Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Appel, Stephens, Shadravan, Ochoa); Office of Diversion and Reentry, Los Angeles County Department of Health Services, Los Angeles (Appel, Stephens, Ochoa); Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Key).
Psychiatr Serv. 2020 Aug 1;71(8):843-846. doi: 10.1176/appi.ps.201900429. Epub 2020 Apr 28.
This study analyzed race-ethnicity and arrest charge data from the Los Angeles (LA) County jail mental health (JMH) population to examine disparities by race and ethnicity.
Data from the LA County Sheriff's Department for all persons in the JMH population on February 14, 2019 (N=5,134), and for the overall LA County jail population (N=16,975) were compared with chi-square tests (p≤0.05 for binary measures and Bonferroni correction for multiple comparisons).
The JMH sample had a significantly larger proportion of black (41% versus 30%) and white (19% versus 15%) persons and a smaller proportion of Hispanic persons (35% versus 52%), compared with the overall jail population (p<0.001). A significantly smaller proportion of the JMH sample was charged with a felony (80% versus 91%, p<0.001).
Resources should be invested in prioritizing jail diversion of black individuals with mental illness and addressing the incarceration of persons with mental disorders charged with misdemeanors.
本研究分析了洛杉矶（LA）县监狱心理健康（JMH）人群的种族和逮捕指控数据，以检查种族和族裔差异。
对 2019 年 2 月 14 日 JMH 人群中所有人员（N=5134）和整个 LA 县监狱人口（N=16975）的洛杉矶县治安官部门数据进行比较，采用卡方检验（p≤0.05 用于二进制测量，Bonferroni 校正用于多重比较）。
与整个监狱人口相比（p<0.001），JMH 样本中黑人（41%比 30%）和白人（19%比 15%）的比例明显更大，而西班牙裔的比例较小（35%比 52%）。JMH 样本中被指控犯有重罪的比例明显较小（80%比 91%，p<0.001）。
应投资于优先考虑将有精神疾病的黑人个体从监狱转移，并解决因轻罪被监禁的精神障碍患者的问题。
