Disparities in mental health referral and diagnosis in the New York city jail mental health service

F. Kaba, A. Solimo, Jonathan Graves (), S. Glowa-Kollisch, A. Vise, R. MacDonald, A. Waters, Z. Rosner, N. Dickey, S. Angell and H. Venters

American Journal of Public Health, 2015, vol. 105, issue 9, 1911-1916

Abstract: Objectives. To better understand jail mental health services entry, we analyzed diagnosis timing relative to solitary confinement, nature of diagnosis, age, and race/ethnicity. Methods. We analyzed 2011 to 2013 medical records on 45 189 New York City jail first-time admissions. Results. Of this cohort, 21.2% were aged 21 years or younger, 46.0% were Hispanic, 40.6% were non-Hispanic Black, 8.8% were non-Hispanic White, and 3.9% experienced solitary confinement. Overall, 14.8% received a mental health diagnosis, which was associated with longer average jail stays (120 vs 48 days), higher rates of solitary confinement (13.1% vs 3.9%), and injury (25.4% vs 7.1%). Individuals aged 21 years or younger were less likely than older individuals to receive a mental health diagnosis (odds ratio [OR] = 0.86; 95% confidence interval [CI] = 0.80, 0.93; P

Keywords: adolescent; adult; age; demography; ethnology; female; health care disparity; human; male; Mental Disorders; patient referral; prison; statistics and numerical data; United States, Adolescent; Adult; Age Factors; Demography; Female; Healthcare Disparities; Humans; Male; Mental Disorders; New York City; Prisons; Referral and Consultation (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302699_3

DOI: 10.2105/AJPH.2015.302699

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