Prevalence of Mental Health Disorders Among Justice-Involved Veterans
Prevalence of Mental Health Disorders Among Justice-Involved Veterans
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DOI：
10.1093/epirev/mxu003
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发表时间：
2015-01-01
影响因子：
5.5
通讯作者：
Midboe, Amanda M.
中科院分区：
文献类型：
--
作者：
Blodgett, Janet C.;Avoundjian, Tigran;Midboe, Amanda M.
与其他退伍军人或成年人相比，涉正义退伍军人是一个特殊的群体，具有独特的心理健康需求。通过对已发表的研究进行系统的文献搜索，并辅之以退伍军人事务部的退伍军人司法计划数据，确定了对这些退伍军人的18个样本(1987-2013年)中涉及司法的退伍军人心理健康问题的流行率估计，其中包括监禁和社区样本。尽管使用的样本和测量方法存在异质性，但这项审查强调了退伍军人中几个突出的心理健康问题。许多参与司法的退伍军人可能至少经历过一次创伤事件，许多人患有创伤后应激障碍(在所有样本中，患病率从4%到39%不等)。至少有一半参与司法的退伍军人有酒精和/或药物使用障碍(估计分别高达71%和65%)，其他精神障碍，如抑郁症(14%-51%)和精神障碍(4%-14%)很常见。与正义有关的退伍军人有共同的药物使用和精神障碍，出现负面结果的风险增加，包括无家可归和暴力行为。总体而言，将参与司法的退伍军人与其他参与司法的成年人进行比较，发现参与司法的退伍军人的心理健康问题比率略高，一些迹象表明，静脉注射毒品更为普遍。与其他退伍军人相比，参与司法的退伍军人心理健康问题的发生率一直更高，特别是物质使用障碍。
Justice-involved veterans are a special population with unique mental health needs compared with other veterans or justice-involved adults. Prevalence estimates of mental health concerns of justice-involved veterans across 18 samples of these veterans (1987-2013), including both incarcerated and community samples, were identified through a systematic literature search of published studies supplemented by Department of Veterans Affairs Veterans Justice Programs data. Despite heterogeneity across samples and measures used, the review highlights several prominent mental health concerns among veterans. Many justice-involved veterans have likely experienced at least one traumatic event, and many have post-traumatic stress disorder (prevalence from 4% to 39% across samples). At least half of justice-involved veterans have an alcohol and/or drug use disorder (estimates as high as 71% and 65%, respectively), and other psychiatric disorders, such as depression (14%-51%) and psychotic disorders (4%-14%), are common. Justice-involved veterans with comorbid substance use and psychiatric disorders are at increased risk of negative outcomes, including homelessness and violent behavior. Overall, comparisons of justice-involved veterans with other justice-involved adults found a slightly higher rate of mental health concerns among justice-involved veterans, with some indication that intravenous drug use is more prevalent. Compared with other veterans, justice-involved veterans have consistently higher rates of mental health concerns, particularly substance use disorders.