Kriegel Liat S, Henwood Benjamin F, McDonell Michael G, Amram Ofer, Bellamy Chyrell, Collins Susan, Salzer Mark
PRISM Collaborative, Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.
Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
Int J Qual Methods. 2025 Jan-Dec;24. doi: 10.1177/16094069251337940. Epub 2025 Apr 25.
Formerly incarcerated people with serious mental illnesses (SMI) experience the criminal legal system unequally and have elevated rates of recidivism, homelessness, general medical problems, and substance use disorders. Permanent supportive housing (PSH) can be used during reentry, but it has limited resources for addressing community integration, a key component of reentry. PSH are often located in high-poverty environments with increased criminogenic risk. The geography of PSH also includes public spaces, which are associated with positive outcomes. The risk environment framework provides a structure for understanding the geography of PSH through its focus on the physical, social, economic, and policy influences on the micro and macro environments of reentry.
This is a novel QUAL + QUAN (spatial) concurrent mixed-methods study that will examine how individual, interpersonal, and environmental factors interact with public and private spaces to inform reentry wellbeing. Eighty multi-method interviews (i.e., qualitative, quantitative, and participatory mapping methods) will be conducted with formerly incarcerated clients with SMI. Go-along interviews will be conducted with 20 of these participants. Participatory mapping will be geocoded and sites identified as places of importance, frequent participation, and belonging will be evaluated in relation to objective features of spaces to develop a community resilience index. Findings will ultimately be integrated into an intervention development codesign process with a community advisory board.
During reentry, individual, interpersonal, and environmental factors can interact with these environments to produce or reduce risk. If addressed, these factors can contribute to reentry wellbeing, through improved community participation and treatment engagement and reduced psychiatric distress and substance use.
患有严重精神疾病（SMI）的刑满释放人员在刑事法律系统中受到不平等对待，其累犯率、无家可归率、一般医疗问题和物质使用障碍发生率较高。永久性支持性住房（PSH）可在重新融入社会期间使用，但在解决社区融合这一重新融入社会的关键组成部分方面资源有限。PSH通常位于犯罪风险增加的高贫困环境中。PSH的地理位置还包括公共空间，而公共空间与积极成果相关。风险环境框架通过关注对重新融入社会的微观和宏观环境的物理、社会、经济和政策影响，为理解PSH的地理位置提供了一个结构。
这是一项新颖的QUAL + QUAN（空间）同步混合方法研究，将考察个体、人际和环境因素如何与公共和私人空间相互作用，以促进重新融入社会的幸福感。将对80名患有SMI的刑满释放客户进行多方法访谈（即定性、定量和参与式绘图方法）。将对其中20名参与者进行随行访谈。参与式绘图将进行地理编码，并根据空间的客观特征评估被确定为重要场所、频繁参与场所和归属场所的地点，以制定社区复原力指数。研究结果最终将与社区咨询委员会整合到干预开发协同设计过程中。
在重新融入社会期间，个体、人际和环境因素可与这些环境相互作用，产生或降低风险。如果这些因素得到解决，可通过改善社区参与和治疗参与度以及减少精神痛苦和物质使用，促进重新融入社会的幸福感。
