基于监狱的营利精神健康提供者和释放后的治疗参与
Lester J Kern1, Erin B Comartin1, Victoria Nelson1
1Crown Family School of Social Work, Policy, and Practice, University of Chicago, Chicago (Kern); Center for Behavioral Health and Justice, School of Social Work, Wayne State University, Detroit (Comartin, Nelson, Kubiak).
Psychiatric services (Washington, D.C.)
|March 13, 2024
概括
与非营利性提供者的监狱相比,在有营利精神健康提供者的监狱中,患有严重精神疾病的个人在释放后的精神健康治疗中参与度较低.
科学领域:
- 法医精神病学 法医精神病学
- 公共卫生 公共卫生
- 心理健康服务研究研究 心理健康服务研究
背景情况:
- 监狱是严重精神疾病 (SMI) 患者干预的关键点.
- 提供者类型 (营利性与非营利性) 在监狱的心理健康服务可能会影响释放后的护理连续性.
- 了解这种影响对于改善与SMI有关的司法人员的结果至关重要.
研究的目的:
- 根据监狱是否使用营利性或非营利性心理健康提供者,比较监狱释放后的心理健康治疗参与度.
- 确定与监狱提供者类型相关的护理连续性的潜在差异.
主要方法:
- 一项对2019年从10个监狱释放的1,238名SMI患者的比较研究.
- 收集关于人口统计和行为健康变量的数据.
- 后勤回归分析,以预测释放后的心理健康治疗参与,控制共变量.
主要成果:
- 与非营利性提供者监狱 (54%的样本) 相比,从以营利为目的的提供者监狱释放的个人 (46%的样本) 在释放后参与心理健康治疗的可能性明显低 (AOR=0.59).
- 总体而言,在释放后的一年内,有37%的个人从事心理健康治疗.
- 人口群体之间没有发现参与度的显著差异.
结论:
- 基于监狱的心理健康提供者类型与释放后治疗参与有关.
- 监狱中的营利性提供者可能与释放后减少社区心理健康服务的使用有关.
- 这种差异可能会加剧行为健康危机,并增加下游医疗保健和刑事司法成本.
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