{"id":7630,"date":"2016-12-08T00:00:00","date_gmt":"2016-12-08T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/people-with-traumatic-brain-injury-approximately-2-5-times-more-likely-to-be-incarcerated-in-canada\/"},"modified":"2023-06-14T18:19:33","modified_gmt":"2023-06-14T22:19:33","slug":"people-with-traumatic-brain-injury-approximately-2-5-times-more-likely-to-be-incarcerated-in-canada","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/people-with-traumatic-brain-injury-approximately-2-5-times-more-likely-to-be-incarcerated-in-canada\/","title":{"rendered":"People with traumatic brain injury approximately 2.5 times more likely to be incarcerated in Canada"},"content":{"rendered":"<p>People who have suffered a traumatic brain injury (TBI) are approximately 2.5 times more likely to be incarcerated in a federal correctional facility in Canada than people who have not, a new study has found.<\/p>\n<p>&#x201c;These findings contribute to emerging research suggesting TBI is an important risk factor for involvement with the criminal justice system,&#x201d; said lead author <a href=\"\/ices-scientists\/flora-matheson\/\">Dr. Flora Matheson <\/a>of the Centre for Urban Health Solutions of St. Michael&#x2019;s Hospital and an adjunct scientist at the <span class=\"bold\">Institute for Clinical Evaluative Sciences (ICES).<\/span><\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_a7e4b941c923c1cd24cc7de26955761c\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/TBIIncarceration.jpg\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t<a class=\"download-section-buttons-secondary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/TBIIncarceration.jpg\" target=\"_blank\" aria-label=\"Click to View (opens in a new tab)\">\n\t\t\tClick to View\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n<\/div>\n<p>&#x201c;This may be just the tip of the iceberg as our study focused only on people with more serious TBI,&#x201d; she said. &#x201c;We also did not include people who may have served time in provincial, rather than federal jails.&#x201d; <\/p>\n<p>The study was published online today in <i>CMAJ Open<\/i>, the open-access journal of the Canadian Medical Association Journal.<\/p>\n<p>The authors stressed that the overall risk of someone who has experienced TBI being incarcerated was still low, at less than five in 1,000, compared to less than two in 1,000 for people without a history of TBI. However, knowing that people who are incarcerated are much more likely to have experienced brain injury than the general population will help health-care providers better identify people at risk for incarceration and provide better care for people within the prison system.<\/p>\n<p>The researchers identified nearly 1.42 million adults ages 18-28 who were eligible for healthcare in Ontario on July 1, 1997, and followed them to the end of 2011. The age group was selected because of its high risk of TBI and involvement in the criminal justice system.<\/p>\n<p>Their health information, including previous TBIs, was obtained from emergency and hospital records stored at ICES, and linked to incarceration records held by the Correctional Service of Canada.<\/p>\n<p>Of the 77,519 people with a history of TBI, 402 were incarcerated during the 14- year period, a rate of 0.5 per cent. This was more than double the rate of people with no history of TBI (3,331 people out of 1,401,887, or 0.2 per cent).<\/p>\n<p>To examine the impact of the issue more clearly, Dr. Matheson and her team further broke down the numbers to look at the rate of incarceration, taking into account the number of new cases and years spent incarcerated for each group during the study period. <\/p>\n<p>The researchers found incarceration was 2.47 times higher in men who had sustained a TBI before being incarcerated in a federal correctional facility compared to men who had not.<\/p>\n<p>For women, incarceration was 2.76 times higher for those who had suffered a TBI in comparison to women who did not suffer a TBI. However, the researchers did note that the number of incarcerated women with TBI was small, 17 of 210 incarcerated women.