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Related Experiment Videos

Incarceration and hospital care.

Jonathan D Prince1

  • 1School of Social Work, Rutgers: The State University of New Jersey, New Brunswick, New Jersey, USA.

The Journal of Nervous and Mental Disease
|February 8, 2006
PubMed
Summary

Individuals with schizophrenia formerly incarcerated are at higher risk for psychiatric hospital readmission. This highlights the need for integrated community care and diversion programs to reduce hospital recidivism.

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Area of Science:

  • Psychiatry
  • Criminology
  • Public Health

Background:

  • Schizophrenia patients with prior incarceration face high recidivism risks.
  • Limited data exists on psychiatric hospital readmission risk for this population, considering mediating factors.

Purpose of the Study:

  • To assess if formerly incarcerated individuals with schizophrenia have higher rates of psychiatric hospital readmission compared to non-incarcerated patients.
  • To control for psychopathology severity, functioning, substance misuse, and demographics.

Main Methods:

  • Retrospective analysis of 315 inpatients with schizophrenia.
  • Comparison of hospital stay history and 3-month readmission rates between formerly incarcerated and non-incarcerated groups.
  • Logistic regression analysis controlling for demographic and clinical variables.

Main Results:

  • Formerly incarcerated patients had more prior hospitalizations (p=0.03).
  • They were more likely to use emergency services or be rehospitalized within 3 months (p=0.003).
  • Readmission risk was doubled even after controlling for covariates (OR=0.49).

Conclusions:

  • Prior incarceration is a significant predictor of psychiatric hospital readmission in schizophrenia patients.
  • Community care and diversion programs should address both jail and hospital recidivism.
  • Renaming diversion programs to "jail and hospital diversion" may improve focus and outcomes.

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