The trifecta effect: the incarcerated woman’s triple comorbidity and associations with recidivism

Abstract

Jails are the front door to the criminal justice system, serving as the initial point of contact with inmates (Raggio, Hoffmann, & Kopak, 2017). Females in jail are the fastest growing correctional population (Swavola, Riley, & Subramanian, 2016). Females experience comorbid psychopathologies and substance use disorders at a higher rate than men, and incarcerated populations experience these disorders at far greater rates than the general population (Al Rousan, Rubenstein, Sieleni, Deol, & Wallace, 2017; Fazel, Yoon, & Hayes, 2017; Logan & Blackburn, 2009; Lynch S. M., et al., 2017; Swavola, Riley, & Subramanian, 2016). This study investigates the relationship between comorbid psychopathologies and methamphetamine and opioid substance use disorders with criminal justice outcomes in a sample of females recently incarcerated in three rural jails. Diagnostic indicators were compared with official records to elucidate these relationships. It was hypothesized that multiple comorbidities and severe substance use disorder would have the strongest relationship with recidivism, but results indicate that only severe Amphetamine Use Disorder has any significant associations with recidivism. Results from this study have implications for treatment and security of females incarcerated in local jails

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