Criminal History, Physical and Mental Health, Substance Abuse, and Services Use Among Incarcerated Substance Abusers

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Abstract
Recent research shows that drug-involved offenders engage in many health-risky behaviors, but relatively little is known about the impact of criminal history on the health of these individuals. In this study, criminal history and health information was collected from 661 male drug-abusing prisoners. Findings showed that having a more extensive criminal history was associated with higher rates of overall physical health problems but not mental health problems. Although no relationship between mental health and crime was observed, future research on the connection between psychological problems and criminal history is discussed. Years of lifetime use of five different drugs was positively related to criminal history. In terms of health services utilization, offenders with more serious criminal histories were more likely to have received previous medical treatment in a hospital emergency room and to have received treatment for drug or alcohol abuse.