The Role of Social Support and Ego Network Characteristics on Quality of Life
Implications for Persons Involved with Mental Health Courts
Keywords:mental illness, mental health courts, ego network
Mental health courts offer alternatives to incarceration for persons with severe mental illness who are involved in the criminal justice system. These courts have the dual function of ensuring treatment for persons involved in the court as well as ensuring the safety of the public. Persons with severe mental illness who are involved in mental health courts rely on others for support, such as family members. Others may buttress the participant from engaging in criminal activities and provide for needs of the participant. The supportiveness as well as the composition of one’s network members may play a role in the success of mental health court participants, such as successfully completing the mental health court program and avoiding incarceration. Little research has explored how social support impacts mental health court participants. We explored how the composition and sense of support of network members were associated with mental health court participants’ quality of life. We regressed quality of life on social support and network characteristics of 80 participants in two mental health courts. Findings suggest that perceived support is positively associated with quality of life, and the proportion of family in one’s network was negatively related to quality of life. Findings suggest that persons involved in mental health courts need supportive others in their social networks in addition to family. More research is needed to explore the reasons having a higher proportion of family members in one’s network is associated with lower quality of life. Practitioners need to pay attention to and leverage mental health court participants’ social networks to help improve their quality of life.
Andrews, D. H., & Bonta, J. (2015). The psychology of criminal conduct (5th ed.). Anderson.
Andrews, D. A., Bonta, J., & Wormith, J. S. (2006). The recent past and near future of risk and/or need assessment. Crime & Delinquency, 52(1), 7-27. https://doi.org/10.1177/0011128705281756
Baillargeon, J., Hoge, S. K., & Penn, J. V. (2010). Addressing the challenge of community reentry among released inmates with serious mental illness. American Journal of Community Psychology, 46(3-4), 361-375. https://doi.org/10.1007/s10464-010-9345-6
Brinn, A. J., & Auerbach, C. F. (2015). The warrior’s journey: Sociocontextual meaning-making in military transitions. Traumatology, 21(2), 82-89. https://doi.org/10.1037/trm0000030
Butzlaff, R. L., & Hooley, J. M. (1998). Expressed emotion and psychiatric relapse: A meta-analysis. Archives of General Psychiatry, 55(6), 547-552. https://doi.org/10.1001/archpsyc.55.6.547
Canada, K. E. (2013). "People, places, and things": Network factors matter in the experiences of mental health court participants. Journal of Forensic Social Work, 3(3), 208-243. https://doi.org/10.1037/trm0000030
Carrington, P. J. (2011). Crime and social network analysis. In J. Scott & P. J. Carrington (Eds.), The Sage handbook of social network analysis (pp. 236-255). Sage. https://doi.org/10.4135/9781446294413.n17
Chronister, J., Chou, C. C., Kwan, K. L., Lawton, M., & Silver, K. (2015). The meaning of social support for persons with serious mental illness. Rehabilitation Psychology, 60(3), 232-245. https://doi.org/10.1037/rep0000038
Chronister, J., Chou, C. C., & Liao, H. Y. (2013). The role of stigma coping and social support in mediating the effect of societal stigma on internalized stigma, mental health recovery, and quality of life among people with serious mental illness. Journal of Community Psychology, 41(5), 582-600. https://doi.org/10.1002/jcop.21558
