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

项目摘要 在美国，数以百万计的女性有犯罪记录。有犯罪记录的女性有很高的 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，以及自杀的想法和企图。他们还经历了一些最高的 人际暴力，包括亲密伴侣暴力和性侵犯，与 加剧了女性对行为健康的担忧。此外，他们的所需行为的接受率很低 保健治疗和支持性服务，如受害服务。医疗保健方面的这些差距可能是由 附带后果的动态，即因下列原因而被排除在资源、服务和机会之外的形式 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 对有犯罪记录的妇女的不平等，并改善妇女的求助和获得有需要的帮助 行为保健和服务。这项拟议的混合方法研究建立在现有经验工作的基础上。 以及理论上驱动的获得帮助的框架。我们将检查行为健康、人际关系 受害和附带后果塑造了治疗和获得帮助的寻求和获得帮助的过程 在有犯罪记录的成年妇女中提供服务。我们提议的研究将利用探索性的顺序 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，两个阶段都通知第三个定性阶段。在第一阶段，N=500名年龄在25岁至 将招募54名有犯罪记录的人来完成一项基于网络的调查。我们的调查将包括以下措施 行为健康关注点、受害体验和有关动态的理论指导措施 行为健康需求的附带后果和求助和获得帮助。这些数据将是 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，我们会 使用人生史日历与N=40名有犯罪记录的妇女进行个人访谈，分层 完成第一阶段调查的有目的的女性亚样本。我们将探索女性在 寻求帮助和获得帮助，包括附带后果的动态变化。我们在第一阶段和 II将在第三阶段通知我们与服务提供商的访谈。我们将与以下人员进行半结构化访谈 N=30个在治疗和服务环境中与有犯罪记录的妇女一起工作的服务提供者。我们会 阐明他们对影响妇女的组织和基于提供者的障碍和促进者的看法 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- 提高女性罪犯行为健康和幸福感的成就与干预方向 唱片。

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.