posted on 2017-11-16, 00:00authored byO’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.
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.