The Brief Symptom Inventory (BSI) - Service correctionnel du Canada

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Screening for mental health problems through CoMHISS is an initial component of the continuity of care established for federally sentenced offenders with mental health needs. Those offenders who are assessed as meeting a specified cut off score on the mental health screening instruments are referred for a follow-up session with a mental health professional, usually a registered psychologist. The assessment information allows the psychologist to prescribe the level of mental health intervention and services required to meet the offender’s need. The type of services available to offenders with significant mental health problems varies by setting. In the institutions some of these interventions include: • Services offered by Primary Mental Health Care teams. These teams use a multidisciplinary clinical approach and are responsible for developing, sharing and monitoring the Mental Health Treatment Plans; • Intensive care for offenders with serious psychiatric illness available within the regional treatment centres; • Services from mobile teams linked to the psychiatric and treatment centres that provide additional support to staff so they can more effectively manage offenders with mental health needs. In addition to the mental health services within federal penitentiaries, some of the larger parole offices have now implemented the Community Mental Health Initiative which is designed to assist offenders with serious mental disorders as they transition into the community. This initiative helps offenders prepare for release and links them with services while they are under supervision in the community. A national mental health screening system provides other benefits in addition to providing data that form the basis for referrals for further mental health services. A computerised assessment system decreases the time demands currently placed on mental health staff since the initial screening does not have to be completed by a psychologist. A computerised system also allows for the production of automated statistical reports that compile data on institutional, regional, and national results. These data will allow administrators to monitor changes in the prevalence rates of offender mental health problems and target funding for regions and institutions with higher numbers of offenders with these problems. 2
This research report provides the results of the national pilot of the CoMHISS. It focuses on the assessment of the percentage of offenders who would be screened into further evaluation based on two cut-off scores, applying various population norms. Additional analysis examines the relationship of scores on the CoMHISS with markers of mental health problems including substance abuse. The profile of offenders who refused to complete the CoMHISS assessment or who produced invalid results is compared with those who successfully completed the assessment. Finally, the report will present an analysis that examines whether the offenders’ level of distress as reported by a key CoMHISS measure is related to the length of time they have been in the reception unit before participating in the assessment. The report presents the results for male offenders only since the number of assessments completed by incoming federally sentenced women offenders over the period of the pilot was too few to allow for meaningful analyses. A report on the results of the CoMHISS assessment on federally sentenced women will be prepared at a later date. 3
Page 1: _________ Research Report__________
Page 5: Acknowledgements The authors would
Page 9: Table of Contents Acknowledgements
Page 13: List of Figures Figure 1. Frequency
Page 17: Introduction Mental health problems
Page 21 and 22: (Kroner & Weekes, 1996). In additio
Page 23 and 24: Obsession-Compulsion (thoughts and
Page 25 and 26: The BSI manual provides norms based
Page 27 and 28: Procedure For the pilot, the CoMHIS
Page 29 and 30: Table 1 Demographic Profile of CoMH
Page 31 and 32: Table 2 Risk-Need Profile of CoMHIS
Page 33 and 34: Table 3 Alcohol and Drug Use Among
Page 35 and 36: These tables apply the non patient
Page 37 and 38: Table 6 BSI Results by Aboriginal S
Page 39 and 40: Table 8 BSI Results by Aboriginal S
Page 41 and 42: eception. Similar to the BSI, a T-s
Page 43 and 44: Table 11 DHS Results by Aboriginal
Page 45 and 46: Table 14 Results of CoMHISS by Rece
Page 47 and 48: However, 3.0% (27) of the offenders
Page 49 and 50: whether they have a current mental
Page 51 and 52: determine the rate of co-occurring
Page 53 and 54: intervention immediately on entry i
Page 55 and 56: References Aroian, K.J., Patsdaught
Page 57 and 58: Skinner, H. A. & Horn, J.L., (1984)
Page 59 and 60: Sub Scale N Mean T-score ≥ 60 % (
Page 69 and 70:
Sub Scale N Mean T-score ≥ 60 % (
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Appendix K: CSC Norms for Male Offe
Page 79:
Screen Reader Descriptions for Grap
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The Brief Symptom Inventory (BSI) - Service correctionnel du Canada

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