title: Use of Mental Health Services by Youths and Young Adults Before and During Correctional Custody: A Population-Based Study.
abstract: The authors measured use of mental health services among young people before and during incarceration.
  
  
  
  Administrative data were used to describe mental health services received by 13,919 youths and young adults (ages 12-24) while incarcerated in Ontario, Canada, correctional centers (physician visits, April 1, 2010-March 31, 2012) and, for a subset of the population, during the five years prior to incarceration.
  
  
  
  Forty-two percent had a mental health-related visit during incarceration. Thirty-five percent had no mental health contact for five years before the beginning of the correctional episode. Forty percent of individuals with schizophrenia had a psychiatric hospitalization in the year before entering custody.
  
  
  
  For one-third of young people with a mental health visit while incarcerated, the visit was the first mental health contact in at least five years. Yet high use of psychiatric services before entering custody among individuals with schizophrenia may indicate gaps in continuity of mental health care.
authors.affiliation: Ms. Khan, Dr. Chiu, Dr. Guttmann, Mr. Jembere, and Dr. Kurdyak are with the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (e-mail: saba.khan@ices.on.ca ). Dr. Guttmann is also with the Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario. Dr. Kurdyak is also with the Centre for Addiction and Mental Health, Toronto, Ontario, where Dr. Simpson is affiliated.
authors.forename: Saba
authors.initials: S
authors.lastname: Khan
authors.affiliation: Ms. Khan, Dr. Chiu, Dr. Guttmann, Mr. Jembere, and Dr. Kurdyak are with the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (e-mail: saba.khan@ices.on.ca ). Dr. Guttmann is also with the Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario. Dr. Kurdyak is also with the Centre for Addiction and Mental Health, Toronto, Ontario, where Dr. Simpson is affiliated.
authors.forename: Maria
authors.initials: M
authors.lastname: Chiu
authors.affiliation: Ms. Khan, Dr. Chiu, Dr. Guttmann, Mr. Jembere, and Dr. Kurdyak are with the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (e-mail: saba.khan@ices.on.ca ). Dr. Guttmann is also with the Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario. Dr. Kurdyak is also with the Centre for Addiction and Mental Health, Toronto, Ontario, where Dr. Simpson is affiliated.
authors.forename: Alexander I F
authors.initials: AI
authors.lastname: Simpson
authors.affiliation: Ms. Khan, Dr. Chiu, Dr. Guttmann, Mr. Jembere, and Dr. Kurdyak are with the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (e-mail: saba.khan@ices.on.ca ). Dr. Guttmann is also with the Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario. Dr. Kurdyak is also with the Centre for Addiction and Mental Health, Toronto, Ontario, where Dr. Simpson is affiliated.
authors.forename: Astrid
authors.initials: A
authors.lastname: Guttmann
authors.affiliation: Ms. Khan, Dr. Chiu, Dr. Guttmann, Mr. Jembere, and Dr. Kurdyak are with the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (e-mail: saba.khan@ices.on.ca ). Dr. Guttmann is also with the Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario. Dr. Kurdyak is also with the Centre for Addiction and Mental Health, Toronto, Ontario, where Dr. Simpson is affiliated.
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Jembere
authors.affiliation: Ms. Khan, Dr. Chiu, Dr. Guttmann, Mr. Jembere, and Dr. Kurdyak are with the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (e-mail: saba.khan@ices.on.ca ). Dr. Guttmann is also with the Division of Paediatric Medicine, Hospital for Sick Children, Toronto, Ontario. Dr. Kurdyak is also with the Centre for Addiction and Mental Health, Toronto, Ontario, where Dr. Simpson is affiliated.
authors.forename: Paul
authors.initials: P
authors.lastname: Kurdyak
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007604:Juvenile Delinquency / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D009864:Ontario; D011329:Prisoners / Q000706:statistics & numerical data*; D012559:Schizophrenia / Q000628:therapy*; D055815:Young Adult