Poor health and social outcomes for ex-prisoners with a history of mental disorder: A longitudinal study

Cutcher, Zoe, Degenhardt, Louisa, Alati, Rosa and Kinner, Stuart A. (2014) Poor health and social outcomes for ex-prisoners with a history of mental disorder: A longitudinal study. Australian and New Zealand Journal of Public Health, 38 5: 424-429. doi:10.1111/1753-6405.12207


Author Cutcher, Zoe
Degenhardt, Louisa
Alati, Rosa
Kinner, Stuart A.
Title Poor health and social outcomes for ex-prisoners with a history of mental disorder: A longitudinal study
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
1753-6405
Publication date 2014-10-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/1753-6405.12207
Volume 38
Issue 5
Start page 424
End page 429
Total pages 6
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2015
Language eng
Formatted abstract
Objective: To examine the association between self-reported lifetime diagnosis of mental disorder and health-related outcomes in prisoners during the first six months after release.

Methods: We interviewed 1,324 adult prisoners in Queensland, Australia, within six weeks of expected release and one, three and six months post-release. Outcomes of interest included health service access, housing, employment, substance use and criminal activity. We used multivariate logistic regression to investigate the association between self-reported, lifetime diagnosis of mental disorder and these health-related outcomes post-release, adjusting for pre-existing disadvantage.

Results: 43.4% of participants reported a lifetime diagnosis of mental disorder. This group had increased crude odds of poor outcomes across all evaluated domains. After adjusting for pre-existing disadvantage, significantly increased odds of poor outcomes persisted in the substance use, mental health, crime and health service access domains.

Conclusions: People with a history of mental disorder experience particularly poor outcomes following release from prison that are not fully explained by pre-existing disadvantage.

Implications: Evidence-based transitional programs for prisoners with a history of mental disorder should be provided at a level commensurate with need.
Keyword Longitudinal studies
Mental disorders
Outcomes research
Post release
Prisoners
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
 
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