Health Aff (Millwood). 2014 Mar;33(3):474-81. doi: 10.1377/hlthaff.2013.1190.
The jail-involved population-people with a history of arrest in the previous year-has high rates of illness, which leads to high costs for society. A significant percentage of jail-involved people are estimated to become newly eligible for coverage through the Affordable Care Act's expansion of Medicaid, including coverage of substance abuse treatment and mental health care. In this article we explore the need to break down the current policy silos between health care and criminal justice, to benefit both sectors and reduce unnecessary costs resulting from lack of coordination. To draw attention to the hidden costs of the current system, we review three case studies, from Washington State, Los Angeles County in California, and New York City. Each case study addresses different aspects of care needed by or provided to the jail-involved population, including mental health and substance abuse, emergency care, and coordination of care transitions. Ultimately, bending the cost curve for health care and criminal justice will require greater integration of the two systems.
在押人员（指前一年有过被捕记录的人）的发病率很高，这导致了社会成本的增加。据估计，很大一部分在押人员将通过《平价医疗法案》扩大医疗补助计划而有资格获得新的医疗保险，包括药物滥用治疗和精神保健的覆盖范围。在本文中，我们探讨了打破医疗保健和刑事司法之间当前政策隔阂的必要性，以造福两个部门并减少因缺乏协调而导致的不必要成本。为了引起对当前制度隐藏成本的关注，我们回顾了三个案例研究，分别来自华盛顿州、加利福尼亚州的洛杉矶县和纽约市。每个案例研究都涉及到被监禁人群需要或提供的不同方面的护理，包括心理健康和药物滥用、紧急护理以及护理过渡的协调。最终，要降低医疗保健和刑事司法的成本，需要更大程度地整合这两个系统。
