Race/ethnic disparities in the utilization of treatment for drug dependent inmates in U.S. State correctional facilities

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Research has documented racial and ethnic disparities in utilization, access, continuity, and quality of care for psychiatric disorders including treatment for substance use disorders among those with similar need in the general community. Currently, the extent of racial and ethnic disparities in treatment within U.S. correctional facilities is unknown. Methods: This study examines race/ethnic disparities in treatment for drug dependent inmates using the 2004 Survey of Inmates in State Correctional Facilities. Fixed effects logistic regression is used to analyze treatment outcomes for 5180 inmates housed within 286 prisons. The analysis accounts for differences in background characteristics (i.e., age, gender, marital status, foreign born status, veteran status), socioeconomic characteristics (i.e., education, employment prior to incarceration), mental health (i.e., diagnosis with a serious mental illness), and incarceration experiences (i.e., current conviction, previous incarceration episodes, time served, additional sentencing requirements, external social support, disciplinary violations). Results: The findings identify a remarkable unmet need among drug dependent inmates in that less than one-half of drug dependent inmates had received any type of treatment in prison at the time of the interview with the most common treatment type being self-help groups. Compared to whites, drug dependent Latino inmates have significantly lower odds of utilizing treatment, yet there are no significant black--white disparities found. Conclusion: The current study suggests that treatment for drug dependent inmates needs to be expanded to include clinically or medically based treatment since the failure to address addictions in the criminal legal system has been identified as the single most significant reason for rearrest and recidivism once released.

Original languageEnglish (US)
Pages (from-to)148-153
Number of pages6
JournalAddictive Behaviors
Volume40
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Drug Utilization
Prisons
Pharmaceutical Preparations
Therapeutics
Logistics
Continuity of Patient Care
Quality of Health Care
Self-Help Groups
Marital Status
Veterans
Education
Health
Treatment Failure
Hispanic Americans
Social Class
Social Support
Substance-Related Disorders
Psychiatry
Mental Health
Logistic Models

Keywords

  • Drug dependence
  • Prison
  • Prisoners
  • Race disparities
  • Treatment

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

@article{63df6b31e6a044cd9b4dc58d5f838a62,
title = "Race/ethnic disparities in the utilization of treatment for drug dependent inmates in U.S. State correctional facilities",
abstract = "Background: Research has documented racial and ethnic disparities in utilization, access, continuity, and quality of care for psychiatric disorders including treatment for substance use disorders among those with similar need in the general community. Currently, the extent of racial and ethnic disparities in treatment within U.S. correctional facilities is unknown. Methods: This study examines race/ethnic disparities in treatment for drug dependent inmates using the 2004 Survey of Inmates in State Correctional Facilities. Fixed effects logistic regression is used to analyze treatment outcomes for 5180 inmates housed within 286 prisons. The analysis accounts for differences in background characteristics (i.e., age, gender, marital status, foreign born status, veteran status), socioeconomic characteristics (i.e., education, employment prior to incarceration), mental health (i.e., diagnosis with a serious mental illness), and incarceration experiences (i.e., current conviction, previous incarceration episodes, time served, additional sentencing requirements, external social support, disciplinary violations). Results: The findings identify a remarkable unmet need among drug dependent inmates in that less than one-half of drug dependent inmates had received any type of treatment in prison at the time of the interview with the most common treatment type being self-help groups. Compared to whites, drug dependent Latino inmates have significantly lower odds of utilizing treatment, yet there are no significant black--white disparities found. Conclusion: The current study suggests that treatment for drug dependent inmates needs to be expanded to include clinically or medically based treatment since the failure to address addictions in the criminal legal system has been identified as the single most significant reason for rearrest and recidivism once released.",
keywords = "Drug dependence, Prison, Prisoners, Race disparities, Treatment",
author = "Kathryn Nowotny",
year = "2015",
month = "1",
day = "1",
doi = "10.1016/j.addbeh.2014.09.005",
language = "English (US)",
volume = "40",
pages = "148--153",
journal = "Addictive Behaviors",
issn = "0306-4603",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Race/ethnic disparities in the utilization of treatment for drug dependent inmates in U.S. State correctional facilities

AU - Nowotny, Kathryn

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background: Research has documented racial and ethnic disparities in utilization, access, continuity, and quality of care for psychiatric disorders including treatment for substance use disorders among those with similar need in the general community. Currently, the extent of racial and ethnic disparities in treatment within U.S. correctional facilities is unknown. Methods: This study examines race/ethnic disparities in treatment for drug dependent inmates using the 2004 Survey of Inmates in State Correctional Facilities. Fixed effects logistic regression is used to analyze treatment outcomes for 5180 inmates housed within 286 prisons. The analysis accounts for differences in background characteristics (i.e., age, gender, marital status, foreign born status, veteran status), socioeconomic characteristics (i.e., education, employment prior to incarceration), mental health (i.e., diagnosis with a serious mental illness), and incarceration experiences (i.e., current conviction, previous incarceration episodes, time served, additional sentencing requirements, external social support, disciplinary violations). Results: The findings identify a remarkable unmet need among drug dependent inmates in that less than one-half of drug dependent inmates had received any type of treatment in prison at the time of the interview with the most common treatment type being self-help groups. Compared to whites, drug dependent Latino inmates have significantly lower odds of utilizing treatment, yet there are no significant black--white disparities found. Conclusion: The current study suggests that treatment for drug dependent inmates needs to be expanded to include clinically or medically based treatment since the failure to address addictions in the criminal legal system has been identified as the single most significant reason for rearrest and recidivism once released.

AB - Background: Research has documented racial and ethnic disparities in utilization, access, continuity, and quality of care for psychiatric disorders including treatment for substance use disorders among those with similar need in the general community. Currently, the extent of racial and ethnic disparities in treatment within U.S. correctional facilities is unknown. Methods: This study examines race/ethnic disparities in treatment for drug dependent inmates using the 2004 Survey of Inmates in State Correctional Facilities. Fixed effects logistic regression is used to analyze treatment outcomes for 5180 inmates housed within 286 prisons. The analysis accounts for differences in background characteristics (i.e., age, gender, marital status, foreign born status, veteran status), socioeconomic characteristics (i.e., education, employment prior to incarceration), mental health (i.e., diagnosis with a serious mental illness), and incarceration experiences (i.e., current conviction, previous incarceration episodes, time served, additional sentencing requirements, external social support, disciplinary violations). Results: The findings identify a remarkable unmet need among drug dependent inmates in that less than one-half of drug dependent inmates had received any type of treatment in prison at the time of the interview with the most common treatment type being self-help groups. Compared to whites, drug dependent Latino inmates have significantly lower odds of utilizing treatment, yet there are no significant black--white disparities found. Conclusion: The current study suggests that treatment for drug dependent inmates needs to be expanded to include clinically or medically based treatment since the failure to address addictions in the criminal legal system has been identified as the single most significant reason for rearrest and recidivism once released.

KW - Drug dependence

KW - Prison

KW - Prisoners

KW - Race disparities

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=84907921230&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907921230&partnerID=8YFLogxK

U2 - 10.1016/j.addbeh.2014.09.005

DO - 10.1016/j.addbeh.2014.09.005

M3 - Article

C2 - 25270722

AN - SCOPUS:84907921230

VL - 40

SP - 148

EP - 153

JO - Addictive Behaviors

JF - Addictive Behaviors

SN - 0306-4603

ER -