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Original Articles

Jail Inmates with Co-Occurring Mental Health and Substance Use Problems: Correlates and Service Needs

, &
Pages 126-145 | Published online: 01 Feb 2010
 

Abstract

The confluence of the deinstitutionalization of people with mental illness and the massive incarceration of drug offenders has dramatically raised the number of substance abusers with mental illness in American jails. This study sought to identify correlates of comorbidity and service gaps among jail inmates using data from the 2002 Survey of Inmates in Local Jails. Results suggest that offenders with comorbidity can be satisfactorily identified according to their past exposure to certain risk factors. One third of the jail population met the comorbidity criteria and 64% of them did not receive any treatment or counseling service while incarcerated. Policy implications are discussed.

Research reported in this article was supported by a grant (CIRG 1408) awarded by the Research Foundation of the City University of New York.

Notes

a When these service variables were analyzed to estimate national prevalence rates of service utilization among jail inmates, weighted data were used and only inmates with co-occurring disorders were included.

∗∗∗p < .001. ∗∗p < .01. ∗p < .05.

∗∗∗p < .001. ∗∗p < .01. ∗p < .05.

Note. Weighted data were used for this analysis.

Note. Weighted data were used for this analysis.

Note. Weighted data were used for this analysis. Percentages do not add up to 100 because service categories are not mutually exclusive. An inmate could have participated in more than one form of substance abuse or mental health services.

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