Drivers of County Engagement in Criminal Justice-Behavioral Health Initiatives.

Drivers of County Engagement in Criminal Justice-Behavioral Health Initiatives.
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DOI:
10.1176/appi.ps.202100485
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发表时间:
2022-06
影响因子:
3.8
通讯作者:
Taxman, Faye S.
Taxman, Faye S.
中科院分区:
医学3区
文献类型:
--
作者:
Cuellar, Alison E.;Ramezani, Niloofar;Breno, Alex;Johnson, Jennifer E.;Taxman, Faye S.

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几个大型的县级倡议正在进行中,以改善涉及司法的客户的行为健康护理。不幸的是,大多数县没有参与这些努力,使涉及司法的人口继续面临精神健康、药物使用和法律后果不佳的风险。这项研究考察了参与县和非参与县的特征,发现犯罪和社会经济特征,如收入和收入不平等,与参与无关。然而,参与县的MH/SU护理提供系统明显更强大。没有参与的县甚至可能缺乏基本的交付系统先决条件和大多数国家倡议的专业知识,进一步加剧了地理差异。
Several large county-level initiatives are underway to improve behavioral health care for justice-involved clients. Unfortunately, most counties do not participate in these efforts, leaving justice-involved populations at continued risk for poor mental health, substance use, and legal outcomes. This study examined characteristics of participating and nonparticipating counties and found that crime and socioeconomic characteristics, such as income and income inequality, were not associated with participation. However, participating counties had significantly more robust MH/SU care delivery systems. Nonparticipating counties potentially lack even basic delivery system prerequisites and the expertise for most national initiatives, further driving geographic disparities.
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