Community Mental Health Journal

, Volume 55, Issue 3, pp 428–439 | Cite as

Criminal Justice Professionals’ Attitudes Toward Mental Illness and Substance Use

  • Evan M. LowderEmail author
  • Bradley R. Ray
  • Jeffrey A. Gruenewald
Original Paper


Despite the high prevalence of behavioral health disorders in justice settings and prior research on the importance of attitudes in successful treatment outcomes for behavioral health populations, few studies have examined criminal justice professionals’ attitudes toward mental illness and substance use. We conducted a state-wide survey of 610 criminal justice professionals using items adapted from the Drug and Drug Problems Perceptions Questionnaire (Albery et al. 2003) to examine attitudes toward mental illness and substance use as a function of criminal justice position and personal contact. For attitudes toward both mental illness and substance use, defense attorneys and community corrections officers reported more positive attitudes relative to jail correctional staff and prosecutors. For attitudes toward substance use, personal contact moderated the effect of position on attitudes. Findings underscore the importance of targeted training and other contact-based interventions to improve criminal justice professionals’ attitudes toward behavioral health populations.


Attitudes Personal contact Criminal justice Mental illness Substance use 



  1. Albery, I. P., Heuston, J., Ward, J., Groves, P., Durand, M. A., Gossop, M., & Strang, J. (2003). Drug and drug problems perceptions questionnaire. PsycTESTS. Scholar
  2. Appelbaum, K. L., Hickey, J. M., & Packer, I. (2001). The role of correctional officers in multidisciplinary mental health care in prisons. Psychiatric Services, 52(10), 1343–1347. Scholar
  3. Bahora, M., Hanafi, S., Chien, V. H., & Compton, M. T. (2008). Preliminary evidence of effects of crisis intervention team training on self-efficacy and social distance. Administration and Policy in Mental Health and Mental Health Services Research, 35(3), 159–167. Scholar
  4. Baillargeon, J., Binswanger, I. A., Penn, J. V., Williams, B. A., & Murray, O. J. (2009). Psychiatric disorders and repeat incarcerations: The revolving prison door. The American Journal of Psychiatry, 166(1), 103–109. Scholar
  5. Baillargeon, J., Penn, J. V., Knight, K., Harzke, A. J., Baillargeon, G., & Becker, E. A. (2010). Risk of reincarceration among prisoners with co-occurring severe mental illness and substance use disorders. Administration and Policy in Mental Health and Mental Health Services Research, 37(4), 367–374. Scholar
  6. Beletsky, L., Rich, J. D., & Walley, A. Y. (2012). Prevention of fatal opioid overdose. JAMA, 308(18), 1863–1864. Scholar
  7. Bennett, D. A. (2001). How can I deal with missing data in my study? Australian and New Zealand Journal of Public Health, 25(5), 464–469.CrossRefGoogle Scholar
  8. Binswanger, I. A., Stern, M. F., Deyo, R. A., Heagerty, P. J., Cheadle, A., Elmore, J. G., & Koepsell, T. D. (2007). Release from prison — a high risk of death for former inmates. New England Journal of Medicine, 356(2), 157–165. Scholar
  9. Bose, J., Hedden, S. L., Lipari, R. N., Park-Lee, E., Porter, J. D., & Pemberton, M. R. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 national survey on drug use and health (No. SMA 16-4984). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Use and Mental Health Services Administration. Retrieved from
  10. Bronson, J., & Berzofsky, M. (2017). Indicators of mental health problems reported by prisoners and jail inmates, 2011-12 (No. NCJ 250612). Washington, D.C.: Bureau of Justice Statistics, Office of Justice Programs, U.S. Department of Justce. Retrieved from
