{"id":1717,"date":"2022-12-14T00:00:00","date_gmt":"2022-12-14T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/the-association-between-prior-mental-health-service-utilization-and-risk-of-recidivism-among-incarcerated-ontario-residents\/"},"modified":"2023-07-19T10:55:34","modified_gmt":"2023-07-19T14:55:34","slug":"the-association-between-prior-mental-health-service-utilization-and-risk-of-recidivism-among-incarcerated-ontario-residents","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/the-association-between-prior-mental-health-service-utilization-and-risk-of-recidivism-among-incarcerated-ontario-residents\/","title":{"rendered":"The association between prior mental health service utilization and risk of recidivism among incarcerated Ontario residents"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 There is mixed evidence on the link between mental health and addiction (MHA) history and recidivism. Few studies have examined post-release MHA care. Our objective was to examine the association between prior (pre-incarceration) MHA service use and post-release recidivism and service use.<\/p>\n<p><strong>Methods<\/strong> \u2014 We conducted a population-based cohort study linking individuals held in provincial correctional institutions in 2010 to health administrative databases. Prior MHA service use was assigned hierarchically in order of hospitalization, emergency department visit and outpatient visit. We followed up individuals post-release for up to 5 years for the first occurrence of recidivism and MHA hospitalization, emergency department visit and outpatient visit. We use Cox-proportional hazards models to examine the association between prior MHA service use and each outcome adjusting for prior correctional involvement and demographic characteristics.<\/p>\n<p><strong>Results<\/strong> \u2014 Among a sample consisting of 45,890 individuals, we found that prior MHA service use was moderately associated with recidivism (hazard ratio (HR): 1.20\u20131.50, all <em>P<\/em> &lt; 0.001), with secondary analyses finding larger associations for addiction service use (HR range: 1.34\u20131.54, all <em>P<\/em> &lt; 0.001) than for mental health service use (HR range: 1.09\u20131.18, all <em>P<\/em> &lt; 0.001). We found high levels of post-release MHA hospitalization and low levels of outpatient MHA care relative to need even among individuals with prior MHA hospitalization.<\/p>\n<p><strong>Discussion<\/strong> \u2014 Despite a high risk of recidivism and acute MHA utilization post-release, we found low access to MHA outpatient care, highlighting the necessity for greater efforts to facilitate access to care and care integration for individuals with mental health needs in correctional facilities.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 There is mixed evidence on the link between mental health and addiction (MHA) history and recidivism. Few studies have examined post-release MHA care. Our objective was to examine the association between prior (pre-incarceration) MHA service use and post-release recidivism and service use. Methods \u2014 We conducted a population-based cohort study linking individuals held [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[19,34],"migration-helper-qa-sample-set":[],"class_list":["post-1717","journal_article","type-journal_article","status-publish","hentry","topic-marginalized-populations","topic-mental-health-and-addictions"],"acf":{"citation":"Lebenbaum M, Kouyoumdjian F, Huang A, Kurdyak P. <em>Can J Psychiatry<\/em>. 2022; Dec 14 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1177\/07067437221140385","ices_scientist":[1154,1152],"site":[6733],"research_program":[6744],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"A6247657-7760-45FE-8A0E-7F35648E7480","sitecore_item_name":"The-association-between-prior-mental-health-service-utilization-and-risk-of-recidivism","sitecore_field_values":"{\r\n  \"Title\": \"The association between prior mental health service utilization and risk of recidivism among incarcerated Ontario residents\",\r\n  \"Short title\": \"The association between prior mental\",\r\n  \"Summary\": \"The study objective was to examine the association between prior (pre-incarceration) mental health and addiction service use and post-release recidivism and service use.\",\r\n  \"Citation\": \"<p>Lebenbaum M, Kouyoumdjian F, Huang A, Kurdyak P. <em>Can J Psychiatry<\/em>. 2022; Dec 14 [Epub ahead of print]. DOI: <a href=\"https:\/\/doi.org\/10.1177\/07067437221140385\" title=\"opens external link\">https:\/\/doi.org\/10.1177\/07067437221140385<\/a><\/p>\",\r\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; There is mixed evidence on the link between mental health and addiction (MHA) history and recidivism. Few studies have examined post-release MHA care. Our objective was to examine the association between prior (pre-incarceration) MHA service use and post-release recidivism and service use.<\/p>n<p><strong>Methods<\/strong> &mdash; We conducted a population-based cohort study linking individuals held in provincial correctional institutions in 2010 to health administrative databases. Prior MHA service use was assigned hierarchically in order of hospitalization, emergency department visit and outpatient visit. We followed up individuals post-release for up to 5 years for the first occurrence of recidivism and MHA hospitalization, emergency department visit and outpatient visit. We use Cox-proportional hazards models to examine the association between prior MHA service use and each outcome adjusting for prior correctional involvement and demographic characteristics.<\/p>n<p><strong>Results<\/strong> &mdash; Among a sample consisting of 45,890 individuals, we found that prior MHA service use was moderately associated with recidivism (hazard ratio (HR): 1.20&ndash;1.50, all <em>P<\/em> &lt; 0.001), with secondary analyses finding larger associations for addiction service use (HR range: 1.34&ndash;1.54, all <em>P<\/em> &lt; 0.001) than for mental health service use (HR range: 1.09&ndash;1.18, all <em>P<\/em> &lt; 0.001). We found high levels of post-release MHA hospitalization and low levels of outpatient MHA care relative to need even among individuals with prior MHA hospitalization.<\/p>n<p><strong>Discussion<\/strong> &mdash; Despite a high risk of recidivism and acute MHA utilization post-release, we found low access to MHA outpatient care, highlighting the necessity for greater efforts to facilitate access to care and care integration for individuals with mental health needs in correctional facilities.<\/p>\",\r\n  \"ICES Scientists\": \"{CCA7CFFF-A241-43D5-923D-B6BAA9BF1E81}|{B5C574DB-2952-4976-9299-A6F54F1757FA}\",\r\n  \"Posted Date\": \"20221214T000000\",\r\n  \"Show on Publications Landing Page\": \"1\"\r\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/December\/The-association-between-prior-mental-health-service-utilization-and-risk-of-recidivism"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | The association between prior mental health service utilization and risk of recidivism among incarcerated Ontario residents<\/title>\n<meta name=\"description\" content=\"Background \u2014 There is mixed evidence on the link between mental health and addiction (MHA) history and recidivism. 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