Disparities in Mental Health Referral and Diagnosis in the New York City Jail Mental Health Service
| Autor: | Fatos Kaba, Nathaniel Dickey, Homer Venters, Angela Solimo, Sarah Glowa-Kollisch, Jasmine Graves, Allison Vise, Zachary Rosner, Ross MacDonald, Anthony Waters, Sonia Y. Angell |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Gerontology Adolescent Research and Practice Referral Ethnic group Solitary confinement Humans Medicine Healthcare Disparities Referral and Consultation Demography business.industry Mental Disorders Medical record Age Factors Public Health Environmental and Occupational Health social sciences Odds ratio Mental health Confidence interval Prisons Cohort Female New York City business |
| Zdroj: | American Journal of Public Health. 105:1911-1916 |
| ISSN: | 1541-0048 0090-0036 |
| Popis: | Objectives. To better understand jail mental health services entry, we analyzed diagnosis timing relative to solitary confinement, nature of diagnosis, age, and race/ethnicity. Methods. We analyzed 2011 to 2013 medical records on 45 189 New York City jail first-time admissions. Results. Of this cohort, 21.2% were aged 21 years or younger, 46.0% were Hispanic, 40.6% were non-Hispanic Black, 8.8% were non-Hispanic White, and 3.9% experienced solitary confinement. Overall, 14.8% received a mental health diagnosis, which was associated with longer average jail stays (120 vs 48 days), higher rates of solitary confinement (13.1% vs 3.9%), and injury (25.4% vs 7.1%). Individuals aged 21 years or younger were less likely than older individuals to receive a mental health diagnosis (odds ratio [OR] = 0.86; 95% confidence interval [CI] = 0.80, 0.93; P Conclusions. More consideration is needed of race/ethnicity and age in understanding and addressing the punishment and treatment balance in jails. |
| Databáze: | OpenAIRE |
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