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Aust N Z J Public Health. 2014 Oct;38(5):424-9. doi: 10.1111/1753-6405.12207. Epub 2014 Jun 24.

Poor health and social outcomes for ex-prisoners with a history of mental disorder: a longitudinal study.

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1
Melbourne School of Population and Global Health, The University of Melbourne, Victoria.

Abstract

OBJECTIVE:

To examine the association between self-reported lifetime diagnosis of mental disorder and health-related outcomes in prisoners during the first six months after release.

METHODS:

We interviewed 1,324 adult prisoners in Queensland, Australia, within six weeks of expected release and one, three and six months post-release. Outcomes of interest included health service access, housing, employment, substance use and criminal activity. We used multivariate logistic regression to investigate the association between self-reported, lifetime diagnosis of mental disorder and these health-related outcomes post-release, adjusting for pre-existing disadvantage.

RESULTS:

43.4% of participants reported a lifetime diagnosis of mental disorder. This group had increased crude odds of poor outcomes across all evaluated domains. After adjusting for pre-existing disadvantage, significantly increased odds of poor outcomes persisted in the substance use, mental health, crime and health service access domains.

CONCLUSIONS:

People with a history of mental disorder experience particularly poor outcomes following release from prison that are not fully explained by pre-existing disadvantage.

IMPLICATIONS:

Evidence-based transitional programs for prisoners with a history of mental disorder should be provided at a level commensurate with need.

KEYWORDS:

Prisoners; longitudinal studies; mental disorders; outcomes research; post-release

PMID:
24962322
DOI:
10.1111/1753-6405.12207
[Indexed for MEDLINE]
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