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NCJ Number: 249997 Find in a Library
Title: Effects of Insurance Status and Medical Need on Community-Based Health Care Access among Jail Detainees With Serious Mental Illnesses
Journal: Criminal Justice and Behavior  Dated:May 2016
Author(s): Caitlin L. O'Grady; James A. Swartz
Date Published: May 2016
Page Count: 0
Sponsoring Agency: Bureau of Justice Assistance
Washington, DC 20531
Document: PDF
Type: Program/Project Description; Report (Grant Sponsored); Report (Study/Research); Research (Applied/Empirical)
Format: Article; Document (Online)
Language: English
Country: United States of America
Annotation: This study assessed factors affecting patterns of pre-incarceration medical service access and use among jail detainees with serious mental illnesses and co-occurring substance use disorders.
Abstract: Findings indicate that having insurance was associated with decreased emergency care use and increased access to routine medical care. In comparison with insurance status, medical need was a more important determinant of the frequency of both routine and emergency medical care visits. Researchers conclude that the results broadly support Medicaid expansion under the Affordable Care Act, as well as its provisions for medical homes for offender populations. Multivariable logistic and negative binomial models controlling for socio-demographic and psychodiagnostic factors assessed the extent to which insurance status and medical need significantly affected having a regular health care place/provider and number of emergency and non-emergency care visits in the year prior to detention. 46 references (Publisher abstract modified)
Main Term(s): Corrections research
Index Term(s): BJA Grant-related Documents; BJA Resources; Drug treatment; Inmate Mental Health Assistance Programs; Jails; Mental health services; Offender mental health services
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