U.S. flag

An official website of the United States government, Department of Justice.

NCJRS Virtual Library

The Virtual Library houses over 235,000 criminal justice resources, including all known OJP works.
Click here to search the NCJRS Virtual Library

Effects of Insurance Status and Medical Need on Community-Based Health Care Access among Jail Detainees With Serious Mental Illnesses

NCJ Number
Criminal Justice and Behavior Dated: May 2016
Caitlin L. O'Grady; James A. Swartz
Date Published
May 2016
0 pages
This 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.
Findings indicate that 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. Researchers conclude that the results broadly support Medicaid expansion under the Affordable Care Act, as well as its provisions for medical homes for offender populations. 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. 46 references (Publisher abstract modified)