Helms Ronald, Gutierrez Ricky S, Reeves-Gutierrez Debra
Western Washington University, Bellingham, WA, USA
California State University, Sacramento, CA, USA.
Int J Offender Ther Comp Criminol. 2016 Jul;60(9):1036-63. doi: 10.1177/0306624X15572864. Epub 2015 Mar 10.
U.S. county jails hold large populations of mentally ill inmates but have rarely been researched quantitatively to assess their collective capacity for providing mental health treatment. This research uses ordinal logit and a partial parallel slopes model and a large sample of U.S. counties to assess conceptualized links between local institutional and structural indicators and jail mental health resourcing. Strong church networks and high rates of adult education completion are associated with enhanced jail mental health resourcing. Urbanized areas and areas with deep economic ties to manufacturing appear supportive of a strong jail mental health system. Conversely, conservative political environments and areas with strong medical and mental health networks based in the community are correlated with reduced jail mental health resourcing. Evidence from this research adds to a growing understanding of the need for enhanced community mental health service and diagnostic capabilities in our nation's jails, noting the characteristics and correlates of model program jurisdictions and jurisdictions where program enhancements are most likely in order.
美国县级监狱关押着大量患有精神疾病的囚犯，但很少有针对其提供心理健康治疗的集体能力进行定量研究。本研究使用有序逻辑回归和部分平行斜率模型以及大量美国县样本，以评估地方机构和结构指标与监狱心理健康资源配置之间的概念联系。强大的教会网络和高成人教育完成率与监狱心理健康资源配置的增强相关。城市化地区以及与制造业有深厚经济联系的地区似乎支持强大的监狱心理健康系统。相反，保守的政治环境以及社区中拥有强大医疗和心理健康网络的地区与监狱心理健康资源配置的减少相关。这项研究的证据进一步加深了人们对我国监狱增强社区心理健康服务和诊断能力必要性的理解，指出了模范项目辖区以及最有可能按顺序增强项目的辖区的特征和相关因素。
