Nicole L. Schramm-Sapyta, Matthew Ralph, Luong Huynh, Becky Tang, Maria Tackett, Michele Easter, Isabella Larsen
{"title":"物质使用障碍、“严重精神疾病”和在县拘留所再次被捕之间的关系:一项为期4年的随访队列研究","authors":"Nicole L. Schramm-Sapyta, Matthew Ralph, Luong Huynh, Becky Tang, Maria Tackett, Michele Easter, Isabella Larsen","doi":"10.1002/cbm.2277","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>A growing body of literature demonstrates strong association between poor mental health and criminal recidivism, but research from county jails is limited.</p>\n </section>\n \n <section>\n \n <h3> Aims</h3>\n \n <p>Our aim was to examine the relationship between re-arrest and severe mental illnesses—schizophrenia, bipolar disorder and major depressive disorder—together and separately and with substance use disorders, separately and as comorbid conditions, in a mid-sized county jail cohort in the southeastern United States.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We examined the full cohort of 8097 individuals who were booked into the County Detention Facility between 31 January 2014 and 31 January 2015. Their incarceration data were merged with data from the local health system to investigate the presence of severe mental illness and substance use disorder diagnoses. Re-arrest data were tracked for 4 years after the index arrest.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Approximately 60% of the cohort was re-arrested within 4 years. People with substance use disorders, with or without severe mental illness, had higher re-arrest rates than those with severe mental illness alone or neither diagnosis. Drug-associated arrests did not explain this finding.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Using detailed mental illness diagnosis data with a complete cohort of detained arrestees, we have shown the wide range of need among such individuals. By demonstrating that drug-associated crimes <i>per se</i> do not drive repeated arrest, we underscore a need to examine other factors that promote the cycle of repeated arrest in this population. Each individual requires treatment tailored to their personal psychiatric and criminogenic needs.</p>\n </section>\n </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"33 3","pages":"185-195"},"PeriodicalIF":1.1000,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Relationships between substance use disorders, ‘severe mental illness’ and re-arrest in a county detention facility: A 4-year follow-up cohort study\",\"authors\":\"Nicole L. Schramm-Sapyta, Matthew Ralph, Luong Huynh, Becky Tang, Maria Tackett, Michele Easter, Isabella Larsen\",\"doi\":\"10.1002/cbm.2277\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>A growing body of literature demonstrates strong association between poor mental health and criminal recidivism, but research from county jails is limited.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>Our aim was to examine the relationship between re-arrest and severe mental illnesses—schizophrenia, bipolar disorder and major depressive disorder—together and separately and with substance use disorders, separately and as comorbid conditions, in a mid-sized county jail cohort in the southeastern United States.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We examined the full cohort of 8097 individuals who were booked into the County Detention Facility between 31 January 2014 and 31 January 2015. Their incarceration data were merged with data from the local health system to investigate the presence of severe mental illness and substance use disorder diagnoses. Re-arrest data were tracked for 4 years after the index arrest.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Approximately 60% of the cohort was re-arrested within 4 years. People with substance use disorders, with or without severe mental illness, had higher re-arrest rates than those with severe mental illness alone or neither diagnosis. Drug-associated arrests did not explain this finding.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Using detailed mental illness diagnosis data with a complete cohort of detained arrestees, we have shown the wide range of need among such individuals. By demonstrating that drug-associated crimes <i>per se</i> do not drive repeated arrest, we underscore a need to examine other factors that promote the cycle of repeated arrest in this population. 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Relationships between substance use disorders, ‘severe mental illness’ and re-arrest in a county detention facility: A 4-year follow-up cohort study
Background
A growing body of literature demonstrates strong association between poor mental health and criminal recidivism, but research from county jails is limited.
Aims
Our aim was to examine the relationship between re-arrest and severe mental illnesses—schizophrenia, bipolar disorder and major depressive disorder—together and separately and with substance use disorders, separately and as comorbid conditions, in a mid-sized county jail cohort in the southeastern United States.
Methods
We examined the full cohort of 8097 individuals who were booked into the County Detention Facility between 31 January 2014 and 31 January 2015. Their incarceration data were merged with data from the local health system to investigate the presence of severe mental illness and substance use disorder diagnoses. Re-arrest data were tracked for 4 years after the index arrest.
Results
Approximately 60% of the cohort was re-arrested within 4 years. People with substance use disorders, with or without severe mental illness, had higher re-arrest rates than those with severe mental illness alone or neither diagnosis. Drug-associated arrests did not explain this finding.
Conclusions
Using detailed mental illness diagnosis data with a complete cohort of detained arrestees, we have shown the wide range of need among such individuals. By demonstrating that drug-associated crimes per se do not drive repeated arrest, we underscore a need to examine other factors that promote the cycle of repeated arrest in this population. Each individual requires treatment tailored to their personal psychiatric and criminogenic needs.
期刊介绍:
Criminal Behaviour & Mental Health – CBMH – aims to publish original material on any aspect of the relationship between mental state and criminal behaviour. Thus, we are interested in mental mechanisms associated with offending, regardless of whether the individual concerned has a mental disorder or not. We are interested in factors that influence such relationships, and particularly welcome studies about pathways into and out of crime. These will include studies of normal and abnormal development, of mental disorder and how that may lead to offending for a subgroup of sufferers, together with information about factors which mediate such a relationship.