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The Association Between Criminal History and Mental Health Service Use Among People with Serious Mental Illness

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Abstract

This study examined the extent to which a criminal history is associated with the use of various mental health services as well as related service use predictors among people with serious mental illness (SMI). Data were obtained from the National Comorbidity Survey Replication. The sample consisted of 1,588 adults with SMI, including major depressive disorder (n = 1,398) and bipolar disorder (n = 190). Chi square tests were conducted to compare respondent characteristics based upon the presence/absence of a criminal history. Logistic regression analyses were conducted to examine various mental health services usage among respondents while controlling for predisposing, enabling, and need factors. Approximately 30 % of respondents reported a criminal history. Those with a criminal history were more likely to use specialty mental health services (OR = 1.42, p < 0.05). Findings suggest that the criminal justice system may be serving as a substantial referrer to mental health services or that there is higher morbidity among people with SMI who have been justice involved.

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Authors and Affiliations

  1. School of Social Welfare, University of Kansas, 1545 Lilac Lane, Lawrence, KS, 66045, USA

    Jason Matejkowski

  2. College of Social Work, The University of Tennessee at Knoxville, 1618 Cumberland Avenue, Knoxville, TN, 37996, USA

    Sungkyu Lee

  3. School of Social Welfare, University at Albany, State University of New York, 135 Western Avenue, Albany, NY, 12222, USA

    Woojae Han

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  1. Jason Matejkowski
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  2. Sungkyu Lee
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  3. Woojae Han
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Correspondence to Sungkyu Lee.

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Matejkowski, J., Lee, S. & Han, W. The Association Between Criminal History and Mental Health Service Use Among People with Serious Mental Illness. Psychiatr Q 85, 9–24 (2014). https://doi.org/10.1007/s11126-013-9266-2

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  • DOI: https://doi.org/10.1007/s11126-013-9266-2

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