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Báo cáo y học: " Involvement in the US criminal justice system and cost implications for persons treated for schizophrenia"

ITuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: nvolvement in the US criminal justice system and cost implications for persons treated for schizophrenia | Ascher-Svanum et al. BMC Psychiatry 2010 10 11 http www.biomedcentral.com 1471-244X 10 11 BMC Psychiatry RESEARCH ARTICLE Open Access Involvement in the US criminal justice system and cost implications for persons treated for schizophrenia Haya Ascher-Svanum Allen W Nyhuis Douglas E Faries Daniel E Ball Bruce J Kinon Abstract Background Individuals with schizophrenia may have a higher risk of encounters with the criminal justice system than the general population but there are limited data on such encounters and their attendant costs. This study assessed the prevalence of encounters with the criminal justice system encounter types and the estimated cost attributable to these encounters in the one-year treatment of persons with schizophrenia. Methods This post-hoc analysis used data from a prospective one-year cost-effectiveness study of persons treated with antipsychotics for schizophrenia and related disorders in the United States. Criminal justice system involvement was assessed using the Schizophrenia Patients Outcome Research Team PORT client survey and the victimization subscale of the Lehman Quality of Life Interview QOLI . Direct cost of criminal justice system involvement was estimated using previously reported costs per type of encounter. Patients with and without involvement were compared on baseline characteristics and direct annual health care and criminal justice system-related costs. Results Overall 278 46 of 609 participants reported at least 1 criminal justice system encounter. They were more likely to be substance users and less adherent to antipsychotics compared to participants without involvement. The 2 most prevalent types of encounters were being a victim of a crime 67 and being on parole or probation 26 . The mean annual per-patient cost of involvement was 1 429 translating to 6 of total annual direct health care costs for those with involvement 11 when excluding crime victims . Conclusions Criminal justice system involvement appears to be .