Individuals reentering the community following incarceration are at high risk for experiencing mental health and substance use problems. This longitudinal study explores patterns and barriers for engaging treatment services during early reentry. Seventy-five men and 62 women in jail, prison, or community based correctional facilities (CBCFs) participated in pre- and post-release interviews. Findings indicate that services were engaged at a lower-than-needed rate and barriers were greater for individuals leaving jails compared to prison or CBCF. Exploratory factor analysis of the barriers instrument is presented. Implications for extending service access to this population are discussed, as are future directions for research.
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Allen, J. P., Litten, R. Z., Fertig, J. B., & Babor, T. F. (1997). A review of research on the alcohol use disorders identification test (AUDIT). Alcoholism, Clinical and Experimental Research, 21, 613–619.
American Association of Community Psychiatrists (2001). AACPcontinuity of care guidelines: Best practices for managing transitions between levels of care. Retrieved from http://www.communitypsychiatry.org/publications/clinical_and_administrative_tools_guidelines/default.aspx.
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: The alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care, Second Edition. Geneva, Switzerland: World Health Organization, Department of Mental Health and Substance Dependence.
Baillargeon, J., Hoge, S., & Penn, J. V. (2010). Addressing the challenge of community reentry among released inmates with serious mental illness. American Journal of Community Psychology, 46(3/4), 361–375. doi:10.1007/s10464-010-9345-6.
Begun, A. L., Rose, S. J., LeBel, T. P., & Teske-Young, B. A. (2009). Implementing substance abuse screening and brief motivational intervention with women in jail. Journal of Social Work Practice in the Addictions, 9(1), 113–131.
Begun, A. L., Rose, S. J., & LeBel, T. (2010). How jail partnerships can help women address substance abuse problems in preparing for community reentry. In S. Stojkovic (Ed.), Managing special populations in jails and prisons, (pp. 1–29), vol. II.
Begun, A. L., Rose, S. J., & LeBel, T. (2011). Intervening with women in jail around alcohol and substance abuse during preparation for community reentry. Alcohol Treatment Quarterly, 29(4), 453–478.
Belenko, S. (2006). Assessing released inmates for substance-abuse-related service needs. Crime & Delinquency, 52(1), 94–113. doi:10.1177/0011128705281755.
Binswanger, I. A., Stern, M. F., Deyo, R. A., Heagerty, P. J., Cheadle, A., Elmore, J. G., & Koepsell, T. D. (2007). Release from prison: A high risk of death for former inmates. New England Journal of Medicine, 356(2), 157–165.
Blitz, C. L., Wolff, N., Ko-Yu, P., & Pogorzelski, W. (2005). Gender-specific behavioral health and community release patterns among New Jersey prison inmates: Implications for treatment and community reentry. American Journal of Public Health, 95(10), 1741–1746. doi:10.2105/AJPH.2004.059733.
Bond, B. J., & Gittell, J. H. (2010). Cross-agency coordination of offender reentry: Testing collaboration outcomes. Journal of Criminal Justice, 38(2), 118–129.
Campbell, T. C., Barrett, D., Cisler, R. A., Solliday-McRoy, C., & Melchert, T. P. (2001). Reliability estimates of the alcohol use disorders identification test revised to include other drugs (AUDIT-12). Alcoholism, Clinical and Experimental Research, 25(Suppl. 242), 46A.
Carson, E. A., & Golinelli, D. (2013). Prisoners in 2012: Trends in admissions and releases, 1991-2012. U.S. Bureau of Justice Statistics. www.bjs.gov/index.cfm?ty=pbdetail&iid=4842.
Cuellar, A. E., & Cheema, J. (2012). As roughly 700,000 prisoners are released annually, about half will gain health coverage and care under federal laws. Health Affairs, 31(5), 931–938. doi:10.1377/hlthaff.2011.0501.
Davis, K., Fallon, J., Vogel, S., & Teachout, A. (2008). Integrating into the mental health system from the criminal justice system: Jail aftercare services for persons with a severemental illness. Journal of Offender Rehabilitation, 46(3/4), 217–231.
