Hai Audrey Hang, Morrison Maria, Beadleston Anna, Salas-Wright Christopher P, Fearn Noelle, Vaughn Michael G
Tulane University, 127 Elk Place, New Orleans, LA, 70112, USA.
Saint Louis University, 1 North Grand Boulevard, St. Louis, MO, 63103, USA.
J Psychiatr Res. 2025 May;185:154-160. doi: 10.1016/j.jpsychires.2025.03.035. Epub 2025 Mar 22.
As states work to develop better drug policy that promotes public health and safety while reducing incarceration, there is a need for behavioral health research on community-based sanctions like probation and parole. This paper uses a national U.S. health data set to contribute to the knowledge base on substance use and criminal justice supervision.
Using the National Survey on Drug Use and Health (NSDUH) from 2015 to 2021, we examine sociodemographic, behavioral, and mental health correlates of alcohol and drug treatment for those on probation and parole.
Among those on probation and parole, 15 % received past-year alcohol treatment and 16 % received drug treatment while only 8-11 % met criteria for a past-year substance use disorder. Being African American was associated with half the likelihood of receiving drug treatment compared to being White for those on probation and parole as well as for those not. Otherwise, all correlates had either weaker relationships or no relationship at all to treatment receipt for those on probation and parole.
This population tends to be male, low-income, disproportionately people of color, and have complex service needs with poor health outcomes. Further research and theory development are needed to understand the mismatch between substance use disorder and treatment receipt for this population and to address racial disparities in treatment.
随着各州努力制定更好的毒品政策，在促进公众健康和安全的同时减少监禁人数，有必要对缓刑和假释等基于社区的制裁措施进行行为健康研究。本文使用美国全国健康数据集，为物质使用和刑事司法监管的知识库做出贡献。
利用2015年至2021年的全国药物使用和健康调查（NSDUH），我们研究了缓刑和假释人员酒精和药物治疗的社会人口统计学、行为和心理健康相关因素。
在缓刑和假释人员中，15%的人在过去一年接受过酒精治疗，16%的人接受过药物治疗，而只有8-11%的人符合过去一年物质使用障碍的标准。对于缓刑和假释人员以及非缓刑和假释人员而言，与白人相比，非裔美国人接受药物治疗的可能性只有一半。否则，对于缓刑和假释人员来说，所有相关因素与治疗接受情况的关系要么较弱，要么根本没有关系。
这一人群往往为男性、低收入人群，有色人种比例过高，且有复杂的服务需求，健康状况不佳。需要进一步的研究和理论发展，以了解这一人群物质使用障碍与治疗接受情况之间的不匹配，并解决治疗中的种族差异问题。