  11. Callahan, L. (2004). Correctional officer attitudes toward inmates with mental disorders. International Journal of Forensic Mental Health, 3(1), 37. Scholar
  12. Castillo, E. D., & Alarid, L. F. (2011). Factors associated with recidivism among offenders with mental illness. International Journal of Offender Therapy and Comparative Criminology, 55(1), 98–117. Scholar
  13. Chandler, R. K., Fletcher, B. W., & Volkow, N. D. (2009). Treating drug abuse and addiction in the criminal justice system: Improving public health and safety. JAMA, 301(2), 183–190. Scholar
  14. Chonody, J. M., Kavanagh, P. S., & Woodford, M. R. (2016). Does closeness to someone who is gay, lesbian, or bisexual influence etiology beliefs about homosexuality? Journal of Homosexuality, 63(12), 1726–1748. Scholar
  15. Clark, R. E., Ricketts, S. K., & McHugo, G. J. (1999). Legal system involvement and costs for persons in treatment for severe mental illness and substance use disorders. Psychiatric Services, 50(5), 641–647.CrossRefGoogle Scholar
  16. Constantine, R. J., Petrila, J., Andel, R., Givens, E. M., Becker, M., Robst, J., … Howe, A. (2010). Arrest trajectories of adult offenders with a serious mental illness. Psychology, Public Policy, and Law, 16(4), 319–339. Scholar
  17. Corrigan, P. W. (2012). Research and the elimination of the stigma of mental illness. The British Journal of Psychiatry, 201(1), 7–8. Scholar
  18. Corrigan, P. W., Green, A., Lundin, R., Kubiak, M. A., & Penn, D. L. (2001). Familiarity with and social distance from people who have serious mental illness. Psychiatric Services, 52(7), 953–958. Scholar
  19. Dvoskin, J. A., & Spiers, E. M. (2004). On the role of correctional officers in prison mental health. The Psychiatric Quarterly, 75(1), 41–59.CrossRefGoogle Scholar
  20. Emeritus, G. K. P., & Wickens, T. D. (2004). Design and analysis: A researcher’s handbook (4 ed.). Upper Saddle River: Pearson.Google Scholar
  21. Fernez, F. J. (1975). Attitudes of certain criminal justice personnel toward drug laws and drug offenders. Journal of Police Science and Administration, 3(3), 354–362.Google Scholar
  22. Franklin, S. B., Gibson, D. J., Robertson, P. A., Pohlmann, J. T., & Fralish, J. S. (1995). Parallel Analysis: A method for determining significant principal components. Journal of Vegetation Science, 6(1), 99–106. Scholar
  23. Friedmann, P. D., Taxman, F. S., & Henderson, C. E. (2007). Evidence-based treatment practices for drug-involved adults in the criminal justice system. Journal of Substance Abuse Treatment, 32(3), 267–277. Scholar
  24. Gary, F. A. (2005). Stigma: Barrier to mental health care among ethnic minorities. Issues in Mental Health Nursing, 26(10), 979–999.CrossRefGoogle Scholar
  25. Goldkamp, J. S., White, M. D., & Robinson, J. B. (2001). Do drug courts work? Getting inside the drug court black box. Journal of Drug Issues, 31(1), 27–72.CrossRefGoogle Scholar
  26. Hair, J. F., Tatham, R. L., Anderson, R. E., & Black, W. (1998). Multivariate data analysis (5th ed.). Upper Saddle River: Prentice Hall.Google Scholar
  27. Henderson, C. E., & Taxman, F. S. (2009). Competing values among criminal justice administrators: The importance of substance abuse treatment. Drug and Alcohol Dependence, 103(Suppl 1), S7–S16. Scholar
  28. James, D. J., & Glaze, L. E. (2006). Mental health problems of prison and jail inmates. Washington, DC: US Department of Justice, Office of Justice Programs, Bureau of Justice Statistics.CrossRefGoogle Scholar
  29. Judge, T. A., & Bono, J. E. (2001). Relationship of core self-evaluations traits–self-esteem, generalized self-efficacy, locus of control, and emotional stability—With job satisfaction and job performance: A meta-analysis. The Journal of Applied Psychology, 86(1), 80–92.CrossRefGoogle Scholar
