心理健康法庭中老年成年人的心理社会和再监禁风险。
Psychosocial and reincarceration risks among older adults in mental health courts.
机构信息
School of Social Work, University of Missouri, Columbia, MO.
School of Social Policy & Practice,University of Pennsylvania, Philadelphia, PA.
出版信息
Am J Geriatr Psychiatry. 2014 Aug;22(8):845-9. doi: 10.1016/j.jagp.2013.07.002. Epub 2013 Sep 8.
OBJECTIVE
Older adults are increasingly involved in the criminal justice system, yet there is limited research regarding their needs and experiences. This study examined differences in psychosocial experiences and reincarceration between older and younger adults with psychiatric disorders involved in the criminal justice system.
METHODS
Participants (N = 80) were recruited from two mental health courts in the midwestern United States. Bivariate analyses examined age-related differences in psychosocial experiences and reincarceration between younger and older participants.
RESULTS
Older adults, on average, experienced more treatment adherence and fewer probation violations than younger adults during the 6-month follow-up; however, they experienced comparable risk for reincarceration. Older adults' substance use, service use, housing instability, and program retention were similar to their younger counterparts.
CONCLUSION
Despite older mental health court participants' treatment adherence and reduced probation violations, they are at risk for incarceration, substance use, and housing instability.
目的
老年人越来越多地参与刑事司法系统，但针对他们的需求和经验的研究有限。本研究考察了参与刑事司法系统的精神障碍的老年和年轻成年人在心理社会经历和再监禁方面的差异。
方法
参与者（N=80）从美国中西部的两个心理健康法院招募。单变量分析考察了年轻和年长参与者在心理社会经历和再监禁方面的年龄相关差异。
结果
平均而言，在 6 个月的随访期间，老年成年人比年轻成年人更遵守治疗规定，违反缓刑的情况更少；然而，他们再次入狱的风险相当。老年成年人的物质使用、服务使用、住房不稳定和项目保留与他们的年轻同龄人相似。
结论
尽管老年心理健康法庭参与者更遵守治疗规定且缓刑违规行为减少，但他们仍有入狱、药物滥用和住房不稳定的风险。
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