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美国有刑事司法涉案经历人群中的精神疾病和精神卫生保健治疗。

Mental Illness and Mental Health Care Treatment among People with Criminal Justice Involvement in the United States.

出版信息

J Health Care Poor Underserved. 2021;32(1):397-422. doi: 10.1353/hpu.2021.0031.

Abstract

This study analyzes the effect of arrest and community supervision on mental health and mental health care using a U.S.-based nationally representative data from National Survey of Drug Use and Health (NSDUH) and Behavioral Model for Vulnerable Populations. It conducts a bivariate analysis to estimate population prevalence rates and generalized structural equation modeling (GSEM) to test the conceptual model. Individuals who were recently arrested or under community supervision (probation/parole) are more likely to use treatment (medication, inpatient, and outpatient care) for mental health problems compared with those with no CJ contact. However, there still remains a large unmet need. Overall, people with mental illness may be accessing mental health treatment through their involvement with the CJ system more broadly. There is the need for multiple societal institutions to work in tandem and communicate with vulnerable individuals who experience CJ contact to further assess appropriate assistance and mental health treatment.

摘要

本研究使用美国全国毒品使用与健康调查(NSDUH)和弱势群体行为模型中的基于全国代表性数据,分析逮捕和社区监管对心理健康和精神卫生保健的影响。研究采用双变量分析来估计人群流行率,并采用广义结构方程模型(GSEM)来检验概念模型。与没有刑事司法接触的个体相比,最近被逮捕或处于社区监管(缓刑/假释)下的个体更有可能因心理健康问题接受治疗(药物治疗、住院和门诊护理)。然而,仍有大量需求未得到满足。总体而言,患有精神疾病的人可能更广泛地通过参与刑事司法系统来获得精神卫生治疗。需要多个社会机构协同工作,并与经历刑事司法接触的弱势群体进行沟通,以进一步评估适当的援助和精神卫生治疗。

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