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The Effects of Insurance Status and Medical Need On Community-Based Health Care Access Among Jail Detainees With Serious Mental Illnesses

journal contribution
posted on 16.11.2017 by O’GRADY CL, SWARTZ JA
The present study assessed factors affecting patterns of pre-incarceration medical service access and use among jail detainees with serious mental illnesses and co-occurring substance use disorders. Multivariable logistic and negative binomial models controlling for socio-demographic and psychodiagnostic factors assessed the extent to which insurance status and medical need significantly affected having a regular health care place/provider and number of emergency and non-emergency care visits in the year prior to detention. The results indicated having insurance was associated with decreased emergency care use and increased access to routine medical care. In comparison with insurance status, medical need was a more important determinant of the frequency of both routine and emergency medical care visits. We believe the results broadly support Medicaid expansion under the Affordable Care Act, as well as its provisions for medical homes for offender populations.

History

Publisher Statement

This is the author’s version of a work that was accepted for publication in Criminal Justice and Behavior. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Criminal Justice and Behavior. 2016. 43(10): DOI: 1386-1405. 10.1177/0093854816642814.

Publisher

Sage Publications

issn

0093-8548

Issue date

01/10/2016

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