  30. Kelleher, S. (2007). Health care professionals’ knowledge and attitudes regarding substance use and substance users. Accident and Emergency Nursing, 15(3), 161–165. Scholar
  31. Kessler, R. C., Chiu, W., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. Scholar
  32. Kolodziej, M. E., & Johnson, B. T. (1996). Interpersonal contact and acceptance of persons with psychiatric disorders: A research synthesis. Journal of Consulting and Clinical Psychology, (6), 1387.Google Scholar
  33. Komiti, A., Judd, F., & Jackson, H. (2006). The influence of stigma and attitudes on seeking help from a GP for mental health problems: A rural context. Social Psychiatry And Psychiatric Epidemiology, 41(9), 738–745.CrossRefGoogle Scholar
  34. Kropp, P. R., Cox, D. N., Roesch, R., & Eaves, D. (1989). The perceptions of correctional officers toward mentally disordered offenders. International Journal of Law and Psychiatry, 12(2), 181–188. Scholar
  35. Lavoie, J. A., Connolly, D. A., & Roesch, R. (2006). Correctional officers’ perceptions of inmates with mental illness: The role of training and burnout syndrome. International Journal of Forensic Mental Health, 5(2), 151. Scholar
  36. Livingston, J. D., Milne, T., Fang, M. L., & Amari, E. (2012). The effectiveness of interventions for reducing stigma related to substance use disorders: A systematic review. Addiction, 107(1), 39–50. Scholar
  37. Merrall, E. L. C., Kariminia, A., Binswanger, I. A., Hobbs, M. S., Farrell, M., Marsden, J., … Bird, S. M. (2010). Meta-analysis of drug-related deaths soon after release from prison. Addiction, 105(9), 1545–1554. Scholar
  38. Moore, K., Stuewig, J., & Tangney, J. (2013). Jail inmates’ perceived and anticipated stigma: Implications for post-release functioning. Self and Identity, 12(5), 527–547. Scholar
  39. Mulay, A. L., Vayshenker, B., West, M. L., & Kelly, E. (2016). Crisis intervention training and implicit stigma toward mental illness: Reducing bias among criminal justice personnel. International Journal of Forensic Mental Health, 15(4), 369–381. Scholar
  40. Mumola, C. J., & Karberg, J. C. (2006). Drug use and dependence, state and federal prisoners, 2004 (No. NCJ 213530). Rockville, MD: Bureau of Justice Statistics, Office of Justice Programs, U.S. Department of Justce. Retrieved from
  41. National Institute of Justice. (2015). Drug Courts. Retrieved September 26, 2017, from
  42. O’Connor, B. P. (2000). SPSS and SAS programs for determining the number of components using parallel analysis and velicer’s MAP test. Behavior Research Methods, Instruments, & Computers, 32(3), 396–402.CrossRefGoogle Scholar
  43. Pattyn, E., Verhaeghe, M., & Bracke, P. (2013). Attitudes toward community mental health care: The contact paradox revisited. Community Mental Health Journal, 49(3), 292–302. Scholar
  44. Perlick, D. A., Rosenheck, R. A., Clarkin, J. F., Sirey, J. A., Salahi, J., Struening, E. L., & Link, B. G. (2001). Stigma as a barrier to recovery: Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatric Services, 52(12), 1627–1632. Scholar
  45. Pettigrew, T. F., & Tropp, L. R. (2006). A meta-analytic test of intergroup contact theory. Journal of Personality and Social Psychology, 90(5), 751–783. Scholar
  46. Pettigrew, T. F., & Tropp, L. R. (2008). How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators. European Journal of Social Psychology, 38(6), 922–934.CrossRefGoogle Scholar
  47. Qualtrics. (2015). Provo, Utah. Retrieved from
  48. Rade, C. B., Desmarais, S. L., & Mitchell, R. E. (2016). A meta-analysis of public attitudes toward ex-offenders. Criminal Justice and Behavior, 43(9), 1260–1280. Scholar
  49. Reinke, R. R., Corrigan, P. W., Leonhard, C., Lundin, R. K., & Kubiak, M. A. (2004). Examining two aspects of contact on the stigma of mental illness. Journal of Social & Clinical Psychology, 23(3), 377–389.CrossRefGoogle Scholar
