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Risk of Reincarceration Among Prisoners with Co-occurring Severe Mental Illness and Substance Use Disorders
Authors:Jacques Baillargeon  Joseph V Penn  Kevin Knight  Amy Jo Harzke  Gwen Baillargeon  Emilie A Becker
Institution:1. Department of Preventive Medicine and Community Health, University of Texas Medical Branch, 301 University Blvd, Mail Route 1007, Galveston, TX, 77555, USA
2. Correctional Managed Care, University of Texas Medical Branch, 301 University Blvd, Mail Route 1007, Galveston, TX, 77555, USA
3. Institute of Behavioral Research, Texas Christian University, Fort Worth, TX, USA
4. Mental Health & Substance Abuse Division, Department of State Health Services, Austin, TX, USA
Abstract:This study examined whether the presence of a comorbid substance use disorder increased the risk of criminal recidivism and reincarceration in prison inmates with a severe mental illness. Our analyses of more than 61,000 Texas prison inmates showed that those with a co-occurring psychiatric and substance use disorder exhibited a substantially higher risk of multiple incarcerations over a 6-year period compared to inmates with psychiatric disorders alone or substance use disorders alone. Further research is needed to identify the factors associated with criminal recidivism among released prisoners with co-occurring disorders.
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