Mental Health and Substance Abuse Service Engagement by Men and Women During Community Reentry Following Incarceration

Author(s):  
Audrey L. Begun ◽  
Theresa J. Early ◽  
Ashleigh Hodge
2011 ◽  
Vol 198 (1) ◽  
pp. 24-30 ◽  
Author(s):  
Sheree J. Gibb ◽  
David M. Fergusson ◽  
L. John Horwood

BackgroundMarriage is known to be associated with improved mental health, but little research has examined whether the duration of a cohabiting relationship is associated with mental health.AimsTo examine the associations between relationship duration and mental health problems in a birth cohort of 30-year-olds.MethodAssociations between relationship duration and mental health were examined using a generalised estimating equation approach. Associations were adjusted for covariates, including prior mental health problems.ResultsLonger relationship duration was significantly associated with lower rates of depression, suicidal behaviour and substance abuse/dependence, even after adjustment for covariates. In most cases the associations did not vary with gender. Legal relationship status (legally or de facto married) was not significantly related to mental health once due allowance was made for relationship duration.ConclusionsIncreasing relationship duration, but not legal relationship status, has a protective effect on mental health for men and women.


2005 ◽  
Vol 35 (3) ◽  
pp. 575-591 ◽  
Author(s):  
Carol S. North ◽  
David E. Pollio ◽  
Brian Perron ◽  
Karin M. Eyrich ◽  
Edward L. Spitznagel

This study aims to advance understanding of service provision to the homeless population through investigation of the effects of organizational characteristics. A longitudinal study of homelessness obtained structured psychiatric interview data from 400 participants and these individuals' service use and organizational data from 23 organizations over the next 12 months. Substance abuse service use was associated with organizational funding diversity, professionalism, and focus of services on substance abuse service provision. Other mental health service use was associated with small organizational size, professionalism, and simplicity of organizational funding diversity. Shelter service use was associated with complexity of services and small organizational size and inversely related to professionalism of staff. Results suggest relevance of organizational characteristics to understanding service access and use, controlling for individual need factors. Only by examining interactions among individual and organizational characteristics across sectors of care can the complexity of service provision to this multifaceted population be approached.


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