Risk Management for Persons with Serious Mental Illness: A Process Analysis of Washington State Department of Corrections\u27 Tools

Abstract

Although many evidence-based techniques are outlined in the literature, systems often assess, plan, and mitigate risk for Persons with Serious Mental Illness (PSMI) in significantly divergent ways. For more than 20 years now, the Washington State Department of Corrections has relied on the Offender Reentry Community Safety Program (ORCSP) to appraise dangerousness and presence of mental disorder, utilizing a staged process that considers a wide-ranging set of criminogenic and non-criminogenic variables. A growing body of research suggests that the ORCSP is effectively decreasing recidivism through collaborative reentry planning and mitigation between mental health and criminal justice professionals; however, whether ORCSP participant screening methods are valid or reliable remains untested. Without a cohesive assessment theory or comprehensive exploration of recidivism trends, increased scrutiny must be given to findings. In an effort to clarify these issues, this dissertation evaluates current and historical ORCSP assessment processes, overviews national standards and best-practices for PSMI risk management, and provides a set of practical recommendations to improve selection efficiency