Graduate School of Professional Psychology, University of Denver, Denver, Colorado, USA.
National Association of State Head Injury Administrators, Alabama, USA.
Brain Inj. 2024 Feb 23;38(3):202-209. doi: 10.1080/02699052.2024.2309269. Epub 2024 Feb 8.
The goal of this study is to examine the effectiveness of case management services for a population of justice-involved individuals with TBI history.
Two thousand three hundred and eighty-nine records from statewide behavioral health and brain injury program databases were used in two studies.
Participants with a reported TBI history were more likely to have experienced trauma and to have a behavioral health diagnosis relative to incarcerated persons without TBI. Six months after release, 56.8% of participants with a history of TBI were still receiving community treatment, 27.8% were not in treatment, and 3.4% had completed treatment. There was a high attrition rate; 70% of people referred for case management failed to maintain contact.
For those that did receive services, these data suggest that it prevented an escalation of psychosocial needs. There were no differences in community participation as measured by the Mayo Portland Adaptability Index's Participation Index (M2PI) scores (t = .497, = 0.624) at intake and after 6 months of case management. This study confirms that case management confers a benefit to persons with TBI who are released from the criminal justice system. Further, recidivism rates for this vulnerable group were no different from the larger population of returning citizens.
本研究旨在检验针对有创伤性脑损伤（TBI）病史的涉刑个体的个案管理服务的有效性。
本研究使用了来自全州行为健康和脑损伤项目数据库的 2389 份记录。
与无 TBI 的监禁人员相比，有 TBI 病史的参与者更有可能经历过创伤，且更有可能被诊断出存在心理健康问题。在释放后 6 个月时，有 TBI 病史的参与者中有 56.8%仍在接受社区治疗，27.8%未接受治疗，3.4%已完成治疗。有很高的流失率；有 70%被转介接受个案管理服务的人未能保持联系。
对于那些确实接受了服务的人来说，这些数据表明，个案管理防止了心理社会需求的升级。在接受个案管理前和接受个案管理后 6 个月时，Mayo Portland 适应能力指数的参与指数（M2PI）评分（t=0.497，P=0.624）并未显示出社区参与度存在差异。本研究证实，个案管理对从刑事司法系统获释的 TBI 患者有益。此外，该弱势群体的累犯率与更大规模的回归公民群体并无不同。
