Chronic Psychotic Disorders and Correctional Involvement: A Population-Based Matched Case-Control Study in Ontario, Canada
Objective Individuals with chronic psychotic disorders are overrepresented in correctional facilities, but little is known about factors that increase the risk of correctional involvement. The objective of this study was to compare individuals with chronic psychotic disorders who were released from...
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| Veröffentlicht in: | Canadian journal of psychiatry 2024-03, Vol.69 (3), p.196-206 |
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| container_title | Canadian journal of psychiatry |
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| creator | Vijh, Ruchi Kouyoumdjian, Fiona G. Iwajomo, Tomisin Simpson, Alexander I. F. Jones, Roland Oliveira, Claire de Kurdyak, Paul |
| description | Objective
Individuals with chronic psychotic disorders are overrepresented in correctional facilities, but little is known about factors that increase the risk of correctional involvement. The objective of this study was to compare individuals with chronic psychotic disorders who were released from correctional facilities in Ontario to individuals with chronic psychotic disorders but no correctional involvement on sociodemographic, clinical, and prior mental health-related health service utilization characteristics.
Method
All individuals with chronic psychotic disorders who were released from a provincial correctional facility in Ontario in 2010 were matched (1:2) by age and sex to Ontario residents with chronic psychotic disorders and no correctional involvement. Covariates included sociodemographic (rural residence, marginalization such as residential instability quintile, material deprivation quintile, dependency quintile, and ethnic concentration quintile) and clinical (duration of chronic psychotic disorder and comorbidities) characteristics, and mental health-related health service utilization characteristics (primary care physician, psychiatrist and emergency department visits, and hospitalizations) 1 and 3 years prior to correctional involvement. The association between correctional involvement and prior health service utilization was measured by estimating incidence rate ratios using Poisson and negative-binomial regressions.
Results
Individuals with correctional involvement (N = 3,197) lived in neighbourhoods with higher material deprivation and residential instability, and had a shorter duration of illness, and more psychosocial comorbidities (e.g., behavioural issues and depression) than individuals without correctional involvement (N = 6,393). Adjusting for sociodemographic and clinical variables, individuals with correctional involvement had a higher rate of mental health-related primary care physician visits, emergency department visits, and hospitalizations but a lower rate of psychiatrist visits prior to correctional involvement, compared to individuals without correctional involvement.
Conclusions
Despite higher mental health-related comorbidities and higher rates of accessing acute mental health services among individuals with chronic psychotic disorders and correctional involvement, visits to psychiatrists prior to involvement were low. |
| doi_str_mv | 10.1177/07067437231189468 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10874599</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_07067437231189468</sage_id><sourcerecordid>2854433548</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-ff2662a1450f414a6289f53fb4c6bf2fadf802d6b7973a93a8498435081307433</originalsourceid><addsrcrecordid>eNp1kU1vEzEQhi0EoqHwA7ggS1w4sMWfa5sLKstXpaJWAs7WxGs3W23s1N6NFH49jlLKl_BlbL3PvDPjQegpJSeUKvWKKNIqwRXjlGojWn0PLagwqiGEyvtosdebPXCEHpVyTephTD9ER1xJQlvSLtD3bpVTHBy-LDu3SlO9vRtKyr3PBUPscZdy9m4aUoQRn8VtGrd-7eP0Gp_iy7SZR9hrzVsovsefYXKrGrv6aroUp5xG_GWa-x0eIr6IE-QhvaxyhB4eowcBxuKf3MZj9O3D-6_dp-b84uNZd3reOEHN1ITA2pYBFZIEQQW0TJsgeVgK1y4DC9AHTVjfLpVRHAwHLYwWXBJNOanD82P05uC7mZdr37vafIbRbvKwhryzCQb7pxKHlb1KW0uJVkIaUx1e3DrkdDP7Mtn1UJwfR4g-zcUyLUUtJIWu6PO_0Os05_p3lTKstqilZJWiB8rlVEr24a4bSux-tfaf1dacZ7-PcZfxc5cVODkABa78r7L_d_wB1Fyr1Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2927978552</pqid></control><display><type>article</type><title>Chronic Psychotic Disorders and Correctional Involvement: A Population-Based Matched Case-Control Study in Ontario, Canada</title><source>Access via SAGE</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Vijh, Ruchi ; Kouyoumdjian, Fiona G. ; Iwajomo, Tomisin ; Simpson, Alexander I. F. ; Jones, Roland ; Oliveira, Claire de ; Kurdyak, Paul</creator><creatorcontrib>Vijh, Ruchi ; Kouyoumdjian, Fiona G. ; Iwajomo, Tomisin ; Simpson, Alexander I. F. ; Jones, Roland ; Oliveira, Claire de ; Kurdyak, Paul</creatorcontrib><description>Objective
Individuals with chronic psychotic disorders are overrepresented in correctional facilities, but little is known about factors that increase the risk of correctional involvement. The objective of this study was to compare individuals with chronic psychotic disorders who were released from correctional facilities in Ontario to individuals with chronic psychotic disorders but no correctional involvement on sociodemographic, clinical, and prior mental health-related health service utilization characteristics.
