The Impact of Collateral Consequences on Help-Seeking and Help-Attainment for Behavioral Health Needs for Women with Criminal Records

附带后果对有犯罪记录妇女的行为健康需求寻求帮助和获得帮助的影响

• 批准号: 10727734
• 负责人: Gina Lorraine Fedock
• 金额: $ 26.17万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-25 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10727734
• 关键词: Address; Adult; Age; Anxiety; Calendar; Caring; Communities; Data; Development; Employment; Exclusion; Face; Feeling suicidal; Future; Gender; Grant; Health Services; Healthcare; Illinois; Imprisonment; Individual; Inequity; Interpersonal Violence; Intervention; Interview; Jail; Knowledge; Legal system; Life Cycle Stages; Measures; Mental Depression; Mental Health; Mental Health Services; Methodology; Methods; Morbidity - disease rate; Online Systems; Outcome; Participant; Pattern; Personal Satisfaction; Persons; Phase; Policies; Post-Traumatic Stress Disorders; Prisons; Process; Provider; Race; Recording of previous events; Records; Reporting; Research; Research Methodology; Resources; Sampling; Service setting; Services; Sex Orientation; Shapes; Structure; Suicide attempt; Supervision; Surveys; Testing; Time; United States; Victimization; Woman; Women' s Health; Work; aged; behavior measurement; behavioral health; behavioral health intervention; convict; depressive symptoms; design; experience; health inequalities; help-seeking behavior; improved; innovation; intimate partner violence; life history; marginalization; mortality; novel; recruit; research and development; service providers; sexual assault; social stigma; substance use; substance use treatment; theories; therapy development; violence victimization

Project Summary Millions of women in the United States have a criminal record. Women with criminal records have high rates of behavioral health concerns, including post-traumatic stress disorder (PTSD), depressive symptoms, substance use problems, and suicidal ideation and attempts. They also experience some of the highest rates of interpersonal violence, including intimate partner violence and sexual assault, which are associated with and exacerbate women’s behavioral health concerns. In addition, they have low rates of receipt of needed behavioral health treatment and supportive services, such as victimization services. These gaps in care may be driven by dynamics of collateral consequences, i.e., forms of exclusion from resources, services, and opportunities due to the presence of a criminal record. Research is critically needed to address the growing behavioral health inequities for women with criminal records and to improve women’s help-seeking and help-attainment for needed behavioral health care and services. This proposed mixed-methods study builds upon existing empirical work and a theoretically driven framework of help-attainment. We will examine how behavioral health, interpersonal victimization, and collateral consequences shape help-seeking and help-attainment processes for treatment and services among adult women with criminal records. Our proposed study will utilize an exploratory sequential mixed-methods design in which findings from the first, quantitative phase will inform the design of a second, qualitative phase, with both phases informing the third qualitative phase. In Phase I, N=500 women ages 25 to 54 with criminal records will be recruited to complete a web-based survey. Our survey will include measures of behavioral health concerns, victimization experiences, and theory-guided measures regarding dynamics of collateral consequences and help-seeking and help-attainment for behavioral health needs. These data will be used to identify patterns in domains influencing women’s help-seeking and help-attainment. In Phase II, we will conduct individual interviews using the life history calendar with N=40 women with criminal records, a stratified purposeful sub-sample of women who completed the Phase 1 survey. We will explore women’s trajectories of help-seeking and help-attainment, including dynamics of collateral consequences. Our findings from Phase I and II will inform our interviews with service providers in Phase III. We will conduct semi-structured interviews with N=30 service providers who work in treatment and service settings with women with criminal records. We will elucidate their perspectives of organizational and provider-based barriers and facilitators that impact women’s help-seeking and help-attainment processes. The collective findings will identify novel facilitators to help- attainment and intervention directions to improve the behavioral health and wellbeing of women with criminal records.

项目摘要 在美国，数以百万计的妇女有犯罪记录。有犯罪记录的妇女的比率很高 行为健康问题，包括创伤后应激障碍（PTSD），抑郁症状，底物 使用问题，自杀的想法和尝试。他们还经历了一些最高的 人际关系暴力，包括与之相关的亲密伴侣暴力和性侵犯 加剧妇女的行为健康问题。此外，他们的收到所需行为的收到率较低 健康治疗和支持服务，例如欺诈服务。这些护理的差距可能是由 附带后果的动态，即排除在资源，服务和机遇之外的形式 存在犯罪记录。需要研究以解决不断增长的行为健康 有犯罪记录的妇女的不平等，并为需要的妇女寻求帮助和帮助 行为医疗保健和服务。这项拟议的混合方法研究基于现有的经验工作 以及理论上驱动的救助框架。我们将研究行为健康，人际关系 胜利和附带后果塑造了寻求帮助和治疗过程的帮助进程 具有犯罪记录的成年妇女的服务。我们提出的研究将利用探索性顺序 混合方法设计中，第一个定量阶段的发现将为第二个设计提供信息 定性阶段，两个阶段都为第三定性阶段提供了信息。在第一阶段，n = 25岁的500名女性 54犯罪记录将被招募以完成基于网络的调查。我们的调查将包括 行为健康的关注，胜利经验和理论指导的措施 对行为健康需求的抵押后果以及寻求帮助和帮助下的帮助。这些数据将是 用于识别领域的模式会影响妇女的寻求帮助和帮助。在第二阶段，我们将 使用n = 40名具有犯罪记录的女性的生活历史日历进行个人访谈，这是一个分层 有目的的子样本完成了第1阶段调查的妇女。我们将探索女性的轨迹 寻求帮助和帮助的人，包括抵押后果的动态。我们从第一阶段和 II将为我们在第三阶段对服务提供商的访谈提供通知。我们将与 n = 30个服务提供者，他们与具有犯罪记录的妇女在治疗和服务环境中工作。我们将 阐明他们对影响妇女的基于组织和提供者的障碍和促进者的看法 寻求帮助和帮助的过程。集体发现将确定新颖的促进者来帮助 - 达成和干预指示，以改善犯罪的妇女的行为健康和福祉 记录。