Coleman, J. S. (1988). Social capital in the creation of human-capital. American Journal of Sociology, 94, S95-S120. https://doi.org/10.1086/228943
Colvin, M., Cullen, F. T., & Vander Ven, T. (2002). Coercion, social support, and crime: An emerging theoretical consensus. Criminology, 40(1), 19-42. https://doi.org/10.1111/j.1745-9125.2002.tb00948.x
Cullen, F. T. (1994). Social support as an organizing concept for criminology: Presidential adress to the Academy of Criminal Sciences. Justice Quarterly, 11(4), 528-559. https://doi.org/10.1080/07418829400092421
Davis, L., & Brekke, J. S. (2013). Social networks and arrest among persons with severe mental illness: An exploratory analysis. Psychiatric Services, 64(12), 1274-1277. https://doi.org/10.1176/appi.ps.201200443
Davis, L., & Brekke, J. (2014). Social support and functional outcome in severe mental illness: The mediating role of proactive coping. Psychiatry Research, 215(1), 39-45. https://doi.org/10.1016/j.psychres.2013.09.010
Denton, M., Foster, M., & Bland, R. (2017). How the prison-to-community transition risk environment influences the experience of men with co-occurring mental health and substance use disorder. Australian & New Zealand Journal of Criminology, 50(1), 39-55. https://doi.org/10.1177/0004865815620703
Dirks-Linhorst, P. A., & Linhorst, D. M. (2010). Recidivism outcomes for suburban mental health court defendants. American Journal of Criminal Justice, 37(1), 76-91. https://doi.org/10.1007/s12103-010-9092-0
Dixon, L., Stewart, B., Burland, J., Delahanty, J., Lucksted, A., & Hoffman, M. (2001). Pilot study of the effectiveness of the family-to-family education program. Psychiatric Services, 52(7), 965-967. https://doi.org/10.1176/appi.ps.52.7.965
Donev, D. (2005). Social networks and social support as determinants of health. In L. Georgivia & G. Burazeri (Eds.), Health determinants in the scope of new public health: A handbook for teachers, researchers and health professionals (pp. 531-548). Hans Jacobs Publishing Company.
Hansson, L., & Bjorkman, T. (2006). Are factors associated with subjective quality of life in people with severe mental illness consistent over time? A 6-year follow-up study. Quality of Life Research, 16, 9-16. https://doi.org/10.1007/s11136-006-9119-7
Hasselbrack, A. M. (2001). Opting in to mental health courts. Corrections Compendium, 26(10), 4-25.
Haynie, D. (2001). Delinquent peers revisited: Does network structure matter? American Journal of Sociology, 106, 1013-1057. https://doi.org/10.1086/320298
Haynie, D. L., Doogan, N. J., & Soller, B. (2014). Gender, friendship networks, and delinquency: A dynamic network approach. Criminology, 52(4), 688-722. https://doi.org/10.1111/1745-9125.12052
Heilbrun, K., DeMatteo, D., Yasuhara, K., Brooks-Holliday, S., Shah, S., King, C., Dicarlo A. B., Hamilton, D., & Laduke, C. (2012). Community-based alternatives for justice-involved individuals with severe mental illness: Review of the relevant research. Criminal Justice and Behavior, 39(4), 351-419. https://doi.org/10.1111/1745-9125.12052
Honegger, L. N. (2015). Does the evidence support the case for mental health courts? A review of the literature. Law Human Behavior, 39(5), 478-488. https://doi.org/10.1037/lhb0000141
Joseph, N. T., Myers, H. E., Schettino, J. R., Olmos, N. T., Bingham-Mira, C., Lesser, I. M., & Poland, R. E. (2011). Support and undermining in interpersonal relationships are associated with symptom improvement in a trial of antidepressant medication. Psychiatry-Interpersonal and Biological Processes, 74(3), 240-254. https://doi.org/10.1521/psyc.2011.74.3.240
Koenders, J. F., de Mooij, L. D., Dekker, J. M., & Kikkert, M. (2017). Social inclusion and relationship satisfaction of patients with a severe mental illness. International Journal of Social Psychiatry, 63(8), 773-781. https://doi.org/10.1177/0020764017737572
