Abstract
Purpose
High rates of psychiatric disorders in correctional facilities have fueled widespread concern about the “criminalization of mental illness.” While the link between incarceration, substance abuse, and antisocial-personality disorder is well established, the relationship between non-substance-related psychiatric disorders and incarceration has not been thoroughly investigated. This study examines the association of mental illness, excluding substance use disorders, with risk for incarceration in US adults.
Methods
Nationally representative data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) were used to compare the proportions of respondents with lifetime incarceration among those with no lifetime history of DSM-5 disorders, or with lifetime history of mental illness, substance use disorders, dual diagnosis, and antisocial personality/conduct disorder. Logistic regression analysis was used to examine the independent association of incarceration with mental illness alone, both in comparison to and net of associations with sociodemographic and behavioral characteristics.
Results
Among adults with mental illness alone, 6.7% reported past incarceration, compared to 4.8% with no history of DSM-5 disorders, and 20–40% in other DSM-5 diagnostic groups. Sociodemographic and behavioral risk factors were more strongly associated with incarceration (c-statistics = 0.74 and 0.77, respectively), than mental illness (c-statistic = 0.56). Schizophrenia or other psychoses and borderline personality disorder were independently associated with incarceration, but with effect sizes no greater than eight other sociodemographic or behavioral risk factors.
Conclusion
A weak association of mental illness alone with incarceration was found, despite high level of public attention to “criminalization of mental illness.”
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References
Kristof N (2014) Inside a mental health hospital called jail, The New York Times. Feb 10, 2014
Slate R (2013) The criminalization of mental illness: crisis and opportunity for the justice system, 2nd edn. Carolina Academic Press, Durham
Bloom JD (2007) “The incarceration revolution”: the abandonment of the seriously mentally ill to our jails and prisons. J Law Med Ethics 38(4):727–734
Lamb RH, Weinberger LE (2005) The shift of psychiatric inpatient care from hospitals to jails and prisons. J Am Acad Psychiatry Law 33(4):529–534
Teplin LA (1983) The criminalization of the mentally ill: speculation in search of data. Psychol Bull 94:54–67
Ditton P (1999) Mental health and treatment of inmates and probationers. Bureau of Justice Statistics. 174463
James DJ, Glaze LE (2006) Mental health problems of prison and jail inmates. Bureau of Justice Statistics. NCJ 213600
Moore K, Oberleitner L, Zonana H, Buchanan A, Pittman B, Verplaetse T, Angarita G, Roberts W, McKee S (2019) Psychiatric disorders and crime in the US population: results from the national epidemiologic survey on alcohol and related conditions wave III. J Clin Psychiatry 80(2):18m12317
Fazel S, Yoon IA, Hayes AJ (2017) Substance use disorders in prisoners: an updated systematic review and meta-regression analysis in recently incarcerated men and women. Addiction 112(10):1725–1739
Proctor SL (2012) Substance use disorder prevalence among female state prison inmates. Am J Drug Alcohol Abuse 38(4):278–285
Black DW, Gunter T, Loveless P, Allen J, Sieleni B (2010) Antisocial personality disorder in incarcerated offenders: psychiatric comorbidity and quality of life. Ann Clin Psychiatry 22(2):113–120
Bronson J, Stroop J (2017) Drug Use, Dependence, and Abuse Among State Prisoners and Jail Inmates, 2007–2009. Bureau of Justice Statistics. NCJ 250546
Mumola CJ, Karberg JC (2007) Drug Use and Dependence, State and Federal Prisoners. Bureau of Justice Statistics. NCJ 213530
Ramsay CE, Goulding SM, Broussard B, Cristofaro CL, Abedi GR, Compton MT (2011) Prevalence and psychosocial correlates of prior incarcerations in an urban, predominantly African American sample of hospitalized patients with first-episode psychosis. J Am Acad Psychiatry Law 39:57–64
