RT Article
T1 An Examination of Access and Barriers to Co-Occurring Disorders Treatment in a Rural Jail
JF American journal of criminal justice
VO 50
IS 5
SP 872
OP 893
A1 Suiter, Emily
A1 Stogner, John
A1 Hedington, Shaylen
A1 Miller, J. Mitchell
A1 Miller, Bryan Lee
A2 Stogner, John
A2 Hedington, Shaylen
A2 Miller, J. Mitchell
A2 Miller, Bryan Lee
LA English
YR 2025
UL https://krimdok.uni-tuebingen.de/Record/193973567X
AB Rural jails face unique challenges in screening and providing treatment for a steadily increasing percentage of the United States population with mental health and substance use disorders. Since many of these individuals will recycle through the criminal justice system, prompt identification and connection to treatment are paramount in stopping the revolving door of incarceration for drug-driven crime. The current study reports findings from an evaluation of a rural jail-based justice mental health initiative in South Carolina utilizing 4,966 eligible arrests, with 153 of these arrests eventually leading to treatment. Analysis centers on the assessment of pathways and barriers to substance misuse and mental health treatment, with a pointed focus on early disorders screening, enabling speedy referral for recovery services and connection to treatment. In addition to flow diagrams outlining pathways to treatment, binary logistic regression examined participant characteristics disparities observed in screening, referrals, and treatment. Results indicate the most frequent route to treatment is actuarial post-arrest disorders screening, an essential first step toward treatment. Important findings include that only 38.4% of referrals result in treatment participation, having an arrest history meaningfully increased the likelihood of an in-jail screening, and referred justice-involved males were far less likely to enroll in treatment than female arrestees.
K1 co-occurring disorders
K1 Jail
K1 Mental Health
K1 Substance Use
K1 Treatment
DO 10.1007/s12103-025-09834-7