Health Services Use Among Jailed Women with Alcohol Use Disorders
Christine Timko, Jennifer E Johnson, Megan Kurth, Yael Chatav Schonbrun, Bradley J Anderson, Michael D Stein, Christine Timko, Jennifer E Johnson, Megan Kurth, Yael Chatav Schonbrun, Bradley J Anderson, Michael D Stein
Abstract
Correctional facilities now house unprecedented numbers of women with complex treatment needs. This investigation applied the Behavioral Model for Vulnerable Populations to study 168 jailed women with alcohol use disorders. It described the sample's predisposing (age, race, victimization), enabling (health insurance), and need (self-reported medical, substance use, and mental health problems) factors and examined associations of these factors with pre-incarceration services utilization. Most participants had clinically significant levels of depression and PTSD symptoms, most took psychiatric medications, and most had been victimized. Participants reported considerable health services utilization. Younger, Black, and uninsured women utilized fewer medical and mental health services. Drug use was associated with less use of medical services, but more use of alcohol and drug services. High rates of health services use support the need for integrated, ongoing care for substance-using women before, during, and after incarceration.
Trial registration: ClinicalTrials.gov NCT01970293.
Conflict of interest statement
Compliance with Ethical Standards
Conflict of Interest The authors declare that they have no conflicts of interest.
Ethical Approval All procedures were reviewed and approved by the Institutional Review Board of Butler Hospital.
Source: PubMed