  50. Richardson, J. T. E. (2011). Eta squared and partial eta squared as measures of effect size in educational research. Educational Research Review, 6(2), 135–147. Scholar
  51. SAMHSA’s GAINS Center. (2015). Adult mental health treatment courts database. Retrieved from
  52. Schafer, J. L. (1999). Multiple imputation: A primer. Statistical Methods in Medical Research, 8(1), 3–15. Scholar
  53. Shaw, S. J., Cartwright, A. K. J., Spratley, T. A., & Harwin, J. (1978). Responding to drinking problems. Responding to Drinking Problems. Retrieved from
  54. Steadman, H. J., Barbera, S. S., & Dennis, D. L. (1994). A national survey of jail diversion programs for mentally ill detainees. Hospital & Community Psychiatry, 45(11), 1109–1113.Google Scholar
  55. Steadman, H. J., Osher, F., Robbins, P. C., Case, B., & Samuels, S. (2009). Prevalence of serious mental illness among jail inmates. Psychiatric Services, 60(6), 761–765. Scholar
  56. Stevens, J. P. (2009). Applied multivariate statistics for the social sciences (5 ed.). New York: Routledge.Google Scholar
  57. Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 National Survey on Drug Use and Health: Mental health findings. Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
  58. Swanson, J. W., Frisman, L. K., Robertson, A. G., Lin, H.-J., Trestman, R. L., Shelton, D. A., … Swartz, M. S. (2013). Costs of criminal justice involvement among persons with serious mental illness in Connecticut. Psychiatric Services, 64(7), 630–637. Scholar
  59. Torrey, E. F., Stieber, J., & Ezekiel, J. (1998). Criminalizing the seriously mentally ill: The abuse of jails as mental hospitals. Collingdale: DIANE Publishing.Google Scholar
  60. van Boekel, L. C., Brouwers, E. P. M., van Weeghel, J., & Garretsen, H. F. L. (2013). Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review. Drug and Alcohol Dependence, 131(1), 23–35. Scholar
  61. Van Dorn, R. A., Desmarais, S. L., Petrila, J., Haynes, D., & Singh, J. P. (2013). Effects of outpatient treatment on risk of arrest of adults with serious mental illness and associated costs. Psychiatric Services, 64(9), 856–862. Scholar
  62. Wales, H. W., Hiday, V. A., & Ray, B. (2010). Procedural justice and the mental health court judge’s role in reducing recidivism. International Journal of Law and Psychiatry, 33(4), 265–271. Scholar
  63. Ward, K. C., & Merlo, A. V. (2016). Rural jail reentry and mental health: Identifying challenges for offenders and professionals. The Prison Journal, 96(1), 27–52. Scholar
  64. Watson, A. C., Angell, B., Morabito, M. S., & Robinson, N. (2008). Defying negative expectations: Dimensions of fair and respectful treatment by police officers as perceived by people with mental illness. Administration and Policy in Mental Health and Mental Health Services Research, 35(6), 449–457. Scholar
  65. Watson, A. C., Corrigan, P. W., & Ottati, V. (2004). Police officers’ attitudes toward and decisions about persons with mental illness. Psychiatric Services, 55(1), 49–53. Scholar
  66. Wilson, A. B., & Draine, J. (2006). Collaborations between criminal justice and mental health systems for prisoner reentry. Psychiatric Services, 57(6), 875–878. Scholar
  67. Wilson, A. B., Draine, J., Hadley, T., Metraux, S., & Evans, A. (2011). Examining the impact of mental illness and substance use on recidivism in a county jail. International Journal of Law and Psychiatry, 34(4), 264–268. Scholar

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.School of Public and Environmental AffairsIndiana University Purdue University IndianapolisIndianapolisUSA

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