Intellectual and developmental disabilities in Ontario's criminal justice and forensic mental health systems: Using data to tell the story

Author:

Lunsky Yona123ORCID,Matheson Flora I.245,Kouyoumdjian Fiona26,Whittingham Lisa17,Lin Elizabeth238,Durbin Anna234,Calzavara Andrew2,Moser Andrea9,Dastoori Parisa4,Sirotich Frank1011,Volpe Tiziana1

Affiliation:

1. Azrieli Adult Neurodevelopmental Centre Centre for Addiction and Mental Health Toronto Ontario Canada

2. ICES Toronto Ontario Canada

3. Department of Psychiatry Temerty Faculty of Medicine, University of Toronto Toronto Ontario Canada

4. MAP Centre for Urban Health Solutions St. Michael's Hospital, Unity Health Toronto Ontario Canada

5. Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada

6. Department of Family Medicine McMaster University Hamilton Ontario Canada

7. Department of Child and Youth Studies Brock University St. Catharines Ontario Canada

8. Office of Education Centre for Addiction and Mental Health Toronto Ontario Canada

9. Research Branch Correctional Service Canada Ottawa Ontario Canada

10. Canadian Mental Health Association Toronto Branch Toronto Ontario Canada

11. Factor‐Inwentash Faculty of Social Work University of Toronto Toronto Ontario Canada

Abstract

AbstractBackgroundInternational studies show that adults with intellectual and developmental disabilities (IDD) are disproportionately represented in the criminal justice and forensic mental health systems; however, it is difficult to capture their involvement across systems in any one jurisdiction.AimsThe current study aimed to estimate the prevalence of IDD across different parts of the criminal justice and forensic mental health systems in Ontario and to describe the demographic and clinical profiles of these individuals relative to their counterparts without IDD.MethodsThis project utilised administrative data to identify and describe the demographic and clinical characteristics of adults with IDD and criminal justice or forensic involvement across four sectors: federal correctional facilities, provincial correctional facilities, forensic inpatient mental health care and community mental health programmes. Questions were driven by and results were contextualised by a project advisory group and people with lived experience from the different sectors studied, resulting in a series of recommendations.ResultsAdults with IDD were over‐represented in each of the four settings, ranging from 2.1% in federal corrections to 16.7% in forensic inpatient care. Between 20% (forensic inpatient) and 38.4% (provincial corrections) were under the age of 25 and between 34.5% (forensic inpatient) and 41.8% (provincial corrections) resided in the lowest income neighbourhoods. Medical complexity and rates of co‐occurring mental health conditions were higher for people with IDD than those without IDD in federal and provincial corrections.ConclusionsEstablishing a population‐based understanding of people with IDD within these sectors is an essential first step towards understanding and addressing service and care needs. Building on the perspectives of people who work in and use these systems, this paper concludes with intervention recommendations before, during and after justice involvement.

Funder

Ontario Ministry of Community and Social Services

Publisher

Wiley

Reference47 articles.

1. Our weakest members: Developmentally disabled people in the criminal justice system;Concannon J.;Lexipol,2019

2. Co-occurring mental disorder and intellectual disability in a large sample of Australian prisoners

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