Fontaine, J., Gilchrist-Scott, D., Roman, J., Taxy, S. & Roman, C. (2012). Supportive housing for returning prisoners: Outcomes and impacts of the returning home—Ohio pilot project. Urban Institute Justice Policy Center. http://www.urban.org/UploadedPDF/412632-Supportive-Housing-for-Returning-Prisoners.pdf. Retrieved 9/11/2013.
Freudenberg, N. (2001). Jails, prisons, and the health of urban populations: A review of the impact of the correctional system on community health. Journal of Urban Health, 78(2), 214–235.
Freudenberg, N., Daniels, J., Crum, M., Perkins, T., & Richie, B. E. (2008). Coming home from jail: The social and health consequences of community reentry for women, male adolescents, and their families and communities. American Journal of Public Health, 98, S191–S202. doi:10.2105/AJPH.2004.056325.
Frisman, L. K., Swanson, J., Marin, M. C., & Leavitt-Smith, E. (2010). Estimating costs of reentry programs for prisoners with severe mental illnesses. In H.A. Dlugacz (Ed.), Reentry planning for offenders with mental disorders: Policy and practice (pp. 4-1 to 4-11). Kingston, NJ: Civic Research Instituted.
Glaze, L. E., & Herberman, E. J. (2013). Correctional populations in the United States, 2012. U.S. Bureau of Justice Statistics. www.bjs.gov/content/pub/pdf/cpus12.pdf.
Goldstein, E. H., Warner-Robbins, C., McClean, C., Macatula, L., & Conklin, R. (2009). A peer- driven mentoring case management community reentry model: An application for jails and prisons. Family & Community Health, 32(4), 309–313.
Gouvis Roman, C. & Travis, J. (2004). Taking stock: Housing, homelessness, and prisoner reentry. Urban Institute. http://www.urban.org/publications/411096.html. Retrieved 9/11/2013.
Government Accountability Office (GAO) (2005). Drug offenders: Various factors may limit the impacts of federal laws that provide for denial of selected benefits. Report GAO-05- 238, 1–85.
Grant, B. F. (1997). Barriers to alcoholism treatment: Reasons for not seeking treatment in a general population sample. Journal of Studies on Alcohol, 58, 365–371.
Gravic® (2008). Remark Office OMR, version 7.User’s guide. Malvern, PA: Remark Products Group. www.gravic.com.
Hammett, T. M., Roberts, C., & Kennedy, S. (2001). Health-related issues in prisoner reentry. Crime & Delinquency, 47(3), 390.
Harrison, L. D. (2001). The revolving prison door for drug-involved offenders: Challenges and opportunities. Crime & Delinquency, 47(3), 462–485.
Hatcher, S. (2007). Transitional care for offenders with mental illness in jail: Mapping indicators of successful community reentry. Best Practice in Mental Health, 3(2), 38–51.
Hatcher, S. (2010). Recognizing perspectives on community reentry from offenders with mental illness: Using the Afrocentric framework and concept mapping with adult detainees. Journal of Offender Rehabilitation, 49(8), 536–550. doi:10.1080/10509674.2010.519649.
Hipp, J. R., Jannetta, J., Shah, R., & Turner, S. (2009). Parolees’ physical closeness to health service providers: A study of California parolees. Health & Place, 15(3), 649–658.
James, D. J., & Glaze, L. E. (2006). Mental health problems of prison and jail inmates. Bureau of Justice Statistics. www.bjs.gov/content/pub/pdf/mhppji.pdf.
Karberg, J. C., & James, D. J. (2005). Substance dependence, abuse, and treatment of jail inmates, 2002. Bureau of Justice Statistics. www.bjs.gov/content/pub/pdf/sdatji02.pdf.
Kerr, S., & Lockshin, A. (2010). Legal standards for securing reentry services.In H. A. Dlugacz (Ed.), Reentry planning for offenders with mental disorders: Policy and practice, (pp. 2-1 to 2-25). Kingston, NJ: Civic Research Instituted.