Fovet T, Geoffroy PA, Vaiva G, Adins C, Thomas P, Amad A (2015) Individuals with bipolar disorder and their relationship with the criminal justice system: a critical review. Psychiatr Serv 66(4):348–353
Grant B, Chu A, Sigman R, Amsbary M, Kali J, Sugawara Y, Jiao R, Ren W, Goldstein R (2015) National institute on alcohol abuse and alcoholism national epidemiologic survey on alcohol and related conditions-III (NESARC-III) source and accuracy statement. NIAAA, Bethesda
Hasin DS, Greenstein E, Aivadyan C, Stohl M, Aharonovich E, Saha T, Goldstein R, Nunes E, Jung J, Grant BF (2015) The alcohol use disorder and associated disabilities interview schedule-5 (AUDADIS-5): procedural validity of substance use disorders modules through clinical re-appraisal in a general population sample. Drug Alcohol Depend 148:40–46
Galea S, Tracy M (2007) Participation rates in epidemiologic studies. Ann Epidemiol 17(9):643–653
Ware J, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34(3):220–233
Cohen S, Mermelstein R, Kamarck T, Hoberman HM (1985) Measuring the functional components of social support. In: Sarason IG, Sarason BR (eds) Social support: theory, research and applications. Springer, Netherlands, Dordrecht, pp 73–94
Harford TC, Chen CM, Kerridge BT, Grant BF (2018) Self- and Other-directed forms of violence and their relationship with lifetime DSM-5 psychiatric disorders: results from the National Epidemiologic Survey on Alcohol Related Conditions-III (NESARC-III). Psychiatry Res 262:384–392
Greenberg GA, Rosenheck RA (2012) Incarceration among male veterans: relative risk of imprisonment and differences between veteran and nonveteran inmates. Int J Offender Ther Comp Criminol 56(4):646–667
Taylor E, Timko C, Nash A, Owens MD, Harris AH, Finlay AK (2020) Posttraumatic stress disorder and justice involvement among military veterans: a systematic review and meta-analysis. J Trauma Stress 33(5):804–812
Ferguson CJ (2009) An effect size primer: a guide for clinicians and researchers. Prof Psychol Res Pract 40:532–538
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, New Jersey
Coid JW (1996) Dangerous patients with mental illness: increased risks warrant new policies, adequate resources, and approproate legislation. BMJ 312:956–966
Arseneault L, Moffitt TE, Caspi A, Taylor PJ, Silva PA (2000) Mental disorders and violence in a total birth cohort: results from the Dunedin study. Arch Gen Psychiatry 57(10):979–986
Pulay AJ, Dawson DA, Hasin DS, Goldstein RB, Ruan WJ, Pickering RP, Huang B, Chou SP, Grant B (2008) Violent behavior and DSM-IV psychiatric disorders: results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry 69(1):12–22
Kelly EL, Novaco RW, Cauffman E (2019) Anger and depression among incarcerated male youth: predictors of violent and nonviolent offending during adjustment to incarceration. J Consult Clin Psychol 87(8):693–705
Ellickson PL, Tucker JS, Klein DJ (2003) Ten year prospective study of public health problems associated with early drinking. Pediatrics 111:949–955
Schnittker J, Massoglia M, Uggen C (2012) Out and down: incarceration and psychiatric disorders. J Health Soc Behav 53(4):448–464
Miller HV, Barnes JC (2015) The association between parental incarceration and health, education, and economic outcomes in young adulthood. Am J Crim Justice 40(4):765–784
Gaston S (2016) The long-term effects of parental incarceration: does parental incarceration in childhood or adolescence predict depressive symptoms in adulthood? Crim Justice Behav 43(8):1056–1075
Gifford EJ, Kozecke LE, Golonka M, Hill SN, Costello J, Shanahan L, Copeland WE (2019) Association of parental incarceration with psychiatric and functional outcomes of young adults. JAMA Netw Open 2(8):e1910005
Roettger ME, Swisher RR (2011) Associations of fathers’ history of incarceration with sons’ delinquency and arrest among black, white, and Hispanic males in the United States. Criminology 49(4):1109–1147