Method
All individuals with chronic psychotic disorders who were released from a provincial correctional facility in Ontario in 2010 were matched (1:2) by age and sex to Ontario residents with chronic psychotic disorders and no correctional involvement. Covariates included sociodemographic (rural residence, marginalization such as residential instability quintile, material deprivation quintile, dependency quintile, and ethnic concentration quintile) and clinical (duration of chronic psychotic disorder and comorbidities) characteristics, and mental health-related health service utilization characteristics (primary care physician, psychiatrist and emergency department visits, and hospitalizations) 1 and 3 years prior to correctional involvement. The association between correctional involvement and prior health service utilization was measured by estimating incidence rate ratios using Poisson and negative-binomial regressions.
Results
Individuals with correctional involvement (N = 3,197) lived in neighbourhoods with higher material deprivation and residential instability, and had a shorter duration of illness, and more psychosocial comorbidities (e.g., behavioural issues and depression) than individuals without correctional involvement (N = 6,393). Adjusting for sociodemographic and clinical variables, individuals with correctional involvement had a higher rate of mental health-related primary care physician visits, emergency department visits, and hospitalizations but a lower rate of psychiatrist visits prior to correctional involvement, compared to individuals without correctional involvement.
Conclusions
Despite higher mental health-related comorbidities and higher rates of accessing acute mental health services among individuals with chronic psychotic disorders and correctional involvement, visits to psychiatrists prior to involvement were low.</description><identifier>ISSN: 0706-7437</identifier><identifier>ISSN: 1497-0015</identifier><identifier>EISSN: 1497-0015</identifier><identifier>DOI: 10.1177/07067437231189468</identifier><identifier>PMID: 37501606</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Case-Control Studies ; Chronic Disease ; Correctional institutions ; Emergency medical care ; Emergency Service, Hospital ; Health services ; Humans ; Mental Health ; Ontario - epidemiology ; Patient Acceptance of Health Care ; Primary care ; Psychiatrists ; Psychosis ; Psychotic Disorders - epidemiology ; Psychotic Disorders - therapy ; Regular ; Sociodemographics</subject><ispartof>Canadian journal of psychiatry, 2024-03, Vol.69 (3), p.196-206</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023 2023 Canadian Psychiatric Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c419t-ff2662a1450f414a6289f53fb4c6bf2fadf802d6b7973a93a8498435081307433</cites><orcidid>0000-0002-4593-1883 ; 0000-0002-6869-7516 ; 0000-0002-3335-4871 ; 0000-0003-0478-2583 ; 0000-0001-8115-7437 ; 0000-0003-1616-5267</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874599/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874599/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,21819,27924,27925,43621,43622,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37501606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vijh, Ruchi</creatorcontrib><creatorcontrib>Kouyoumdjian, Fiona G.</creatorcontrib><creatorcontrib>Iwajomo, Tomisin</creatorcontrib><creatorcontrib>Simpson, Alexander I. F.</creatorcontrib><creatorcontrib>Jones, Roland</creatorcontrib><creatorcontrib>Oliveira, Claire de</creatorcontrib><creatorcontrib>Kurdyak, Paul</creatorcontrib><title>Chronic Psychotic Disorders and Correctional Involvement: A Population-Based Matched Case-Control Study in Ontario, Canada</title><title>Canadian journal of psychiatry</title><addtitle>The Canadian Journal of Psychiatry</addtitle><description>Objective
Individuals with chronic psychotic disorders are overrepresented in correctional facilities, but little is known about factors that increase the risk of correctional involvement. The objective of this study was to compare individuals with chronic psychotic disorders who were released from correctional facilities in Ontario to individuals with chronic psychotic disorders but no correctional involvement on sociodemographic, clinical, and prior mental health-related health service utilization characteristics.
