Health and Justice最新文献

{"title":"Profiles of behavioral health service utilization among youth involved in the juvenile legal system.","authors":"Kaitlin Piper, Tasfia Jahangir, Elizabeth Van Alstine, Laura Tyrone, Aanya Ravichander, Kaitlin Sheerin, Crosby Modrowski, Kathleen Kemp","doi":"10.1186/s40352-026-00416-1","DOIUrl":"https://doi.org/10.1186/s40352-026-00416-1","url":null,"abstract":"<p><strong>Background: </strong>Juvenile legal-involved youth (JLIY) experience behavioral health conditions at more than twice the rate of their peers yet face significant barriers to accessing care. These barriers span predisposing (demographic and social), enabling (logistical and resource-related), and need-based (clinical) factors. To better understand how JLIY navigate the fragmented behavioral healthcare system, we examined their use of services across eight different sectors, including formal treatment settings, non-specialized systems (e.g., schools and courts), and informal community supports.</p><p><strong>Methods: </strong>We surveyed 100 caregiver-youth dyads enrolled in a juvenile court diversion program, all of whom had youth with documented behavioral health needs. We collected information on caregiver and youth demographics, behavioral health symptoms, treatment barriers, motivation for treatment, and service utilization. Latent Class Analysis (LCA) was used to identify distinct patterns of youth behavioral health service utilization across eight care sectors. Multinomial logistic regression was then conducted to examine how predisposing, enabling, and need-based factors, guided by the Andersen Behavioral Model of Health Services Use, predicted class membership.</p><p><strong>Results: </strong>On average, youth accessed services in 4 of the 8 behavioral health care sectors. Service sectors utilized by JLIY included school-based support (86%), outpatient care (67%), community network supports (61%), crisis services (59%), general healthcare (58%), juvenile legal services (32%), inpatient care (26%), and residential treatment (11%). Latent Class Analysis revealed three distinct service use profiles: (1) low-intensity, school-centric users; (2) high-intensity, multi-sectoral users; and (3) moderate-intensity, community-based users. Class membership was significantly associated with child welfare involvement, court-mandated treatment, caregiver trauma exposure, caregiver motivation for youth treatment, and youth symptom severity.</p><p><strong>Conclusion: </strong>JLIY navigate a wide range of behavioral health services, often in fragmented or reactive ways. While individual need was a strong predictor of service use, enabling factors such as caregiver influences and system mandates also played a critical role. The reliance on school-based services suggests systemic gaps, and extensive multi-sector involvement may reflect lack of integration across systems. Findings have implications for policy, including the need to strengthen cross-system coordination among juvenile legal, school and behavioral health systems; expanded family-centered service navigation; and improved access to community-based care before needs escalate.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young adults' conceptions of health and well-being during reentry.","authors":"Noor Toraif, Laura Abrams, Christopher Bondoc, Taylor Reed, Elizabeth Barnert","doi":"10.1186/s40352-026-00412-5","DOIUrl":"https://doi.org/10.1186/s40352-026-00412-5","url":null,"abstract":"<p><strong>Background: </strong>In the United States, young adults (ages 18-25) represent 1 in 10 of the prison population and 1 in 5 of the jail population. They face significant physical and mental health challenges during their transition from incarceration back to community life. These challenges are compounded by the structural barriers of reentry, including challenges accessing housing, employment, and healthcare. While previous research has explored young adults' health status during the transition, less is known about their perspective on what constitutes health and well-being, and how their understanding of health is shaped or influenced by the reentry process. This study investigates the following research questions: 1) How do young adults in reentry conceptualize health and well-being? and 2) How do they describe the relationship between their health and the reentry process? The study draws on longitudinal semi-structured interviews (N = 66) with 16 young adults, aged 18-25, who were recently released from jail or on probation in June and July 2020.</p><p><strong>Results: </strong>Findings suggest that the young adults define health as the ability to exert control over their lives. This control is demonstrated through abstaining from substances-though cannabis is often viewed as a legitimate exception-managing daily responsibilities, and coping with stressors such as mental health challenges and strained relationships. Participants also described their health status as intertwined with the reentry process, a process they viewed as both a major stressor exacerbating existing health challenges and an opportunity to break from their perceived past unhealthy behaviors. While they ascribed personal responsibility for their health outcomes, their efforts to improve their well-being were constrained by systemic barriers imposed by reentry, such as housing instability, lack of healthcare access, and employment challenges. These barriers undermined both their reentry- and health-related goals.