We surveyed male ex-offenders (N = 100) about their experiences during and prior to incarceration to assess the role of these factors in psychosocial adjustment postrelease. Participants completed measures of preincarceration mental health problems and severe victimization and feelings of safety during incarceration; they also self-reported emotional distress, antisocial behavior, and posttraumatic stress (PTS). Moderator analyses of PTS outcomes revealed two key interactions between preincarceration mental health problems and severe victimization during incarceration as well as preincarceration mental health problems by feelings of safety during incarceration. In those without preincarceration mental health problems, victimization and PTS were significantly positively related; this was not the case for those with preexisting mental problems. Furthermore, the positive relation between feeling unsafe and PTS was stronger among those with preexisting mental problems. Findings are discussed with respect to implications for reentry services.
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http://dx.doi.org/10.1891/0886-6708.VV-D-13-00188 | DOI Listing |
Objective: Borderline and antisocial personality disorders are characterized by pervasive psychosocial impairment, disproportionate criminal justice involvement, and high mental health care utilization. Although some evidence suggests that systemic bias may contribute to demographic inequities in criminal justice and mental health care among persons experiencing these mental health conditions, no research to date has explicitly examined such differences.
Hypotheses: Women and White persons would be more likely to endorse internalizing symptoms and have a more extensive history of mental health service utilization, whereas men, persons from minoritized racial groups, and persons identifying as Hispanic/Latino would be more likely to endorse externalizing symptoms and have more extensive histories of involvement with the criminal justice system.
Health Justice
April 2023
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Can J Psychiatry
January 2024
ICES, Toronto, ON, Canada.
Background: There is mixed evidence on the link between mental health and addiction (MHA) history and recidivism. Few studies have examined post-release MHA care. Our objective was to examine the association between prior (pre-incarceration) MHA service use and post-release recidivism and service use.
View Article and Find Full Text PDFPsychiatr Serv
October 2022
Department of Psychiatry (Zarzar, Kane) and Department of Medicine (Rosen), University of North Carolina School of Medicine, Chapel Hill; North Carolina Department of Public Safety-Prisons, Raleigh, North Carolina (Sheitman).
Objective: This study examined the natural history of antipsychotic medication treatment for men with a psychotic disorder who entered the North Carolina prison system in 2016-2017.
Methods: The authors used prison records to identify individuals with a psychotic illness who were prescribed an index antipsychotic medication on prison entry (N=245). Data were analyzed to determine persistence of antipsychotic therapy and potential associations with treatment discontinuation.
Int J Environ Res Public Health
October 2021
School of Public Health, Yale University, New Haven, CT 06520, USA.
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