Trajectories of psychological distress after prison release: implications for mental health service need in ex-prisoners

被引:41
|
作者
Thomas, E. G. [1 ,2 ]
Spittal, M. J. [1 ]
Heffernan, E. B. [3 ]
Taxman, F. S. [4 ]
Alati, R. [5 ,6 ]
Kinner, S. A. [1 ,3 ,7 ,8 ]
机构
[1] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Parkville, Vic 3052, Australia
[2] Harvard Univ, TH Chan Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA
[3] Univ Queensland, Sch Med, Herston, Qld, Australia
[4] George Mason Univ, Coll Humanities & Social Sci, Criminol Law & Soc, Fairfax, VI USA
[5] Univ Queensland, Sch Publ Hlth, Herston, Qld, Australia
[6] Univ Queensland, Ctr Youth Subst Abuse Res, Herston, Qld, Australia
[7] Griffith Univ, Griffith Criminol Inst, Mt Gravatt, Qld 4122, Australia
[8] Griffith Univ, Menzies Hlth Inst Queensland, Mt Gravatt, Qld 4122, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会; 澳大利亚研究理事会;
关键词
Community mental health services; ex-prisoners; mental health; psychological distress; trajectory models; COMMUNITY REINTEGRATION; SCREENING SCALES; DISORDERS; REENTRY; INTERVENTION; QUEENSLAND; OUTCOMES; SUPPORT; ILLNESS;
D O I
10.1017/S0033291715002123
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background Understanding individual-level changes in mental health status after prison release is crucial to providing targeted and effective mental health care to ex-prisoners. We aimed to describe trajectories of psychological distress following prison discharge and compare these trajectories with mental health service use in the community. Method The Kessler Psychological Distress Scale (K10) was administered to 1216 sentenced adult prisoners in Queensland, Australia, before prison release and approximately 1, 3 and 6 months after release. We used group-based trajectory modeling to identify K10 trajectories after release. Contact with community mental health services in the year following release was assessed via data linkage. Results We identified five trajectory groups, representing consistently low (51.1% of the cohort), consistently moderate (29.8%), high increasing (11.6%), high declining (5.5%) and consistently very high (1.9%) psychological distress. Mood disorder, anxiety disorder, history of self-harm and risky drug use were risk factors for the high increasing, very high and high declining trajectory groups. Women were over-represented in the high increasing and high declining groups, but men were at higher risk of very high psychological distress. Within the high increasing and very high groups, 25% of participants accessed community mental health services in the first year post-release, for a median of 4.4 contact hours. Conclusions For the majority of prisoners with high to very high psychological distress, distress persists after release. However, contact with mental health services in the community appears low. Further research is required to understand barriers to mental health service access among ex-prisoners.
引用
收藏
页码:611 / 621
页数:11
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