Lovell, D., Gagliardi, G. J., & Peterson, P. D. (2002). Recidivism and use of services among persons with mental illness after release from prison. Psychiatric Services, 53(10), 1290–1296.
Lurigio, A. (2001). Effective services for parolees with mental illnesses. Crime & Delinquency, 47(3), 446–461.
Mann, B., Bond, D., & Powitzky, R. J. (2011). Collaborating for SUCCESS in interagency correctional mental health reentry. Corrections Today, 73(5), 30–33.
Martin, B. D., Kowalski, B. P. & Schnelle, S. M. (2012). Findings and recommendations from a statewide outcome evaluation of Ohio jails. Department of Rehabilitation and Corrections. Retrieved on 1/7/2015 from http://www.drc.ohio.gov/web/ohiojailevaluation.pdf.
McCarty, M., Aussenberg, R. A., Falk, G., & Carpenter, D. H. (2013). Drug testing and crime- related restriction in TANF, SNAP, and housing assistance. Report for Congress, Congressional Research Service. Retrieved on 3/7/14 from www.fas.org/sgp/crs/misc/R42394.pdf.
Mears, D. P., & Cochran, J. C. (2012). U.S. prisoner reentry health care policy in international perspective: Service gaps and the moral and public health implications. Prison Journal, 92(2), 175–202. doi:10.1177/0032885512438845.
Mellow, J., Schlager, M. D., & Caplan, J. M. (2008). Using GIS to evaluate post-release prisoner services in Newark, New Jersey. Journal of Criminal Justice, 36(5), 416–425.
Minton, T. D. (2013). Jail inmates at midyear 2012: Statistical tables (NCJ 241264). Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics.
Mojtabi, R., Olfson, M., Sampson, N. A., Jin, R., Druss, B., Wang, P. S., & Kessler, R. C. (2011). Barriers to mental health treatment: Results from the National Comorbidity Survey Replication. Psychological Medicine, 41, 1751–1761.
Mumola, C. J., & Karberg, J. C. (2006). Drug use and dependence, state and federal prisoners, 2004. Bureau of Justice Statistics. www.bjs.gov/content/pub/pdf/dudsfp04.pdf.
Notley, C., Maskrey, V., & Holland, R. (2012). The needs of problematic drug misusers not in structured treatment: A qualitative study of perceived treatment barriers and recommendations for services. Drugs: Education, Prevention & Policy, 19(1), 40–48. doi:10.3109/09687637.2011.570384.
Ohio Department of Rehabilitation and Corrections (2002). The Ohio plan for productive offender reentry and recidivism reduction. Retrieved 1/7/2015 from http://www.drc.ohio.gov/web/ReentryFinalPlan.pdf.
Oser, C., Knudsen, H., Staton-Tindall, M., & Leukefeld, C. (2009). The adoption of wraparound services among substance abuse treatment organizations serving criminal offenders: The role of a women-specific program. Drug and Alcohol Dependence, 103, S82–S90. doi:10.1016/j.drugalcdep.2008.12.008.
Osher, F., Steadman, H. J., & Barr, H. (2003). A best practice approach to community reentry from jails for inmates with co-occurring disorders: The APIC model. Crime & Delinquency, 49(1), 79–96. doi:10.1177/0011128702239237.
Pettus, C., & Severson, M. (2006). Paving the way for effective reentry practice. The Prison Journal, 86(2), 206–229.
Pogorzelski, W., Wolff, N., Pan, K., & Blitz, C. L. (2005). Behavioral health problems, ex- offender reentry policies, and the “Second Chance Act”. American Journal of Public Health, 95(10), 1718–1724. doi:10.2105/AJPH.2005.065805.
Redko, C., Rapp, R. C., & Carlson, R. G. (2006). Waiting time as a barrier to treatment entry: Perceptions of substance users. Journal of Drug Issues, 36, 831–852.
