG66/2
Question: Structured clinical management interventions in probation service providers:- What is the effectiveness of structured clinical (case) management in improving mental health outcomes using interventions within probation service providers?
Any explanatory notes (if applicable): Why this is important:- Many people in contact with the community-based criminal justice services have significant mental health problems, in particular, personality problems and interpersonal difficulties. Evidence from studies of people with such problems in general mental health services suggests that structured organisation and delivery of mental health interventions (structured clinical management) may be of benefit in improving mental health outcomes. A programme of research is needed which would first refine and develop structured clinical management for use in the community rehabilitation companies (CRCs) and the National Probation Service (NPS) and then test this in large scale randomised control trials in both CRCs and the NPS. The comparison should be against standard CRC and NPS care. The trial should consider both clinical outcomes and cost-effectiveness.
Important outcomes could include:
- mental health outcomes
- offending and re-offending rates
- service utilisation
- cost-effectiveness
- broader measures of social functioning.

Source guidance details

Comes from guidance: Mental health of adults in contact with the criminal justice system
Number: NG66
Date issued: March 2017

Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No
Last Reviewed	31/03/2017