title: Connecting Mentally Ill Detainees in Large Urban Jails with Community Care.
abstract: Large urban jails have become a collection point for many persons with severe mental illness. Connections between jail and community mental health services are needed to assure in-jail care and to promote successful community living following release. This paper addresses this issue for 2855 individuals with severe mental illness who received community mental health services prior to jail detention in King County (Seattle), Washington over a 5-year time period using a unique linked administrative data source. Logistic regression was used to determine the probability that a detainee with severe mental illness received mental health services while in jail as a function of demographic and clinical characteristics. Overall, 70 % of persons with severe mental illness did receive in-jail mental health treatment. Small, but statistically significant sex and race differences were observed in who received treatment in the jail psychiatric unit or from the jail infirmary. Findings confirm the jail's central role in mental health treatment and emphasize the need for greater information sharing and collaboration with community mental health agencies to minimize jail use and to facilitate successful community reentry for detainees with severe mental illness.
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Sean K
authors.initials: SK
authors.lastname: Sayers
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. domino@unc.edu.|Department of Health Policy and Management, The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1104G McGavran-Greenberg Hall, CB#7411, 135 Dauer Dr., Chapel Hill, NC, 27599-7411, USA. domino@unc.edu.
authors.forename: Marisa E
authors.initials: ME
authors.lastname: Domino
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Gary S
authors.initials: GS
authors.lastname: Cuddeback
authors.affiliation: Office of Health Equity and Disparities, Duke Cancer Institute, Durham, NC, USA.|Duke Community Connections and Collaborations Core, Duke Center for Community and Population Health Improvement and Clinical Translational Science Award, Durham, NC, USA.|Department of Community and Family Medicine, School of Medicine, Duke University, Durham, NC, USA.
authors.forename: Nadine J
authors.initials: NJ
authors.lastname: Barrett
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.|Department of Health Policy and Management, The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1104G McGavran-Greenberg Hall, CB#7411, 135 Dauer Dr., Chapel Hill, NC, 27599-7411, USA.
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Morrissey
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D006297:Health Services Accessibility; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D028642:Persons with Psychiatric Disorders / Q000523:psychology* / Q000706:statistics & numerical data; D011329:Prisoners / Q000523:psychology* / Q000706:statistics & numerical data; D011330:Prisons / Q000458:organization & administration*; D014505:Urban Population / Q000706:statistics & numerical data*; D014861:Washington; D055815:Young Adult
keywords: Community connections; Health disparities; Jail; Mental illness