Reinert, D. F., & Allen, J. P. (2002). The alcohol use disorders identification test (AUDIT): A review of recent research. Alcoholism: Clinical and Experimental Research, 26(2), 272–279.
Rich, J. D., Holmes, L., Salas, C., Macalino, G., Davis, D., Ryczek, J., & Flanigan, T. (2001). Successful linkage of medical care and community services for HIV-positive offenders being released from prison. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 78(2), 279–289.
Richie, B. E. (2001). Challenges incarcerated women face as they return to their communities: Findings from life history interviews. Crime & Delinquency, 47(3), 368–389.
Richie, B. E., Freudenberg, N., & Page, J. (2001). Reintegrating women leaving jail into urban communities: A description of a model program. Journal of Urban Health Bulletin of the New York Academy of Medicine, 78(2), 290–303.
Rose, S. J., LeBel, T. P., Begun, A. L., & Fuhrmann, D. (2014). Looking out from the inside: Incarcerated women’s perceived barriers to treatment of substance use. Journal of Offender Rehabilitation, 53(4), 300–316.
Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use identification test (AUDIT). Addiction, 88(supplement), 791–804.
Seredycz, M. A. (2010). Offender drug abuse and recidivism: An access to recovery program. El Paso, TX: LFP Scholarly Publishing LLC.
Sung, H.-E., Mahoney, A. M., & Mellow, J. (2011). Substance abuse treatment gap among adult parolees: Prevalence, correlates, and barriers. Criminal Justice Review, 36(1), 40–57. doi:10.1177/0734016810389808.
Teitelbaum, J. B., & Hoffman, L. G. (2013). Health reform and correctional health care: How the Affordable Care Act can improve the health of ex-offenders and their communities. Fordham Urban Law Journal, 40(4), 1323–1356.
The Urban Institute (2002). Public health dimensions of prisoner reentry: Addressing the health needs and risks of returning prisoners and their families. Los Angeles, CA. National Reentry Roundtable, 1–21.
Thompson, M. D., Reuland, M., & Souweine, D. (2003). Criminal justice/mental health consensus: Improving responses to people with mental illness. Crime and Delinquency, 49, 30–51.
van Olphen, J., Freudenberg, N., Fortin, P., & Galea, S. (2006). Community reentry: Perceptions of people with substance use problems returning home from New York City jails. Journal of Urban Health, 8(3), 372–381. doi:10.1007/s11524-006-9047-4.
Wilson, A. B., & Draine, J. (2006). Collaborations between criminal justice and mental health systems for prisoner reentry. Psychiatric Services, 57(6), 875–878.
Wolff, N., Bjerklie, J. R., & Maschi, T. (2005). Reentry planning for mentally disordered inmates: A social investment perspective. Journal of Offender Rehabilitation, 41(2), 21–42. doi:10.1300/J076v41n02.
Woods, L. N., Lanza, A. S., Dyson, W., & Gordon, D. M. (2013). The role of prevention in promoting continuity of health care in prisoner reentry initiatives. American Journal of Public Health, 103(5), 830–838.
The collaborative partnership leading to Project RISE was supported by a grant from the Ohio Criminal Justice Services (OCJS) to the Ohio Association of County Behavioral Health Authorities (OACBHA) and by the Ohio State University’s College of Social Work. The team is indebted to the fourteen participating state and county criminal justice facilities, the men and women who participated in the study, Ms. Stacey Frohnapfel-Hasson, and our student assistants: Emily Beavers, Melissa Brundage, NitishaBurkhead, Karen Call, Lindsay Gezinski, Greg Harrison, Tiffney Hughes, Lori Murphy, Tabitha Penny, Hillary Shaub, Chris Sielski, and Michael Wente.
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Begun, A.L., Early, T.J. & Hodge, A. Mental Health and Substance Abuse Service Engagement by Men and Women During Community Reentry Following Incarceration. Adm Policy Ment Health 43, 207–218 (2016). https://doi.org/10.1007/s10488-015-0632-2
- Prisoner community reentry
- Mental health and substance use services
- Barriers to service engagement