Mental health and other risk factors for jail incarceration among male veterans.
ABSTRACT Data derived from the 2002 Survey of Inmates in Local Jails and the 2000 National Survey of Veterans show that having mental health problems in addition to such sociodemographic characteristics as being a member of a minority group, not being married, having less education, and being younger are risk factors for incarceration among veterans, as they are for the general population. As in previous studies veterans who served during the Vietnam Era and to an even greater extent, those who served in the early years of the All Volunteer Force were at greater risk of incarceration than veterans from the most recent period of the AVF, after controlling for age and other factors.
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ABSTRACT: Veterans, particularly those who were involved in combat, experience difficulty readjusting to civilian life after deployment. Difficulties in adjustment postdeployment can contribute to involvement in the criminal justice system for some veterans. Interventions for veterans in the criminal justice system (e.g., veteran courts) are expanding as stakeholders become more aware of the risks that veterans face in corrections. The social work profession is especially suited to play a unique and critical role in veteran interventions through direct practice, advocacy, administration, and research. This article discusses the role of social work practice with veterans in corrections and the implications for the social work profession in veteran-related policy and research. This article includes an overview of the research on veterans in the criminal justice system, a discussion of one rapidly expanding intervention for veterans, and a focused discussion on the multiple roles for social workers in practice, policy, and research.04/2014; 4(1):48-62. DOI:10.1080/1936928X.2013.871617
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ABSTRACT: Despite dramatic increases in the rate of fatal accidental overdose in recent years, risk factors for this outcome remain poorly understood, particularly in clinical populations. The authors examined the association of psychiatric and substance use diagnoses with death from accidental overdose. The study followed a cohort of patients from 2000 to 2006. The cohort included all patients treated in Veterans Health Administration facilities during fiscal year 1999 who were alive at the start of fiscal year 2000 (N=3,291,891). Death by accidental overdose was determined using National Death Index records and defined as a death with underlying cause of death coded to ICD-10 codes X40-X45 (N=4,485). Diagnoses were determined by patient medical records. Adjusting for demographic and clinical characteristics, hazard ratios of death by accidental overdose associated with prior psychiatric and substance use disorder diagnoses ranged from 1.8 to 8.8. Significant associations of non-substance-related psychiatric disorders with risk of death by accidental overdose persisted after additional adjustment for substance use disorders (hazard ratios from 1.2 to 1.8). Depressive disorders and anxiety disorders other than posttraumatic stress disorder had stronger associations with risk of medication-related overdose death (hazard ratios, 3.02 and 3.07, respectively) than with risk of overdose death related to alcohol or illegal drugs (hazard ratios, 1.89 and 1.23, respectively). Among patients receiving care from the Veterans Health Administration, death from accidental overdose was found to be associated with psychiatric and substance use disorders. The study findings suggest the importance of risk assessment and overdose prevention for vulnerable clinical subpopulations.American Journal of Psychiatry 09/2011; 169(1):64-70. DOI:10.1176/appi.ajp.2011.10101476 · 13.56 Impact Factor
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ABSTRACT: The challenges of diverting veterans from the criminal justice system and into appropriate trauma informed mental health and substance abuse services at Intercept 2 of the Sequential Intercept Model (initial detention and initial first appearance court hearing) are discussed. Six challenges are considered, including identification of veterans and determining veteran status; navigating complex partnerships among stakeholders in the community and within the VA that are essential for a successful program, particularly in terms of a mutual understanding of the functions, resources, and philosophies of each in order to allow for cross-system collaboration; difficulties in defining and operationalizing jail diversion; the timing and logistics of diversion; and screening for trauma-related disorders in a sensitive and client-centered manner within the confines of the criminal justice system. A brief overview of the funding, policy, and program landscape related to diversion of veterans is related to the challenges of diversion generally, and specific to intercept 2, with examples from Florida’s SAMHSA-funded Jail Diversion Trauma Recovery initiative.Criminal Justice and Behavior 03/2012; 39:461-474. DOI:10.1177/0093854811433539 · 1.71 Impact Factor