Gender-specific behavioral health and community release patterns among New Jersey prison inmates: Implications for treatment and community reentry
Gender-specific behavioral health and community release patterns among New Jersey prison inmates: Implications for treatment and community reentry
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DOI：
10.2105/ajph.2004.059733
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发表时间：
2005-10-01
影响因子：
12.7
通讯作者：
Pogorzelski, W
中科院分区：
文献类型：
--
作者：
Blitz, CL;Wolff, N;Pogorzelski, W
目标.我们描述了行为健康诊断和社区释放模式之间的成年男性和女性囚犯在新泽西监狱，并评估其对惩教保健和社区重返社会的影响。我们使用临床和分类数据的“特殊需要”囚犯（那些行为健康障碍）在新泽西（n=3189）和人口普查的所有特殊需要囚犯释放到新泽西社区超过12个月的时间（n=974）。几乎所有有特殊需要的成年囚犯都至少患有一种第一轴精神障碍，其中68%的人至少患有一种第一轴精神障碍、人格障碍或成瘾问题（67%的男性和75%的女性特殊需要囚犯）。在这些释放的特殊需要囚犯中，25%回到了新泽西最贫困的县（27%的男性和18%的女性特殊需要囚犯）。两种类型的集群被发现：特定性别的囚犯之间的疾病和空间集群的前罪犯在贫困社区的集群。这些研究结果表明，需要在惩教机构的性别治疗策略，需要成功的重返社会的战略。
Objectives. We describe behavioral health diagnoses and community release patterns among adult male and female inmates in New Jersey prisons and assess their implications for correctional health care and community reentry.Methods. We used clinical and classification data on a census of "special needs" inmates (those with behavioral health disorders) in New Jersey (n=3189) and a census of all special needs inmates released to New Jersey communities over a 12-month period (n=974).Results. Virtually all adult inmates with special needs had at least 1 Axis I mental disorder, and 68% of these had at least 1 additional Axis I mental disorder, a personality disorder, or addiction problem (67% of all male and 75% of all female special needs inmates). Of those special needs inmates released, 25% returned to the most disadvantaged counties in New Jersey (27% of all male and 18% of all female special needs inmates).Conclusions. Two types of clustering were found: gender-specific clustering of disorders among inmates and spatial clustering of ex-offenders in impoverished communities. These findings suggest a need for gendered treatment strategies within correctional settings and need for successful reentry strategies.