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Community Based Behavioral Health Services for Justice-Involved Individuals

Introduction

1. Some law enforcement officers use discretion to arrest when they believe a person needs health care services that are provided in the jail.

A. True

B. False


2. Once in the criminal justice system, individuals with mental and substance use disorders:

A. Stay in jail longer

B. Have an increased risk for self-harm

C. Receive more frequent punitive responses to infractions

D. Once in the criminal justice system, individuals with mental and substance use disorders stay in jail longer, have an increased risk for self-harm, and receive more frequent punitive responses to infractions


The Eight Principles

3. Research indicates that behavioral health treatment alone reduces recidivism.

A. True

B. False


Frequently Asked Questions

4. Diversion prior to arrest may include all of the following, except:

A. Crisis Intervention Teams

B. Detention and court hearings for formal assessment and diversion

C. Co-response by police and behavioral health

D. Law Enforcement Assisted Diversion


5. Which of the following are the most common treatment courts and show positive outcomes among participants completing the program?

A. Drug treatment courts

B. Mental health courts

C. Tribal wellness courts

D. Veterans courts


6. Research has shown that, for individuals with substance use disorders, the likelihood of death by overdose increases 12-fold the _____ post-incarceration.

A. 48 hours

B. 5 days

C. 2 weeks

D. 3 months


7. Individuals reentering communities are at an increased risk for suicide.

A. True

B. False


8. For individuals in jails or prisons, case management should ideally begin before release and continue throughout the transition to the community.  In many jurisdictions, this may be complicated by:

A. Unknown release dates

B. Releases after scheduled court appearances

C. Lack of jail reentry services

D. Unknown release dates, releases after scheduled court appearances, and/or lack of jail reentry services may all complicate case management


9. For criminal justice professionals, all of the following are goals of public safety, except for:

A. Supporting individuals in achieving health and wellness through treatment and supports.

B. Successfully managing transitions to and from jails and prisons.

C. Effectively supervising individuals on probation and parole.

D. Reducing the likelihood of re-offense or recidivism.


10. Behavioral health providers, including those based in correctional facilities, are “covered entities,” and HIPAA permits a covered health care provider to disclose protected health information for treatment purposes to other providers without having to first obtain an authorization from the individuals.

A. True

B. False


11. Criminal justice professionals are “covered entities” under HIPAA.

A. True

B. False


12. Which of the following evidence-based programs in mental health treatment for justice-involved individuals is comprised of treatment coordinated by a multidisciplinary team with high staff-to-client ratios that assumes around-the-clock responsibility for clients’ case management and treatment needs?

A. Critical Time Intervention

B. Assertive Community Treatment

C. Integrated Mental Health and Substance Use Services

D. Forensic Intensive Case Management


13. Which of the following is a person-centered counseling style for addressing the common problem of ambivalence about change?

A. Assertive Community Treatment

B. Cognitive Behavioral Therapy

C. Motivational interviewing

D. Forensic Intensive Case Management


14. Abundant evidence shows that the opioid agonist methadone and the opioid partial agonist buprenorphine can reduce all of the following, except:

A. Opioid use and symptoms related to OUD

B. Opioid overdose

C. Risk of infectious disease transmission

D. Criminal behavior associated with drug use


15. Research has found that women incarcerated in U.S. jails have a higher prevalence of chronic medical and psychiatric disorders compared to men incarcerated in U.S. jails.

A. True

B. False


16. When is Medicaid coverage not allowed?

A. When an individual is on parole, probation, or release to the community pending trial.

B. When an individual is living in a public institution voluntarily.

C. When an individual is on home confinement.

D. When an individual is in residential mental and substance use disorder treatment facilities for inmates.


17. Women and lesbian, gay, bisexual, and transgender individuals are at an increased risk of re-traumatization due to higher rates of intimate partner violence, sexual assault, and hate violence.

A. True

B. False


18. Compared to men, women report more:

A. Experience of trauma across the lifetime.

B. Traumatic experiences in the past 12 months.

C. Women report more experience of trauma across the lifetime and more traumatic experiences in the past 12 months.

D. Men report more experience of trauma across the lifetime and more traumatic experiences in the past 12 months.


19. Researchers have found that the quality of care provided and the health of clinicians working with individuals with histories of trauma are related to the clinicians’ personal ability to:

A. Show empathy

B. Avoid passing judgment

C. Manage stress

D. Share their own experiences


20. If clients sign appropriate paperwork, the case manager or community providers can represent and advocate for the individual as they move through the criminal justice system.

A. True

B. False


21. Which of the following is not one of the eight major criminogenic risk factors associated with committing future crimes?

A. Mental illness

B. History of antisocial behavior

C. Lack of healthy leisure / recreational pursuits

D. Substance use


22. Which of the following poses a static risk of the client lacking self-control or becoming aggressive and also indicates a changeable need in the client for enhancing personal problem-solving skills, increasing self-management skills, or learning coping skills?

A. A history of antisocial behavior

B. An Antisocial personality pattern

C. Antisocial cognition

D. Having antisocial associates


23. Research suggests that addressing just one criminogenic risk or need factor reduces recidivism.

A. True

B. False


24. Of the Risk-Needs-Responsivity principles that guide the assessment and treatment of individuals with criminal justice involvement, which one matches the intensity of individuals’ treatment to their level of risk for re-offending?

A. General responsivity

B. Specific responsivity

C. Risk

D. Need


25. Which of the following are incarcerated at five times the rate of Whites?

A. Asian Americans

B. Hispanic Americans

C. Native Americans and Alaska Natives

D. African Americans


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