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.
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Funding
This research was funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA; R01 AA021732; PIs Stein and Johnson) and the Department of Veterans Affairs (VA), Health Services Research and Development Service (RCS 00-001 to Dr. Timko). The trial is registered at clinicaltrials.gov (Clinical Trials #NCT0197093). NIAAA and VA did not participate in the design, collection, analysis, or interpretation of the data, the writing of the manuscript, or the decision to submit the manuscript for publication.
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All procedures were reviewed and approved by the Institutional Review Board of Butler Hospital.
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Timko, C., Johnson, J.E., Kurth, M. et al. Health Services Use Among Jailed Women with Alcohol Use Disorders. J Behav Health Serv Res 46, 116–128 (2019). https://doi.org/10.1007/s11414-018-9634-7
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DOI: https://doi.org/10.1007/s11414-018-9634-7