Evidence map›Paper›PMID 41084023›Full record

ArticleBMC health services research2025

Mental healthcare practices from entry to release across Southeastern jails.

Elena A DiRosa, Tonya Van Deinse, Gary S Cuddeback, Andrea Murray-Lichtman, Jessica Carda-Auten, David L Rosen

Abstract read
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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Elena A DiRosaInstitute for Global Health and Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, US. elena_dirosa@med.unc.edu.ORCID http://orcid.org/0000-0002-1739-8866
Tonya Van DeinseSchool of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, US.
Gary S CuddebackSchool of Social Work, Virginia Commonwealth University, Richmond, VA, US.
Andrea Murray-LichtmanSchool of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, US.
Jessica Carda-AutenInstitute for Global Health and Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, US.
David L RosenInstitute for Global Health and Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, US.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with mental illnesses are disproportionately incarcerated in jails, which have become de facto mental health institutions across the US. Yet there is limited research describing mental healthcare practices from entry to release among multiple jails and states.

methodsWe conducted 34 semi-structured interviews with jail healthcare personnel across five Southeastern states and used the Framework Method to guide analyses.

resultsWe report results on challenges and practices related to mental health staffing, screening, additional evaluations and services, and discharge planning in jails. Initial mental health screenings were often restricted to the detection of suicidality and history of treatment and medications as opposed to current mental health symptoms. Use of validated mental health screening forms was uncommon. We found delays in care between the initial health screening and being evaluated by a mental health professional. Most jails reported primary responsibilities for mental healthcare as preventing suicides and managing psychiatric medications. Jails reported mental healthcare as challenging to manage, with high volumes of individuals with mental health needs, yet limited resources, especially regarding staffing. Discharge planning was limited despite reports of poor continuity of mental health services.

conclusionsJails have a constitutional duty to provide adequate healthcare to individuals with mental illnesses, yet practices are insufficient and resources are limited across jails. Based on our findings, we recommend 1) greater adoption and revisions of jail health standards 2) system improvement that expands identification of mental illnesses and quicker, less variable follow-up mental health evaluations, 3) improved linkages and supports for community resources that prevent incarceration of this population.

Indexed as

JailsMental DisordersMental Health ServicesPrisonersAdultFemaleHumansInterviews as TopicMalePatient DischargeSoutheastern United StatesHealthcare practicesIncarcerationJail researchMental health

Identifiers

PMID41084023
PMCPMC12519609

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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.