Method
All individuals with chronic psychotic disorders who were released from a provincial correctional facility in Ontario in 2010 were matched (1:2) by age and sex to Ontario residents with chronic psychotic disorders and no correctional involvement. Covariates included sociodemographic (rural residence, marginalization such as residential instability quintile, material deprivation quintile, dependency quintile, and ethnic concentration quintile) and clinical (duration of chronic psychotic disorder and comorbidities) characteristics, and mental health-related health service utilization characteristics (primary care physician, psychiatrist and emergency department visits, and hospitalizations) 1 and 3 years prior to correctional involvement. The association between correctional involvement and prior health service utilization was measured by estimating incidence rate ratios using Poisson and negative-binomial regressions.
Results
Individuals with correctional involvement (N = 3,197) lived in neighbourhoods with higher material deprivation and residential instability, and had a shorter duration of illness, and more psychosocial comorbidities (e.g., behavioural issues and depression) than individuals without correctional involvement (N = 6,393). Adjusting for sociodemographic and clinical variables, individuals with correctional involvement had a higher rate of mental health-related primary care physician visits, emergency department visits, and hospitalizations but a lower rate of psychiatrist visits prior to correctional involvement, compared to individuals without correctional involvement.
Conclusions
Despite higher mental health-related comorbidities and higher rates of accessing acute mental health services among individuals with chronic psychotic disorders and correctional involvement, visits to psychiatrists prior to involvement were low.</description><subject>Case-Control Studies</subject><subject>Chronic Disease</subject><subject>Correctional institutions</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital</subject><subject>Health services</subject><subject>Humans</subject><subject>Mental Health</subject><subject>Ontario - epidemiology</subject><subject>Patient Acceptance of Health Care</subject><subject>Primary care</subject><subject>Psychiatrists</subject><subject>Psychosis</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic Disorders - therapy</subject><subject>Regular</subject><subject>Sociodemographics</subject><issn>0706-7437</issn><issn>1497-0015</issn><issn>1497-0015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1vEzEQhi0EoqHwA7ggS1w4sMWfa5sLKstXpaJWAs7WxGs3W23s1N6NFH49jlLKl_BlbL3PvDPjQegpJSeUKvWKKNIqwRXjlGojWn0PLagwqiGEyvtosdebPXCEHpVyTephTD9ER1xJQlvSLtD3bpVTHBy-LDu3SlO9vRtKyr3PBUPscZdy9m4aUoQRn8VtGrd-7eP0Gp_iy7SZR9hrzVsovsefYXKrGrv6aroUp5xG_GWa-x0eIr6IE-QhvaxyhB4eowcBxuKf3MZj9O3D-6_dp-b84uNZd3reOEHN1ITA2pYBFZIEQQW0TJsgeVgK1y4DC9AHTVjfLpVRHAwHLYwWXBJNOanD82P05uC7mZdr37vafIbRbvKwhryzCQb7pxKHlb1KW0uJVkIaUx1e3DrkdDP7Mtn1UJwfR4g-zcUyLUUtJIWu6PO_0Os05_p3lTKstqilZJWiB8rlVEr24a4bSux-tfaf1dacZ7-PcZfxc5cVODkABa78r7L_d_wB1Fyr1Q</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Vijh, Ruchi</creator><creator>Kouyoumdjian, Fiona G.</creator><creator>Iwajomo, Tomisin</creator><creator>Simpson, Alexander I. F.</creator><creator>Jones, Roland</creator><creator>Oliveira, Claire de</creator><creator>Kurdyak, Paul</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4593-1883</orcidid><orcidid>https://orcid.org/0000-0002-6869-7516</orcidid><orcidid>https://orcid.org/0000-0002-3335-4871</orcidid><orcidid>https://orcid.org/0000-0003-0478-2583</orcidid><orcidid>https://orcid.org/0000-0001-8115-7437</orcidid><orcidid>https://orcid.org/0000-0003-1616-5267</orcidid></search><sort><creationdate>20240301</creationdate><title>Chronic Psychotic Disorders and Correctional Involvement: A Population-Based Matched Case-Control Study in Ontario, Canada</title><author>Vijh, Ruchi ; Kouyoumdjian, Fiona G. ; Iwajomo, Tomisin ; Simpson, Alexander I. F. ; Jones, Roland ; Oliveira, Claire de ; Kurdyak, Paul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-ff2662a1450f414a6289f53fb4c6bf2fadf802d6b7973a93a8498435081307433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case-Control Studies</topic><topic>Chronic Disease</topic><topic>Correctional institutions</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital</topic><topic>Health services</topic><topic>Humans</topic><topic>Mental Health</topic><topic>Ontario - epidemiology</topic><topic>Patient Acceptance of Health Care</topic><topic>Primary care</topic><topic>Psychiatrists</topic><topic>Psychosis</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Psychotic Disorders - therapy</topic><topic>Regular</topic><topic>Sociodemographics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vijh, Ruchi</creatorcontrib><creatorcontrib>Kouyoumdjian, Fiona G.