Evidence map›Paper›PMID 36070251›Full record

ArticlePloS one2022

Association between contact with mental health and substance use services and reincarceration after release from prison.

Emma G Thomas, Matthew J Spittal, Faye S Taxman, Cheneal Puljević, Edward B Heffernan, Stuart A Kinner

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Health and incarceration research in Australia: a scoping review.The Lancet regional health. Western Pacific · 2025
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emma G ThomasRAND Corporation, Santa Monica, California, United States of America.
Matthew J SpittalCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Faye S TaxmanCriminology, Law & Society, College of Humanities and Social Sciences, George Mason University, Fairfax, Virginia, United States of America.
Cheneal PuljevićSchool of Public Health, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-3658-9772
Edward B HeffernanSchool of Public Health, The University of Queensland, Brisbane, Australia.
Stuart A KinnerJustice Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0003-3956-5343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePeople released from prison who experience mental health and substance use problems are at high risk of reincarceration. This study aimed to examine the association between contact with mental health and substance use treatment services, and reincarceration, among adults released from prison.

methodsPre-release survey data from 1,115 adults released from prisons in Queensland, Australia were linked with administrative health and correctional records covering a median of 787 days post-release. We constructed marginal structural Cox proportional hazards models, adjusting for pre-release variables and time-varying indicators of emergent mental health and substance use problems, to examine the association between contact with mental health and substance use treatment services, and reincarceration.

resultsThe adjusted hazard ratio (AHR) for reincarceration associated with mental health service contact was 1.76 (95%CI 1.23,2.51). Among those not on parole following release, the AHR for reincarceration associated with substance use treatment service contact was 3.16 (95%CI 2.09,4.77); we found no evidence for an association among those who were released on parole (AHR = 1.07; 95%CI 0.80,1.43).

conclusionsAlthough we cannot eliminate the possibility of residual confounding, our findings suggest that infrequent or unsustained contact with community-based mental health and substance use treatment services is not protective against reincarceration, and may even be iatrogenic. Increased investment in high-quality and timely behavioural health services for people released from prison may simultaneously improve health outcomes, and reduce reincarceration.

Indexed as

PrisonersSubstance-Related DisordersAdultAustraliaHumansMental HealthPrisons

Identifiers

PMID36070251
PMCPMC9451082

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.