</p><p><strong>Conclusions: </strong>Findings highlight a contrast between young adults' conceptions of health as the exertion of agency and the structural constraints they face during reentry. Their transition from incarceration shapes health in both symbolic and material ways, informing how they define and understand health, while also impacting their physical, emotional, and mental well-being.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"C no more: a prospective single-arm study to evaluate the effectiveness of a nurse and peer-led mobile model of hepatitis C testing and treatment at community corrections offices.","authors":"Samara Griffin, Timothy Papaluca, Jacinta A Holmes, Bridget Reid, Anne Craigie, Jane Dicka, Sione Crawford, Amanda Callus, Mark Belzer, Tim Spelman, Margaret Hellard, Shelley Walker, Mark Stoové, Alexander J Thompson, Rebecca J Winter","doi":"10.1186/s40352-026-00411-6","DOIUrl":"https://doi.org/10.1186/s40352-026-00411-6","url":null,"abstract":"","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health diversion and criminal justice outcomes: a population-based cohort study of 53,605 justice-involved adolescents.","authors":"Emaediong I Akpanekpo, John Kasinathan, Claire Gaskin, David Greenberg, Peter W Schofield, Tony Butler","doi":"10.1186/s40352-026-00413-4","DOIUrl":"10.1186/s40352-026-00413-4","url":null,"abstract":"","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial discrimination and perceptions of police among US adults.","authors":"Madalyn Huang, Jemar R Bather, Adolfo G Cuevas, Saba Rouhani","doi":"10.1186/s40352-026-00408-1","DOIUrl":"10.1186/s40352-026-00408-1","url":null,"abstract":"","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"County-level social determinants of health and suicide mortality trends among formerly incarcerated persons in North Carolina, 2010-2018.","authors":"Monica E Swilley-Martinez, Brian W Pence, Kate Vinita Fitch, Vanessa E Miller, Matthew M Turnure, Pasangi S Perera, Timothy S Carey, Shabbar I Ranapurwala","doi":"10.1186/s40352-026-00409-0","DOIUrl":"10.1186/s40352-026-00409-0","url":null,"abstract":"","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arrest discretion and training needs for interacting with people with substance use disorders: a qualitative secondary analysis among police recruits in Washington State.","authors":"Samuel Janson, Leif Layman, Melody McKee, Christine Rickert, Brandon Rogel, Becky Starnes, Mandy D Owens","doi":"10.1186/s40352-026-00404-5","DOIUrl":"https://doi.org/10.1186/s40352-026-00404-5","url":null,"abstract":"","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"There's (no) accounting for taste: identifying and predicting subgroups of incarcerated persons based on perceived food sufficiency and personal and lifestyle characteristics.","authors":"Bram de Heide, Miranda Sentse, Miranda Boone","doi":"10.1186/s40352-026-00406-3","DOIUrl":"10.1186/s40352-026-00406-3","url":null,"abstract":"","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and routine police work: a systematic scoping review.","authors":"Martin Webber, Elizabeth Hughes, Tobias Kammersgaard, Charlie Lloyd, Andrew Papworth, Oznur Yardimci","doi":"10.1186/s40352-026-00405-4","DOIUrl":"10.1186/s40352-026-00405-4","url":null,"abstract":"","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147532778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High prevalence of criminal legal involvement among non-fatally injured ED patients - an exploratory retrospective observational cohort analysis.","authors":"Vidya Eswaran, Raphael Cohen, Taylor Kaser, Alysse G Wurcel, Michael Mancini, Kateri Chapman-Kramer, Nicholas Szoko, Keyria Page, Melik Coffey, Kristen Mueller","doi":"10.1186/s40352-026-00407-2","DOIUrl":"10.1186/s40352-026-00407-2","url":null,"abstract":"<p><strong>Background: </strong>Individuals who have been incarcerated are at high risk of death by homicide after release from carceral settings. Our study aimed to assess the prevalence of criminal legal system involvement (CLSI) among non-fatal violently injured patients enrolled in a hospital-based violence intervention (HVIP) program and describe demographic and clinical characteristics specific to this population.</p><p><strong>Methods: </strong>This is an exploratory retrospective cohort study of all patients enrolled in the St. Louis, Missouri based HVIP, Life Outside of Violence (LOV), between 08/15/2018 and 12/31/2024. LOV enrolls patients aged 8-30 who receive violent injury care at a partner hospital. We collected data on patient demographics, substance use, self-reported CLSI, source of medical care, and other clinical and social variables. We compared characteristics between participants with and without CLSI status using two proportions Z-tests and basic bootstrapping.</p><p><strong>Results: </strong>During the study period 67 of 206 participants (33%) reported CLSI. Individuals with CLSI were more likely to be men (difference 37.7%; 95%CI 25.2%, 50.2%), uninsured (difference 28.9%; 95%CI 14.7%, 43.0%), and to use the emergency department (ED) or urgent care as their primary source of care (difference 18.6%; 95%CI 4.2%, 33.0%).</p><p><strong>Conclusion: </strong>These data show evidence for the intersectionality of CLSI and experiencing violent injury among ED patients. These data suggest the need for injury prevention efforts among this population, and potentially targeted case management for this population after injury.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147532510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}