Kondrat, D. C., Linhorst, D. M., Dirks-Linhorst, P. A., & Horning, E. (2018). An analysis of readmissions to a mental health court. Social Work Research, 42(3), 237-249. https://doi.org/10.1093/swr/svy014
Kondrat, D. C., Sullivan, W. P., Wilkins, B., Barrett, B. J., & Beerbower, E. (2017). The mediating effect of social support on the relationship between the impact of experienced stigma and mental health. Stigma and Health, 3(4), 305-314. https://doi.org/10.1037/sah0000103
Kondrat, D. C., & Teater, B. (2012). The looking-glass self: Looking at relationship as the mechanism of change in case management of persons with severe mental illness. Families in Society: The Journal of Contemporary Social Services, 93(4), 271-278. https://doi.org/10.1606/1044-3894.4237
Lam, J. C., & Rosenheck, R. A. (2000). Correlates of improvement in quality of life among homeless persons with serious mental illness. Psychiatric Services, 51(1), 116-118. https://doi.org/10.1176/ps.51.1.116
Lehman, A. F. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11(1), 51-62. https://doi.org/10.1016/0149-7189(88)90033-x
Lim, M. H., Gleeson, J. F. M., Alvarez-Jimenez, M., & Penn, D. L. (2018). Loneliness in psychosis: A systematic review. Social Psychiatry and Psychiatric Epidemiology, 53(3), 221-238. https://doi.org/10.1007/s00127-018-1482-5
Marsden, P. V., & Friedkin, N. E. (1993). Network studies of social influnce. Sociological Methods & Research, 22(1), 127-151. https://doi.org/10.1177/0049124193022001006
Moore, M. E., & Hiday, V. A. (2006). Mental health court outcomes: A comparison of re-arrest and re-arrest severity between mental health court and traditional court participants. Law Human Behavior, 30, 659-674. https://doi.org/10.1007/s10979-006-9061-9
Munikanan, T., Midin, M., Daud, T. I. M., Rahim, R. A., Bakar, A. K. A., Jaafar, N. R. N., Sidi, H., & Baharuddin, N. (2017). Association of social support and quality of life among people with schizophrenia receiving community psychiatric service: A cross-sectional study. Compartive Psychiatry, 75, 94-102. https://doi.org/10.1016/j.comppsych.2017.02.009
Papachristos, A. V., Meares, T. L., & Fagan, J. (2012). Why do criminals obey the law? The incluence of legitimacy and social networks on active gun offenders. Journal of Criminal Law and Criminology, 102(2), 397-440.
Perry, B. L., & Pescosolido, B. A. (2010). Functional specificity in discussion networks: The influence of general and problem-specific networks on health outcomes. Social Networks, 32(4), 345-357. https://doi.org/10.1016/j.socnet.2010.06.005
Perry, B. L., & Pescosolido, B. A. (2012). Social network dynamics and biographical disruption: The case of "First-Timers" with mental illness. American Journal of Sociology, 118(1), 134-175. https://doi.org/10.1086/666377
Perry, B. L., & Pescosolido, B. A. (2015). Social network activation: The role of health discussion partners in recovery from mental illness. Social Science & Medicine, 125, 116-128. https://doi.org/10.1016/j.socscimed.2013.12.033
Perry, B. L., Pescosolido, B. A., & Borgatti, S. P. (2018). Egocentric network analysis: Foundations, methods, and models. Cambridge. https://doi.org/10.1017/9781316443255
Perry, B. L., Pullen, E., & Pescosolido, B. A. (2016). At the intersection of lay and professional social networks: How community ties shape perceptions of mental health treatment providers. Global Mental Health, 3, 1-17. https://doi.org/10.1017/gmh.2015.25
Petrila, J. (2003). An introduction to special jurisdiction courts. International Journal of Law and Psychiatry, 26, 3-12.
Pinta, E. R. (2001). The prevalence of serious mental disorders among U.S. prisoners. In G. Landsberg & A. Smiley (Eds.), Forensic mental health: Working with offenders with mental illness (pp. 12.1˗12.10). Civic Research Institute.
