Balyakina Elizabeth, Mann Christopher, Ellison Michael, Sivernell Ron, Fulda Kimberly G, Sarai Simrat Kaur, Cardarelli Roberto
Department of Community and Behavioral Health, Primary Care Research Center, Texas Prevention Institute, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.
Community Ment Health J. 2014 Apr;50(3):288-95. doi: 10.1007/s10597-013-9624-4. Epub 2013 Jun 14.
The criminal justice system is the primary service delivery system for many adults with drug and alcohol dependence, mental health, and other health service needs. The purpose of this study was to examine the relationship between risk of future offense, mental health status and co-occurring disorders in a large substance abuse diversion probationer population. A purposive sample of 2,077 probationers completed an assessment to screen for mental health disorders, substance use disorders, risk of future crime and violence, and several demographic characteristics. Probationers who screened positive for co-occurring substance use and mental health disorders were significantly more likely to be at higher risk of future crime and violence compared to probationers who screened positive for only substance use, only a mental health disorder, or no substance use or mental health disorder. Implications for substance use and mental health service delivery are discussed, and recommendations are made for further research.
刑事司法系统是许多有药物和酒精依赖、心理健康及其他健康服务需求的成年人的主要服务提供系统。本研究的目的是在大量药物滥用转处缓刑人员群体中，考察未来犯罪风险、心理健康状况和共病障碍之间的关系。一个由2077名缓刑人员组成的目的抽样样本完成了一项评估，以筛查心理健康障碍、物质使用障碍、未来犯罪和暴力风险以及若干人口统计学特征。与仅筛查出物质使用阳性、仅筛查出心理健康障碍阳性或未筛查出物质使用或心理健康障碍阳性的缓刑人员相比，同时筛查出物质使用和心理健康障碍阳性的缓刑人员未来犯罪和暴力风险显著更高。讨论了对物质使用和心理健康服务提供的影响，并提出了进一步研究的建议。
