"Good luck, social distance": rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic.

"Good luck, social distance": rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic.
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DOI:
10.1186/s40352-023-00238-5
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发表时间:
2023-09-18
期刊:
影响因子:
3.5
通讯作者:
Izenberg, Jacob M.
Izenberg, Jacob M.
中科院分区:
其他
文献类型:
--
作者:
James, Jennifer E.;Dauria, Emily F.;Desai, Riya;Bell, Adelaide;Izenberg, Jacob M.

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2019冠状病毒病大流行促使人们呼吁迅速解除监狱和监狱的监禁,以减缓疾病在高风险聚集环境中的传播。由于罕见的故意decarcerative政策,很少有人知道快速decarcerative对严重精神疾病(SMI)物质使用障碍(SUD)的个人的影响,人口谁通过刑事法律的系统(CLS)接受许多服务。我们在加州旧金山弗朗西斯科与13名参与CLS的主要知情人进行了访谈,以更好地了解2020年初实施的减贫政策的影响。与会者描述了减少被监禁人数的愿望与在CLS之外获得服务和支持的挑战之间的紧张关系-特别是在大流行的封锁期间-因为只有那些被逮捕,监禁或判刑的人才能获得服务。这些发现强调了投资于社区社会服务的必要性,而不是进一步扩大CLS,以实现支持SMI和SUD个人缩小美国大规模监禁系统的目标。
The COVID-19 pandemic inspired calls for rapid decarceration of prisons and jails to slow the spread of disease in a high-risk congregate setting. Due to the rarity of intentionally-decarcerative policies, little is known about the effects of rapid decarceration on individuals with serious mental illness (SMI) substance use disorder (SUD), a population who receive many services via the criminal legal system (CLS). We conducted interviews with 13 key informants involved in CLS in San Francisco, CA to better understand the implication of the decarcerative policies put into practice in early 2020. Participants described a tension between the desire to have fewer people incarcerated and the challenges of accessing services and support – especially during the lockdown period of the pandemic – outside of the CLS given the number of services that are only accessible to those who have been arrested, incarcerated, or sentenced. These findings emphasize the need for investing in community social services rather than further expanding the CLS to achieve the goal of supporting individuals with SMI and SUD shrinking the US system of mass incarceration.
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