<\/p>\n<p>Dr. Matheson, a medical sociologist, said that while her study found an association between TBI and incarceration, rather than evidence that TBIs caused people to be incarcerated, it highlighted the fact that many people are being incarcerated with a potentially serious health issue.<\/p>\n<p>A TBI usually results from a violent blow or jolt to the head or body but can also result from an object penetrating the skull. A concussion is often said to be a mild TBI.<\/p>\n<p>Mild TBI may cause temporary dysfunction of brain cells. More serious TBI can result in bruising, torn tissues, bleeding and other physical damage to the brain that can result in long-term complications or death.<\/p>\n<p>Dr. Matheson said this study was one of the largest of its kind, with 16 per cent more criminal justice events than reported previously, and was the first Canadian study to explore how TBI is associated with serious or chronic offending among people in federal custody. Another novel aspect was that the findings applied similarly to men and women, although she noted the number of women studied was small.<\/p>\n<p>This research received funding from the Social Sciences and Humanities Research Council and the Canadian Institutes of Health Research.<\/p>\n<p><b>About St. Michael&#x2019;s Hospital <\/b><\/p>\n<p>St Michael&#x2019;s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future healthcare professionals in 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the Hospital&#x2019;s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael&#x2019;s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.<\/p>\n<p><em><span style=\"color: #002060;\"><span class=\"bold\">The Institute for Clinical Evaluative Sciences (ICES)<\/span> is an independent, non-profit organization that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. For the latest ICES news, follow us on Twitter: <a href=\"http:\/\/www.twitter.com\/ICESOntario\" title=\"Opens in new window\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/span><\/em><\/p>\n<h2>FOR MORE INFORMATION, PLEASE CONTACT:<\/h2>\n<p>Leslie Shepherd, Manager, Media Strategy <br \/>\nSt. Michael&apos;s Hospital <br \/>\n416-864-6094 <br \/>\n<a href=\"mailto:shepherdl@smh.ca\">shepherdl@smh.ca<\/a> <br \/>\nInspired Care. Inspiring Science.<br \/>\n<a href=\"http:\/\/www.stmichaelshospital.com\" title=\"External link opens in new window\" target=\"_blank\" rel=\"noopener\">www.stmichaelshospital.com<\/a>&#xa0;<br \/>\nFollow us on Twitter: <a href=\"http:\/\/www.twitter.com\/stmikeshospital\" title=\"External link opens in new window\" target=\"_blank\" rel=\"noopener\">http:\/\/www.twitter.com\/stmikeshospital<\/a><\/p>\n<p>Deborah Creatura<br \/>\nMedia Advisor, ICES<br \/>\n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>\n(o) 416-480-4780 or (c) 647-406-5996<\/p>\n","protected":false},"excerpt":{"rendered":"<p>People who have suffered a traumatic brain injury (TBI) are approximately 2.5 times more likely to be incarcerated in a federal correctional facility in Canada than people who have not, a new study has found. &#x201c;These findings contribute to emerging research suggesting TBI is an important risk factor for involvement with the criminal justice system,&#x201d; [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[67,55],"class_list":["post-7630","news_release","type-news_release","status-publish","hentry","topic-implementation-science-and-knowledge-translation","topic-injuries-and-accidents"],"acf":{"infographic":[9309],"journal_article":[6469,6469],"research_report":[],"atlas":[],"research_program":[6744],"site":[6733],"ices_scientist":[1324],"announce_or_event":[],"video":[],"iitn_type":false,"iitn_title":"Traumatic brain injury is more common in prisons, study finds","iitn_short_title":"","iitn_source_link_url":"http:\/\/www.medicaldaily.com\/traumatic-brain-injury-more-common-prisons-study-finds-405987","iitn_source_link_text":"Medical Daily","sitecore_item_id":"C171BF2C-D70A-4F3D-AD4B-D53CC0DABDC4","sitecore_item_name":"People-with-traumatic-brain-injury-approximately-two-and-a-half-times-more-likely-to-be-incarcerated","sitecore_field_values":"{\n  \"Content\": \"<p>People who have suffered a traumatic brain injury (TBI) are approximately 2.5 times more likely to be incarcerated in a federal correctional facility in Canada than people who have not, a new study has found.