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

Author

Listed:
  • Kaba, F.
  • Solimo, A.
  • Graves, J.
  • Glowa-Kollisch, S.
  • Vise, A.
  • MacDonald, R.
  • Waters, A.
  • Rosner, Z.
  • Dickey, N.
  • Angell, S.
  • Venters, H.

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

Suggested Citation

  • Kaba, F. & Solimo, A. & Graves, J. & Glowa-Kollisch, S. & Vise, A. & MacDonald, R. & Waters, A. & Rosner, Z. & Dickey, N. & Angell, S. & Venters, H., 2015. "Disparities in mental health referral and diagnosis in the New York city jail mental health service," American Journal of Public Health, American Public Health Association, vol. 105(9), pages 1911-1916.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302699_3
    DOI: 10.2105/AJPH.2015.302699
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    Cited by:

    1. Robert T Trotter & Monica R Lininger & Ricky Camplain & Viacheslav Y Fofanov & Carolyn Camplain & Julie A Baldwin, 2018. "A Survey of Health Disparities, Social Determinants of Health, and Converging Morbidities in a County Jail: A Cultural-Ecological Assessment of Health Conditions in Jail Populations," IJERPH, MDPI, vol. 15(11), pages 1-16, November.

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