Reconsidering the Criminalization Debate

AuthorBrent Teasdale,Ellen Ballard
Published date01 February 2016
Date01 February 2016
DOIhttp://doi.org/10.1177/0887403414561255
Subject MatterArticles
Criminal Justice Policy Review
2016, Vol. 27(1) 22 –45
© 2014 SAGE Publications
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DOI: 10.1177/0887403414561255
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Article
Reconsidering the
Criminalization Debate: An
Examination of the Predictors
of Arrest Among People With
Major Mental Disorders
Ellen Ballard1 and Brent Teasdale1
Abstract
It is widely accepted that individuals with major mental disorders are arrested at
significantly higher rates when compared with non-disordered individuals. However,
theoretical consensus regarding the cause of the arrest disparity still eludes
researchers today. Two prevailing perspectives have dominated the debate—
criminalization and criminality. Criminalization proponents argue the arrest disparity
results from structural forces in society that have increasingly caused persons with
mental disorders to come into contact with the justice system. Criminality proponents
argue that the source of the disparity is the increased criminal behavior of persons
with mental disorders. This study tests competing hypotheses drawn from these
two perspectives. We analyze data from a sample of individuals recently released
from psychiatric hospitals and a comparison sample of individuals from the same
communities. Results of multivariate logistic regression models predicting arrest
provide support for both perspectives. Implications of this research and suggestions
for future research are discussed.
Keywords
mental disorder, arrest, criminalization
1Georgia State University, Atlanta, USA
Corresponding Author:
Ellen Ballard, Department of Criminal Justice and Criminology, Georgia State University, P.O. Box 4018,
Atlanta, GA 30302-4018, USA.
Email: eballard4@gsu.edu
561255CJPXXX10.1177/0887403414561255Criminal Justice Policy ReviewBallard and Teasdale
research-article2014
Ballard and Teasdale 23
Introduction
As Abramson (1972) coined the phrase “the criminalization of mental illness,” evi-
dence that individuals with major mental disorders are disproportionately involved in
the criminal justice system has amassed (Hiday & Burns, 2010; Lurigio, 2012).
Researchers have estimated that individuals with major mental disorders are 10% to
20% more likely to be arrested than non-disordered individuals (Lurigio, 2012;
Markowitz, 2011; Skeem, Manchak, & Peterson, 2011). This susceptibility toward
arrest is reflected in the jail and prison populations. According to Lamb, Weinberger,
and Gross (2004), individuals with major mental disorders comprise approximately
10% to 15% of the inmate population in state and federal jails and prisons—a preva-
lence rate Markowitz (2011) estimates to be 4 times greater than the prevalence of
mental disorder in the general population. This disparate representation of individuals
with major mental disorders in the criminal justice system is both disturbing and prob-
lematic. Once incarcerated, compared with non-disordered individuals, individuals
with major mental disorders experience longer jail stays (McPherson, 2008; Solomon
& Draine, 1995), are more likely to be victimized by other inmates and staff (Kondo,
2000), are more likely to violate institutional rules (Ditton, 1999; Torrey, Kennard,
Eslinger, Lamb, & Pavle, 2010), and have higher rates of recidivism (Teplin, Abram,
& McClelland, 1997).
Two theoretical perspectives have been offered to explain the disproportionate
criminal justice involvement of individuals with major mental disorders—the crim-
inalization hypothesis and the criminality thesis (Hiday & Burns, 2010). The crimi-
nalization perspective asserts, holding all else constant, individuals with major
mental disorders are more likely to be arrested than non-disordered individuals
(Lamb & Weinberger, 1998; Lamb, Weinberger, & DeCuir, 2002; Markowitz, 2011,
2006; Teplin, 1990). Researchers favoring criminalization explanations contend,
once the general risk factors for arrest common among all offenders are controlled,
extralegal factors unique to individuals with major mental disorders further increase
their risk of arrest (Hiday & Burns, 2010; Hirschfield, Maschi, White, Traub, &
Loeber, 2006). As applied to risk factors, the term extralegal refers to system, clini-
cal, police officer level, and situational factors that extend beyond the authority of
the law. As such, the ability of any of these factors to predict arrest in samples of
individuals with major mental disorders is evidence this population has been
criminalized.
Despite strong empirical evidence for the criminalization perspective, researchers
favoring the criminality perspective have issued a number of theoretical challenges to
the long-standing criminalization hypothesis. The criminality perspective maintains that
individuals with major mental disorders are disproportionately drawn into the criminal
justice system because they have a greater propensity for violence and criminal behavior,
possess a greater number of general risk factors for arrest, and are more likely to behave
disrespectfully and defiantly during encounters with police (Engel & Silver, 2001; Fisher
et al., 2011; Hiday & Burns, 2010; Hirschfield et al., 2006; Junginger, Claypoole, Laygo,
& Crisanti, 2006; Novak & Engel, 2005; Skeem et al., 2011).

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