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    Poor health and social outcomes for ex-prisoners with a history of mental disorder: A longitudinal study

    Access Status
    Fulltext not available
    Authors
    Cutcher, Z.
    Degenhardt, L.
    Alati, Rosa
    Kinner, S.
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Cutcher, Z. and Degenhardt, L. and Alati, R. and Kinner, S. 2014. Poor health and social outcomes for ex-prisoners with a history of mental disorder: A longitudinal study. Australian and New Zealand Journal of Public Health. 38 (5): pp. 424-429.
    Source Title
    Australian and New Zealand Journal of Public Health
    DOI
    10.1111/1753-6405.12207
    ISSN
    1326-0200
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/70913
    Collection
    • Curtin Research Publications
    Abstract

    © 2014 Public Health Association of Australia. Objective: To examine the association between self-reported lifetime diagnosis of mental disorder and health-related outcomes in prisoners during the first six months after release.Methods: We interviewed 1,324 adult prisoners in Queensland, Australia, within six weeks of expected release and one, three and six months post-release. Outcomes of interest included health service access, housing, employment, substance use and criminal activity. We used multivariate logistic regression to investigate the association between self-reported, lifetime diagnosis of mental disorder and these health-related outcomes post-release, adjusting for pre-existing disadvantage.Results: 43.4% of participants reported a lifetime diagnosis of mental disorder. This group had increased crude odds of poor outcomes across all evaluated domains. After adjusting for pre-existing disadvantage, significantly increased odds of poor outcomes persisted in the substance use, mental health, crime and health service access domains.Conclusions: People with a history of mental disorder experience particularly poor outcomes following release from prison that are not fully explained by pre-existing disadvantage. Implications: Evidence-based transitional programs for prisoners with a history of mental disorder should be provided at a level commensurate with need.

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