For centuries the concept of mental disorder (or mental health problem), and its connection to crime, has held the interest of historians, novelists, philosophers, criminologists, jurists and legal scholars, as well as psychiatrists, psychologists, and other social scientists and researchers. This chapter reviews the academic literature on the conceptual, legal, clinical, and risk-related aspects of mental health problems and criminal offending and discusses the role of current, empirically informed clinical risk management practices to facilitate resilience, recovery, and harm reduction.