Pratt, T. C., Cullen, F. T., Sellers, C. S., Thomas Winfree, L., Madensen, T. D., Daigle, L. E., Fearn, N. E., & Gau, J. M. (2010). The empirical status of Social Learning Theory: A meta‐analysis. Justice Quarterly, 27(6), 765-802. https://doi.org/10.1080/07418820903379610
Prince, J. D., Oyo, A., Mora, O., Wyka, K., & Schonebaum, A. D. (2018). Loneliness among persons with severe mental illness. Journal of Nervous and Mental Disease, 206(2), 136-141. https://doi.org/10.1097/nmd.0000000000000768
Ray, B. (2014). Long-term recidivism of mental health court defendants. International Journal of Law and Psychiatry, 37(5), 448-454. https://doi.org/10.1016/j.ijlp.2014.02.017
Redlich, A. D., Steadman, H. J., Monahan, J., Robbins, P. C., & Petrila, J. (2006). Patterns of practice in mental health courts: A national survey. Law Human Behavior, 30(3), 347-363. https://doi.org/10.1007/s10979-006-9036-x
Rook, K. S. (1984). The negative side of social interaction: Impact on psychological well-being. Journal of Personality and Social Psychology, 46(5), 1097-1108. https://doi.org/10.1037/0022-3518.104.22.1687
Ruesch, P., Graf, J., Meyer, P. C., Rossler, W., & Hell, D. (2004). Occupation, social support and quality of life in persons with schizophrenic or affective disorders. Social Psychiatry and Psychiatric Epidemiology, 39(9), 686-694. https://doi.org/10.1007/s00127-004-0812-y
Sarteschi, C. M., Vaughn, M. G., & Kim, K. (2011). Assessing the effectiveness of mental health courts: A quantitative review. Journal of Criminal Justice, 39(1), 12-20. https://doi.org/10.1016/j.jcrimjus.2010.11.003
Shibutani, T. (1955). Reference groups as perspective. American Journal of Sociology, 60(6), 562-569.
Sibitz, I., Amering, M., Unger, A., Seyringer, M. E., Bachmann, A., Schrank, B., Benesch, T. Schulze B., & Woppmann, A. (2011). The impact of the social network, stigma and empowerment on the quality of life in patients with schizophrenia. European Psychiatry: The Journal of the Association of European Psychiatrists, 26(1), 28-33. https://doi.org/10.1016/j.eurpsy.2010.08.010
Skeem, J. L, Winter, E., Kennealy, P. J., Lounden, J. E., & Tatar, J. R. (2014). Offenders with mental illness have criminogenic needs, too: Toward recidivism reduction. Law and Human Behavior, 38(3), 212-224. https://doi.org/10.1037/lhb0000054
StataCorp. (2017). Stata Statitical Software: Release 15. College Station, TX: StataCorp LLC.
Sundermann, O., Onwumere, J., Kane, F., Morgan, C., & Kuipers, E. (2014). Social networks and support in first-episode psychosis: Exploring the role of loneliness and anxiety. Social Psychiatry and Psychiatric Epidemiology, 49(3), 359-366. https://doi.org/10.1007/s00127-013-0754-3
Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145-161. https://doi.org/10.1177/0022146510395592
Thompson, M., Osher, F. C., & Tomasini-Joshi, D. (2008). Improving responses to people with mental illnesses: The essential elements of a mental health court. Council of State Governments Justice Center & Criminal Justice/Mental Health Consensus Project. https://bja.ojp.gov/sites/g/files/xyckuh186/files/Publications/MHC_Essential_Elements.pdf
Tyuse, S. W., & Linhorst, D. M. (2005). Drug courts and mental health courts: Implications for social work. Health & Social Work, 30(3), 233-240. https://doi.org/10.1093/hsw/30.3.233
Vinokur, A. D., & van Ryn, M. (1993). Social support and undermining in close relationships: Their independent effects on mental health of unemployed persons. Journal of Personality and Social Psychology, 65(2), 350-359. https://doi.org/10.1037/0022-3522.214.171.1240
Walen, H. R., & Lachman, M. E. (2000). Social support and strain from partner, family, and friends: Costs and benefits for men and women in adulthood. Journal of Social and Personal Relationships, 17(1), 5-30. https://doi.org/10.1177/0265407500171001