Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., Tampa, FL 33612, USA.
Psychiatr Serv. 2010 May;61(5):516-9. doi: 10.1176/ps.2010.61.5.516.
The study identified expenditures related to criminal justice, health, mental health, and social welfare services over a four-year period for arrestees with serious mental illnesses in a large Florida county and characteristics of subgroups.
Multiple data sets were used to identify 3,769 persons arrested in a one-year period who had serious mental illnesses. Multiple regression with all variables mutually adjusted was used to explore associations with a log of aggregate criminal justice, health, mental health, and social welfare expenditures.
Aggregate expenditures were $94,957,465, with a median per person of $15,134. Individuals with the highest expenditures were at least 40 years old with a psychotic disorder, an involuntary psychiatric examination, and more arrests and mental health contacts. Medicaid enrollees had higher expenditures than nonenrollees overall but lower criminal justice expenditures.
Identifying characteristics of subgroups with higher expenditures may assist policy makers and providers in designing appropriate criminal justice and treatment responses.
本研究旨在确定在佛罗里达州一个大县，被逮捕的患有严重精神疾病者在四年期间内与刑事司法、健康、心理健康和社会福利服务相关的支出，以及亚组人群的特征。
本研究使用多个数据集识别出在一年期间内被逮捕且患有严重精神疾病的 3769 人。采用多元回归方法，将所有变量相互调整，以探索与刑事司法、健康、心理健康和社会福利支出总和的对数的关联。
总支出为 94957465 美元，人均中位数为 15134 美元。支出最高的个体年龄至少为 40 岁，患有精神病性障碍、非自愿性精神科检查以及更多的逮捕和心理健康接触。与非参保者相比，整体而言，医疗补助参保者的支出更高，但刑事司法支出较低。
确定支出较高的亚组人群的特征，可能有助于政策制定者和提供者制定适当的刑事司法和治疗对策。
