A multisite study of amphetamine use disorders, length of detention and readmission in rural jails

Abstract

Purpose Most people admitted to jails present indications of substance use disorder, and methamphetamine use disorders (MUDs) have recently become the most prevalent in certain communities. Much of the research conducted with jail populations has focused on large urban facilities, despite them representing a small number of the nearly 3,000 correctional centers in the USA. This study aims to examine MUDs in a large multisite sample of adults admitted to rural jails in the USA to help inform better practices aimed at addressing these conditions. Design/methodology/approach Interviews were conducted with 525 adults ranging in age from 18 to 72 years within three rural detention centers within the USA using the Comprehensive Addictions and Psychological Evaluation-5. Retrospective records were extracted to assess relationships between Diagnostic and Statistical Manual of Mental Disorders diagnostic classifications for MUDs, length of detention and jail admission over a 12-month period. Findings Results indicate those who met diagnostic criteria for MUD were more likely to be charged with a drug-related offense, a more serious offense (i.e. felony) and also spend more time detained relative to those who did not receive a similar diagnosis. Multivariate regression analyses also demonstrated persons with MUD diagnoses were significantly more likely to be admitted to the detention center on multiple occasions compared to those without a diagnosis. Originality/value Evidence from an understudied population supports the need to address MUDs among adults detained in rural jails. Proper diagnosis and linkage to care can enhance efforts to reduce the prevalence of these conditions.