<\/p>rn<p>&ldquo;These findings contribute to emerging research suggesting TBI is an important risk factor for involvement with the criminal justice system,&rdquo; said lead author <a href=\"~\/link.aspx?_id=018A27526E364CD89E17AC20AC4CD569&amp;_z=z\">Dr. Flora Matheson <\/a>of the Centre for Urban Health Solutions of St. Michael&rsquo;s Hospital and an adjunct scientist at the <span class=\"bold\">Institute for Clinical Evaluative Sciences (ICES).<\/span><\/p>rn<p><a href=\"~\/media\/7E6895CC6EE44634989E1D3ABF8BFB3C.ashx\" onclick=\"_gaq.push(['_trackEvent','Download','TraumaticBrainInjuryInfographicDec2016',this.href]);\" target=\"_blank\"><img width=\"350\" height=\"231\" alt=\"Canadians with traumatic brain injury more likely to be federally incarcerated\" src=\"~\/media\/751E3630D41045B6B26FCC3559AEAA67.ashx\" width=\"350\" height=\"231\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; color: #5b5656; display: block;\">Click image to enlarge<\/span><\/p>rn<p>&ldquo;This may be just the tip of the iceberg as our study focused only on people with more serious TBI,&rdquo; she said. &ldquo;We also did not include people who may have served time in provincial, rather than federal jails.&rdquo; <\/p>rn<p>The study was published online today in <i>CMAJ Open<\/i>, the open-access journal of the Canadian Medical Association Journal.<\/p>rn<p>The authors stressed that the overall risk of someone who has experienced TBI being incarcerated was still low, at less than five in 1,000, compared to less than two in 1,000 for people without a history of TBI. However, knowing that people who are incarcerated are much more likely to have experienced brain injury than the general population will help health-care providers better identify people at risk for incarceration and provide better care for people within the prison system.<\/p>rn<p>The researchers identified nearly 1.42 million adults ages 18-28 who were eligible for healthcare in Ontario on July 1, 1997, and followed them to the end of 2011. The age group was selected because of its high risk of TBI and involvement in the criminal justice system.<\/p>rn<p>Their health information, including previous TBIs, was obtained from emergency and hospital records stored at ICES, and linked to incarceration records held by the Correctional Service of Canada.<\/p>rn<p>Of the 77,519 people with a history of TBI, 402 were incarcerated during the 14- year period, a rate of 0.5 per cent. This was more than double the rate of people with no history of TBI (3,331 people out of 1,401,887, or 0.2 per cent).<\/p>rn<p>To examine the impact of the issue more clearly, Dr. Matheson and her team further broke down the numbers to look at the rate of incarceration, taking into account the number of new cases and years spent incarcerated for each group during the study period. <\/p>rn<p>The researchers found incarceration was 2.47 times higher in men who had sustained a TBI before being incarcerated in a federal correctional facility compared to men who had not.<\/p>rn<p>For women, incarceration was 2.76 times higher for those who had suffered a TBI in comparison to women who did not suffer a TBI. However, the researchers did note that the number of incarcerated women with TBI was small, 17 of 210 incarcerated women.<\/p>rn<p>Dr. Matheson, a medical sociologist, said that while her study found an association between TBI and incarceration, rather than evidence that TBIs caused people to be incarcerated, it highlighted the fact that many people are being incarcerated with a potentially serious health issue.<\/p>rn<p>A TBI usually results from a violent blow or jolt to the head or body but can also result from an object penetrating the skull. A concussion is often said to be a mild TBI.<\/p>rn<p>Mild TBI may cause temporary dysfunction of brain cells. More serious TBI can result in bruising, torn tissues, bleeding and other physical damage to the brain that can result in long-term complications or death.