从监狱释放后,心理健康和物质使用的卫生服务联系人:以人口为基础的追溯数据链接研究
Catriona Connell1, Richard Kjellgren2, Jan Savinc3,4
1University of Stirling, Stirling, UK catriona.connell@stir.ac.uk.
BMJ open
|February 4, 2026
概括
从监狱释放出来的人的心理健康和物质使用服务接触率明显更高,特别是紧急护理. 这突显了改善释放后支持的关键需求,以防止可避免的死亡率和减少医疗保健需求.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 犯罪学 犯罪学
背景情况:
- 心理健康和物质使用问题是从监狱释放的个人中死亡率和紧急服务使用的重要驱动因素.
- 了解释放前的卫生服务接触是有限的,但对于预防不良结果至关重要.
研究的目的:
- 为了比较最近从监狱释放的个人和匹配的普通人口样本之间的心理健康和物质使用健康服务接触率.
主要方法:
- 以苏格兰 (2010-2020年) 的相关行政数据为依据的回顾性队列研究.
- 与监狱释放的8313个人相比,41,213人与一般人口控制相匹配.
- 利用波桑回归来估计各种卫生服务接触者的调整发病率比率 (aIRR),按心理健康 (MH),物质使用 (SU) 和双重诊断分层.
主要成果:
- 从监狱释放的个人在所有服务中显示出明显更高的接触率,特别是在紧急/非计划护理方面 (例如,救护车aIRRs:7.75-8.28;A&E aIRRs:4.88-7.98).
- 社区处方 (MH: 1.80,SU: 5.95),药物/酒精服务 (7.13) 和住院住院 (MH: 2.97,SU: 7.85,双: 13.11) 的比例也较高.
- 释放组的精神病患者入院率也明显高于释放组 (MH: 3.62,SU: 10.74,双: 7.74).
结论:
- 改善释放后的心理健康和物质使用护理对于公共健康和降低医疗保健成本至关重要.
- 不成比例地高的紧急服务使用率表明,目前的早期支持对那些最需要的人来说是不够的或无法获得的.
- 建议投资于量身定制的过渡和释放后干预措施,以改善健康结果,防止可避免的死亡率和高成本的服务利用.
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