The role of medicaid enrollment and outpatient service use in jail recidivism among persons with severe mental illness
The role of medicaid enrollment and outpatient service use in jail recidivism among persons with severe mental illness
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DOI：
10.1176/appi.ps.58.6.794
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发表时间：
2007-06-01
影响因子：
3.8
通讯作者：
Steadman, Henry J.
中科院分区：
文献类型：
--
作者：
Morrissey, Joseph P.;Cuddeback, Gary S.;Steadman, Henry J.
目的：这项研究试图确定是否有医疗补助福利和接受行为健康服务与减少监狱被拘留者的累犯与严重精神疾病。方法：采用半实验设计，关联管理数据。所有从华盛顿的金郡（N= 5,189）和佛罗里达的皮内拉斯郡（N= 2,419）的监狱释放的两年以上的人，他们有严重的精神疾病，在监狱释放后被跟踪了12个月。对那些在释放时领取医疗补助的人和那些没有领取医疗补助的人进行了三项指标的比较：随后发生了多少次逮捕、逮捕发生的时间以及相关犯罪的严重程度。采用负二项、考克斯比例风险模型和logistic回归分析数据，并对相关观察值进行调整。结果：在这两个县，在释放时获得医疗补助与随后拘留的平均数量减少16%相关（p
Objective: This study sought to determine whether having Medicaid benefits and receiving behavioral health services are associated with a reduction in recidivism for jail detainees with severe mental illness. Methods: A quasi-experimental design with linked administrative data was used. All persons released over a two-year period from jails in King County, Washington (N= 5,189), and Pinellas County, Florida (N= 2,419), who had severe mental illness were followed for 12 months after jail release. Those who were receiving Medicaid benefits at release and those who were not were compared on three indicators: how many subsequent arrests occurred, how soon the arrest occurred, and how serious the associated offense was. The data were analyzed with negative binomial, Cox proportional hazards models and logistic regression with adjustments for dependent observations. Results: In both counties, having Medicaid at release was associated with a 16% reduction in the average number of subsequent detentions (p