<\/p>rn<p>Dr. Matheson said this study was one of the largest of its kind, with 16 per cent more criminal justice events than reported previously, and was the first Canadian study to explore how TBI is associated with serious or chronic offending among people in federal custody. Another novel aspect was that the findings applied similarly to men and women, although she noted the number of women studied was small.<\/p>rn<p>This research received funding from the Social Sciences and Humanities Research Council and the Canadian Institutes of Health Research.<\/p>rn<p><b>About St. Michael&rsquo;s Hospital <\/b><\/p>rn<p>St Michael&rsquo;s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future healthcare professionals in 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the Hospital&rsquo;s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael&rsquo;s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.<\/p>rn<p><em><span style=\"color: #002060;\"><span class=\"bold\">The Institute for Clinical Evaluative Sciences (ICES)<\/span> is an independent, non-profit organization that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. For the latest ICES news, follow us on Twitter: <a href=\"http:\/\/www.twitter.com\/ICESOntario\" title=\"Opens in new window\" target=\"_blank\">@ICESOntario<\/a><\/span><\/em><\/p>rn<h2>FOR MORE INFORMATION, PLEASE CONTACT:<\/h2>rn<p>Leslie Shepherd, Manager, Media Strategy <br \/>rnSt. Michael's Hospital <br \/>rn416-864-6094 <br \/>rn<a href=\"mailto:shepherdl@smh.ca\">shepherdl@smh.ca<\/a> <br \/>rnInspired Care. Inspiring Science.<br \/>rn<a href=\"http:\/\/www.stmichaelshospital.com\" title=\"External link opens in new window\" target=\"_blank\">www.stmichaelshospital.com<\/a>&nbsp;<br \/>rnFollow us on Twitter: <a href=\"http:\/\/www.twitter.com\/stmikeshospital\" title=\"External link opens in new window\" target=\"_blank\">http:\/\/www.twitter.com\/stmikeshospital<\/a><\/p>rn<p>Deborah Creatura<br \/>rnMedia Advisor, ICES<br \/>rn<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>rn(o) 416-480-4780 or (c) 647-406-5996<\/p>\",\n  \"Title\": \"People with traumatic brain injury approximately 2.5 times more likely to be incarcerated in Canada\",\n  \"Short title\": \"People with traumatic brain injury\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" mediapath=\"\/Images\/ovoid-shape\/ovoid-2\" src=\"~\/media\/A322F4BD074D4BD9A21AA9A358DE2CFF.ashx\" alt=\"publications\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"People who have suffered a traumatic brain injury are approximately 2.5 times more likely to be incarcerated in a federal correctional facility in Canada than people who have not.\",\n  \"Location\": \"Toronto\",\n  \"In The News\": \"{0E507C45-8FB9-4BE0-BA5E-BCCCAFE617F8}\",\n  \"ICES Scientists\": \"{018A2752-6E36-4CD8-9E17-AC20AC4CD569}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"Related Products\": \"<h2>Journal article abstract<\/h2>rn<h3><a href=\"~\/link.aspx?_id=78112F64BAAF4283BD9F985F9E10D922&amp;_z=z\">Association between traumatic brain injury and incarceration: a population-based cohort study<\/a><\/h3>rn<h2>Infographic<\/h2>rn<h3><a href=\"~\/link.aspx?_id=C7B5678E0603488DB4B175FC4453731F&amp;_z=z?year=2016&amp;page=1#braininjury\">Canadians with traumatic brain injury more likely to be federally incarcerated<\/a><\/h3>\",\n  \"Posted Date\": \"20161208T120000\",\n  \"Publication Link\": \"<link id=\"{78112F64-BAAF-4283-BD9F-985F9E10D922}\" querystring=\"\" text=\"Abstract\" url=\"\/ICES\/Home\/Publications\/Journal-Articles\/2016\/January\/Association-between-traumatic-brain-injury-and-incarceration-a-population-based-cohort-study\" linktype=\"internal\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2016\/People-with-traumatic-brain-injury-approximately-two-and-a-half-times-more-likely-to-be-incarcerated"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | People with traumatic brain injury approximately 2.5 times more likely to be incarcerated in Canada<\/title>\n<meta name=\"description\" content=\"People who have suffered a traumatic brain injury (TBI) are approximately 2.5 times more likely to be incarcerated in a federal correctional facility in\" \/>\n<meta name=\"robots\" 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