Exploring the Service Utilization of Formerly Incarcerated Persons with Substance Use Disorders
Date of Award
Doctor of Philosophy (PhD)
We are in a new era of mass reentry from years of mass incarceration (Chamberlain & Wallace, 2016) that will is complicated by challenging conditions at release (Mallik-Kane & Visher, 2008). Recent data suggests that rearrest rates within nine years of release are over 80% among individuals released from prison (Alper et al., 2018). These challenges are further complicated by drug and alcohol abuse with over 20 million individuals aged 12 and older reporting living with a substance use disorder (SAMSHA, 2019). Incarcerated and formerly incarcerated populations are estimated to have rates of substance use disorders (SUDs) often 10 to 12 times greater than the general population (McCarthy, 2017). Formerly incarcerated populations are often met with fragmented service delivery systems that are coupled with stigma that impact how and if need treatment/services are accessed (Baillargeon et al., 2010; Begun et al., 2016). There still remains a dearth of literature on the array of services that are being utilized after release by formerly incarcerated persons with substance use disorders (Mallik-Kane & Visher, 2009; Morse et al., 2017; Kahn et al., 2019). Additionally, there is still more to know on the extent to which types of social support inform health behavior change among formerly incarcerated men and women (Nargiso et al., 2014). Further, the research would benefit in understanding how the collective services that are being utilized post-release, among formerly incarcerated men and women with SUDs, associate with reintegration outcomes (Mallik-Kane & Visher, 2009). This dissertation study uses secondary data from a multi-state study of incarcerated men and women in stated prison preparing to release into the community (Pettus-Davis et al., 2019). The author utilized a subsample of the control arm focusing on those diagnosed with a SUD (alcohol and/or drug use disorder). The study, analysis, and interpretation were guided by the Behavioral Model of Health Services Use (Andersen, 1995), along with applying a gender responsive treatment perspective (Covington, 2002; Covington & Bloom, 2006) as well. Multilevel logistic regressions, bivariate mixed logistic regressions, and mixed effects regressions were utilized for respective chapters and aims. Implications for practice and research are discussed.
Chair and Committee
David Patterson Silver Wolf Brett Drake
Kathleen K. Bucholz, Tonya Edmond, Carrie Pettus-Davis, Vetta Sanders Thompson,
Beeler-Stinn, Sara, "Exploring the Service Utilization of Formerly Incarcerated Persons with Substance Use Disorders" (2021). Arts & Sciences Electronic Theses and Dissertations. 2397.