</creatorcontrib><creatorcontrib>Iwajomo, Tomisin</creatorcontrib><creatorcontrib>Simpson, Alexander I. F.</creatorcontrib><creatorcontrib>Jones, Roland</creatorcontrib><creatorcontrib>Oliveira, Claire de</creatorcontrib><creatorcontrib>Kurdyak, Paul</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vijh, Ruchi</au><au>Kouyoumdjian, Fiona G.</au><au>Iwajomo, Tomisin</au><au>Simpson, Alexander I. F.</au><au>Jones, Roland</au><au>Oliveira, Claire de</au><au>Kurdyak, Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Psychotic Disorders and Correctional Involvement: A Population-Based Matched Case-Control Study in Ontario, Canada</atitle><jtitle>Canadian journal of psychiatry</jtitle><addtitle>The Canadian Journal of Psychiatry</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>69</volume><issue>3</issue><spage>196</spage><epage>206</epage><pages>196-206</pages><issn>0706-7437</issn><issn>1497-0015</issn><eissn>1497-0015</eissn><abstract>Objective
Individuals with chronic psychotic disorders are overrepresented in correctional facilities, but little is known about factors that increase the risk of correctional involvement. The objective of this study was to compare individuals with chronic psychotic disorders who were released from correctional facilities in Ontario to individuals with chronic psychotic disorders but no correctional involvement on sociodemographic, clinical, and prior mental health-related health service utilization characteristics.
Method
All individuals with chronic psychotic disorders who were released from a provincial correctional facility in Ontario in 2010 were matched (1:2) by age and sex to Ontario residents with chronic psychotic disorders and no correctional involvement. Covariates included sociodemographic (rural residence, marginalization such as residential instability quintile, material deprivation quintile, dependency quintile, and ethnic concentration quintile) and clinical (duration of chronic psychotic disorder and comorbidities) characteristics, and mental health-related health service utilization characteristics (primary care physician, psychiatrist and emergency department visits, and hospitalizations) 1 and 3 years prior to correctional involvement. The association between correctional involvement and prior health service utilization was measured by estimating incidence rate ratios using Poisson and negative-binomial regressions.
Results
Individuals with correctional involvement (N = 3,197) lived in neighbourhoods with higher material deprivation and residential instability, and had a shorter duration of illness, and more psychosocial comorbidities (e.g., behavioural issues and depression) than individuals without correctional involvement (N = 6,393). Adjusting for sociodemographic and clinical variables, individuals with correctional involvement had a higher rate of mental health-related primary care physician visits, emergency department visits, and hospitalizations but a lower rate of psychiatrist visits prior to correctional involvement, compared to individuals without correctional involvement.
Conclusions
Despite higher mental health-related comorbidities and higher rates of accessing acute mental health services among individuals with chronic psychotic disorders and correctional involvement, visits to psychiatrists prior to involvement were low.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>37501606</pmid><doi>10.1177/07067437231189468</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-4593-1883</orcidid><orcidid>https://orcid.org/0000-0002-6869-7516</orcidid><orcidid>https://orcid.org/0000-0002-3335-4871</orcidid><orcidid>https://orcid.org/0000-0003-0478-2583</orcidid><orcidid>https://orcid.org/0000-0001-8115-7437</orcidid><orcidid>https://orcid.org/0000-0003-1616-5267</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Access via SAGE; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Case-Control Studies Chronic Disease Correctional institutions Emergency medical care Emergency Service, Hospital Health services Humans Mental Health Ontario - epidemiology Patient Acceptance of Health Care Primary care Psychiatrists Psychosis Psychotic Disorders - epidemiology Psychotic Disorders - therapy Regular Sociodemographics |
| title | Chronic Psychotic Disorders and Correctional Involvement: A Population-Based Matched Case-Control Study in Ontario, Canada |
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