Department of Psychology, University of Alabama at Birmingham, 35294, USA.
Addict Behav. 2011 Jul;36(7):755-8. doi: 10.1016/j.addbeh.2010.12.033. Epub 2011 Jan 13.
Co-occurring substance abuse and mental illness is prevalent among criminal offenders, but little is known about risk factors for these co-occurring disorders (COD) in community corrections population. To identify risk factors for COD in community corrections offenders, we analyzed assessment data from 5,595 offenders maintained under community supervision at a substance use diversion program. Three groups, offenders with substance use disorders who were taking psychotropic medications (SUPM), offenders with a substance use disorder (SUD) only and controls were compared. Logistic regressions were used to identify predictors of SUPM versus SUD only and controls. SUPM status was predicted by being White or Female, having some medical insurance (private or government aided), being unemployed, prior history of abuse/trauma, and prior history of suicidal ideation or behavior. Offenders with substance use disorders and co-occurring psychiatric problems face salient social risk that may need to be targeted through integrated services.
罪犯普遍存在药物滥用和精神疾病共病现象，但对于社区矫正人群中这些共病障碍（COD）的风险因素知之甚少。为了确定社区矫正罪犯发生 COD 的风险因素，我们分析了在一个物质使用转移项目中接受社区监督的 5595 名罪犯的评估数据。将使用精神药物的物质使用障碍罪犯（SUPM）、仅物质使用障碍罪犯（SUD）和对照组进行比较。使用逻辑回归来确定 SUPM 与 SUD 仅和对照组的预测因子。SUPM 状态可由以下因素预测：白人或女性、有某种医疗保险（私人或政府资助）、失业、既往滥用/创伤史，以及既往自杀意念或行为史。患有物质使用障碍和共患精神疾病的罪犯面临明显的社会风险，可能需要通过综合服务来解决。
