A Best Practice Approach to Community Re-entry From Jails for Inmates With Co-occurring Disorders

The APIC Model

About the Course:

Almost all jail inmates with co-occurring mental illness and substance use disorders will leave correctional settings and return to the community. Inadequate transition planning puts people with co-occurring disorders who enter jail in a state of crisis back on the streets in the middle of the same crisis. While there are no outcome studies to guide evidence-based transition planning practices, there is enough guidance from the multi-site studies of the organization of jail mental health programs to propose a best practice model. This manuscript presents one such model. The APIC Model is a set of critical elements that, if implemented, are likely to improve outcomes for persons with co-occurring disorders who are released from jail.


National GAINS Center

Publication Date:

September, 2002


Fred Osher, M.D., Henry J. Steadman, Ph.D., Heather Barr, J.D., M.A.

About the Author:

Fred Osher is Associate Professor and Director of the Center for Behavioral Health, Justice, and Public Policy in Baltimore, Maryland. Henry J. Steadman is part of Policy Research Associates, Inc., in Delmar, New York, and Heather Barr is associated with the Urban Justice Center/Mental Health Project in New York City.

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about community re-entry from jails for inmates with co-occurring disorders. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

  1. Identify the process of assessing clinical and social needs of inmates with co-occurring disorders as they re-enter the community.

  2. Explain necessary planning for treatment and services required to address inmate needs.

  3. Describe the identification of required community and correctional programs responsible for post-release services.

  4. Discuss the coordination of transition plans to ensure implementation and avoid gaps in care.

Exam Questions

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