Fazel S, Baillargeon J (2011) The health of prisoners. Lancet 377:956–965
Barnert ES, Abrams LS, Tesema L, Dudovitz R, Nelson BB, Coker T, Bath E, Biely C, Li N, Chung PJ (2018) Child incarceration and long-term adult health outcomes: a longitudinal study. Int J Prison Health 14(1):26–33
Piper A, Berle D (2019) The association between trauma experienced during incarceration and PTSD outcomes: a systematic review and meta-analysis. J Forensic Psychiatry Psychol 30:854–875
Dudeck M, Drenkhahn K, Spitzer K, Barnow S (2011) Traumatization and mental distress in long-term prisoners in Europe. Punishm Soc 13(4):403–423
Baillargeon J, Penn J, Knight K, Harzke A, Baillargeon G, Becker EA (2010) Risk of reincarceration among prisoners with co-occurring severe mental illness and substance use disorders. Adm Policy Ment Health 37:367–374
Binswanger IA, Stern MF, Deyo RA, Heagerty PJ, Cheadle A, Elmore J, Koepsell TD (2007) Release from prison: a high risk of death for former inmates. N Engl J Med 356:157–165
Hodgins S (2008) Violent behaviour among people with schizophrenia: a framework for investigations of causes, and effective treatment, and prevention. Philos Trans R Soc Lond B Biol Sci 363:2505–2518
Skjaervo I, Skurtveit S, Clausen T, Bukten A (2017) Substance use pattern, self-control and social network are associated with crime in a substance-using population. Drug Alcohol Rev 36(2):245–252
Tsai J, Rosenheck RA, Kasprow WJ, McGuire JF (2013) Risk of incarceration and clinical characteristics of incarcerated veterans by race/ethnicity. Soc Psychiatry Psychiatr Epidemiol 48(11):1777–1786
Hawthorne W, Folsom D, Sommerfeld D, Lanouette N, Lewis M, Aarons G, Conklin R, Solorzano E, Lindamer L, Jeste D (2012) Incarceration among adults who are in public mental health system: rates, risk factors, and sort-term outcomes. Psychiatr Serv 63(1):26–32
Robertson AG, Swanson JW, Frisman LK, Lin H, Swartz MS (2014) Patterns of justice involvement among adults with schizophrenia and bipolar disorder: key risk factors. Psychiatr Serv 65(7):931–938
Kemp DE, Hirschfeld RM, Ganocy SJ, Elhaj O, Slembarski R, Bilali S, Conroy C, Pontau J, Findling RL, Calabrese JR (2008) Screening for bipolar disorder in a county jail at the time of criminal arrest. J Psychiatr Res 9:778–786
Kraus G, Reynolds DJ (2001) The “ABC’s” of the cluster B’s: identifying, understanding, and treating cluster B personality disorders. Clin Psychol Rev 21(3):345–373
Black DW, Gunter T, Allen J, Blum N, Arndt S, Wenman G, Sieleni B (2007) Borderline personality disorder in male and female offenders newly committed to prison. Compr Psychiatry 48:400–405
Carliner H, Brown QL, Sarvet AL, Hasin DS (2017) Cannabis use, attitudes, and legal status in the U.S.: a review. Prev Med 104:13–23
Torrey EF, Ezekiel J, Stieber J (1992) Criminalizing the seriously mentally ill: the abuse of jails and mental hospitals. Public Citizen’s Health Research Group, Washington, DC
Barry CL, McGinty EE, Pescosolido BA, Goldman HH (2014) Stigma, discrimination, treatment effectiveness, and policy: public views about drug addiction and mental illness. Psychiatr Serv 65(10):1269–1272
Ahern J, Stuber J, Galea S (2007) Stigma, discrimination and the health of illicit drug users. Drug Alcohol Depend 88:188–196
Hall KT, Appelbaum PS (2002) The origins of commitment for substance abuse in the United States. J Am Acad Psychiatry Law 30(1):33–45
Peterson JK, Skeem J, Kennealy P, Bray B, Zvonkovic A (2014) How often and how consistently do symptoms directly precede criminal behavior among offenders with mental illness? Law Hum Behav 38:439–449
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Nakic, M., Stefanovics, E.A., Rhee, T.G. et al. Lifetime risk and correlates of incarceration in a nationally representative sample of U.S. adults with non-substance-related mental illness. Soc Psychiatry Psychiatr Epidemiol 57, 1839–1847 (2022). https://doi.org/10.1007/s00127-021-02158-x
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DOI: https://doi.org/10.1007/s00127-021-02158-x