Racial Differences in Self-Report of Mental Illness and Mental Illness Treatment in the Community: An Analysis of Jail Intake Data

Author:

Plummer NarcissaORCID,Guardado Rubeen,Ngassa Yvane,Montalvo Cristina,Kotoujian Peter J.,Siddiqi Kashif,Senst Thomas,Simon Kevin,Acevedo Andrea,Wurcel Alysse G.

Abstract

AbstractJails and prisons in the United States house people with elevated rates of mental health and substance use disorders. The goal of this cross-sectional study was to evaluate the frequency of racial/ethnic differences in the self-report of mental illness and psychiatric medication use at jail entry. Our sample included individuals who had been incarcerated between 2016 and 2020 at the Middlesex Jail & House of Correction, located in Billerica, MA. We used data from the “Offender Management System,” the administrative database used by the jail containing data on people who are incarcerated, and COREMR, the electronic medical record (EMR) used in the Middlesex Jail & House of Correction. We evaluated two primary outcomes (1) self-reported mental illness history and (2) self-reported use of psychiatric medication, with the primary indicator of interest as race/ethnicity. At intake, over half (57%) of the sample self-reported history of mental illness and 20% reported the use of psychiatric medications. Among people who self-reported a history of mental illness, Hispanic (AOR: 0.73, 95% CI: 0.60–0.90), Black (AOR: 0.52, 95% CI: 0.43–0.64), Asian/Pacific Islander (Non-Hispanic) people (AOR: 0.31, 95% CI: 0.13–0.74), and people from other racial/ethnic groups (AOR: 0.33, 95% CI: 0.11–0.93) all had decreased odds of reporting psychiatric medications. Mental illness was reported in about one-half of people who entered jail, but only 20% reported receiving medications in the community prior to incarceration. Our findings build on the existing literature on jail-based mental illness and show racial disparities in self-report of psychiatric medications in people who self-reported mental illness. The timing, frequency, and equity of mental health services in both the community and the jail setting deserves further research, investment, and improvement.

Funder

Agency for Healthcare Research and Quality

Northeastern University USA

Publisher

Springer Science and Business Media LLC

Subject

Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Health Policy,Pshychiatric Mental Health

Reference85 articles.

1. Administration SAaMHS. (2019). Screening and assessment of co-occurring disorders in the justice system. https://www.samhsa.gov/resource/ebp/screening-assessment-co-occurring-disorders-justice-system. Samhsa.gov: substance abuse and mental health services administration, June 2019. (PEP19-SCREEN-CODJS). https://store.samhsa.gov/sites/default/files/d7/priv/pep19-screen-codjs.pdf

2. Akinhanmi, M. O., Biernacka, J. M., Strakowski, S. M., McElroy, S. L., Balls Berry, J. E., Merikangas, K. R., Assari, S., McInnis, M. G., Schulze, T. G., LeBoyer, M., & Tamminga, C. (2018). Racial disparities in bipolar disorder treatment and research: A call to action. Bipolar Disorders, 20(6), 506–514. https://doi.org/10.1111/bdi.12638

3. Alvidrez, J. L., & Barksdale, C. L. (2022). Perspectives from the National Institutes of Health on multidimensional mental health disparities research: A framework for advancing the field. American Journal of Psychiatry, 179(6), 417–421.

4. Assistance TBoJ. (2021). Indicators of mental health problems reported by prisoners. United States Department of Justice, June 2021. https://bjs.ojp.gov/sites/g/files/xyckuh236/files/media/document/imhprpspi16st.pdf

5. Assistance TBoJ. (2022). Managing substance withdrawl in jails: A legal brief. United States Department of Justice, February 2022. https://bja.ojp.gov/doc/managing-substance-withdrawal-in-jails.pdf

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3