The Impact of Collateral Consequences on Help-Seeking and Help-Attainment for Behavioral Health Needs for Women with Criminal Records

附带后果对有犯罪记录妇女的行为健康需求寻求帮助和获得帮助的影响

• 批准号: 10727734
• 负责人: Gina Lorraine Fedock
• 金额: $ 26.17万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-25 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10727734
• 关键词: Address; Adult; Age; Anxiety; Calendar; Caring; Communities; Data; Development; Employment; Exclusion; Face; Feeling suicidal; Future; Gender; Grant; Health Services; Healthcare; Illinois; Imprisonment; Individual; Inequity; Interpersonal Violence; Intervention; Interview; Jail; Knowledge; Legal system; Life Cycle Stages; Measures; Mental Depression; Mental Health; Mental Health Services; Methodology; Methods; Morbidity - disease rate; Online Systems; Outcome; Participant; Pattern; Personal Satisfaction; Persons; Phase; Policies; Post-Traumatic Stress Disorders; Prisons; Process; Provider; Race; Recording of previous events; Records; Reporting; Research; Research Methodology; Resources; Sampling; Service setting; Services; Sex Orientation; Shapes; Structure; Suicide attempt; Supervision; Surveys; Testing; Time; United States; Victimization; Woman; Women' s Health; Work; aged; behavior measurement; behavioral health; behavioral health intervention; convict; depressive symptoms; design; experience; health inequalities; help-seeking behavior; improved; innovation; intimate partner violence; life history; marginalization; mortality; novel; recruit; research and development; service providers; sexual assault; social stigma; substance use; substance use treatment; theories; therapy development; violence victimization

Project Summary Millions of women in the United States have a criminal record. Women with criminal records have high rates of behavioral health concerns, including post-traumatic stress disorder (PTSD), depressive symptoms, substance use problems, and suicidal ideation and attempts. They also experience some of the highest rates of interpersonal violence, including intimate partner violence and sexual assault, which are associated with and exacerbate women’s behavioral health concerns. In addition, they have low rates of receipt of needed behavioral health treatment and supportive services, such as victimization services. These gaps in care may be driven by dynamics of collateral consequences, i.e., forms of exclusion from resources, services, and opportunities due to the presence of a criminal record. Research is critically needed to address the growing behavioral health inequities for women with criminal records and to improve women’s help-seeking and help-attainment for needed behavioral health care and services. This proposed mixed-methods study builds upon existing empirical work and a theoretically driven framework of help-attainment. We will examine how behavioral health, interpersonal victimization, and collateral consequences shape help-seeking and help-attainment processes for treatment and services among adult women with criminal records. Our proposed study will utilize an exploratory sequential mixed-methods design in which findings from the first, quantitative phase will inform the design of a second, qualitative phase, with both phases informing the third qualitative phase. In Phase I, N=500 women ages 25 to 54 with criminal records will be recruited to complete a web-based survey. Our survey will include measures of behavioral health concerns, victimization experiences, and theory-guided measures regarding dynamics of collateral consequences and help-seeking and help-attainment for behavioral health needs. These data will be used to identify patterns in domains influencing women’s help-seeking and help-attainment. In Phase II, we will conduct individual interviews using the life history calendar with N=40 women with criminal records, a stratified purposeful sub-sample of women who completed the Phase 1 survey. We will explore women’s trajectories of help-seeking and help-attainment, including dynamics of collateral consequences. Our findings from Phase I and II will inform our interviews with service providers in Phase III. We will conduct semi-structured interviews with N=30 service providers who work in treatment and service settings with women with criminal records. We will elucidate their perspectives of organizational and provider-based barriers and facilitators that impact women’s help-seeking and help-attainment processes. The collective findings will identify novel facilitators to help- attainment and intervention directions to improve the behavioral health and wellbeing of women with criminal records.

项目摘要 在美国，数百万妇女有犯罪记录。有犯罪记录的女性 行为健康问题，包括创伤后应激障碍（PTSD），抑郁症状，物质 使用问题，自杀意念和企图。他们也经历了一些最高的利率， 人际间暴力，包括亲密伴侣暴力和性侵犯， 加剧了女性的行为健康问题。此外，他们接受所需行为教育的比率很低。 保健治疗和支助服务，如受害人服务。这些护理方面的差距可能是由以下因素造成的： 间接后果的动态，即，资源、服务和机会的排斥形式， 犯罪记录的存在。迫切需要研究来解决日益增长的行为健康问题 有犯罪记录的妇女的不公平待遇，并改善妇女寻求帮助和获得帮助的需要， 行为健康护理和服务。这一建议的混合方法研究建立在现有的实证工作 和一个理论驱动的帮助实现框架。我们将研究行为健康，人际关系 受害和附带后果塑造了寻求帮助和获得帮助的治疗过程， 为有犯罪记录的成年女性提供服务。我们提议的研究将利用探索性顺序 混合方法设计，其中第一个定量阶段的结果将为第二个阶段的设计提供信息， 定性阶段，这两个阶段通知第三个定性阶段。在第一阶段，N = 500名25至 将招募54名有犯罪记录的人完成一项网上调查。我们的调查将包括 行为健康问题，受害经历，以及理论指导的措施， 行为健康需求的间接后果和求助与获得帮助。这些数据将 用于确定影响妇女寻求帮助和获得帮助的领域的模式。在第二阶段，我们将 使用生活史日历与N = 40名有犯罪记录的女性进行个人访谈，分层 完成第一阶段调查的妇女的有目的的子样本。我们将探索女性的发展轨迹 寻求帮助和获得帮助，包括附带后果的动态。我们在第一阶段的发现， II将告知我们在第三阶段与服务提供商的访谈。我们将进行半结构化面试， N = 30名在治疗和服务机构中为有犯罪记录的女性提供服务的服务提供者。我们将 阐明他们对影响妇女就业的组织和提供者方面的障碍和促进因素的看法， 寻求帮助和获得帮助的过程。集体调查结果将确定新的促进者，以帮助- 实现和干预方向，以改善妇女的行为健康和福祉的犯罪 记录