Center for Health Equity and Innovation, Cook County Health, Chicago, Illinois, USA.
School of Social Service Administration, University of Chicago, Chicago, Illinois, USA.
J Correct Health Care. 2022 Aug;28(4):267-273. doi: 10.1089/jchc.20.09.0085. Epub 2022 Jun 6.
Although bail reform reduces jail census, whether or not its effects extend to incarcerated individuals with mental illness is unknown. Using a novel high-sensitivity measure of serious mental illness (SMI) from jail-based electronic health records, we conducted an interrupted time series analysis assessing the impact of Illinois bail reform on total jail registrations and the nested subset with SMI ± co-occurring substance use disorder (SUD). Compared with a decline in total jail registrations, admission of individuals with SMI ± SUD showed no decline. Consequently, the proportion of admissions involving SMI increased between 2015 and 2019 from 26% to 35%. Intentional efforts involving cooperation by the health, social services, and justice sectors are needed to translate the impact of bail reform onto the population experiencing SMI.
尽管保释改革减少了监狱人口，但尚不清楚其影响是否会扩展到患有精神疾病的监禁者身上。我们使用一种新颖的基于监狱电子健康记录的严重精神疾病（SMI）高灵敏度测量方法，进行了一项中断时间序列分析，评估了伊利诺伊州保释改革对总监狱登记人数以及嵌套的伴有精神疾病和物质使用障碍（SUD）的亚组的影响。与总监狱登记人数的下降相比，患有 SMI±SUD 的个体的入院人数并未下降。因此，2015 年至 2019 年间，涉及 SMI 的入院人数比例从 26%增加到 35%。需要卫生、社会服务和司法部门的合作，以将保释改革的影响转化为患有 SMI 的人群。
