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.

项目概要 美国有数百万女性有犯罪记录 有犯罪记录的女性比例很高。 行为健康问题，包括创伤后应激障碍 (PTSD)、抑郁症状、物质 他们的自杀意念和自杀尝试率也最高。 人际暴力，包括亲密伴侣暴力和性侵犯，这些与 此外，她们获得所需行为健康的比率也很低。 健康治疗和支持服务，例如受害服务，这些护理差距可能是由以下原因造成的。 附带后果的动态，即由于以下原因而被排除在资源、服务和机会之外的形式： 迫切需要研究犯罪记录的存在，以解决日益增长的行为健康问题。 有犯罪记录的妇女面临的不平等现象，并改善妇女在有需要时寻求帮助和获得帮助的情况 这项拟议的混合方法研究建立在现有的实证工作的基础上。 我们将研究行为健康、人际关系的影响。 受害和附带后果影响了治疗和治疗的寻求帮助和获得帮助的过程 我们提议的研究将采用探索性顺序研究来为有犯罪记录的成年女性提供服务。 混合方法设计，其中第一个定量阶段的发现将为第二个定量阶段的设计提供信息 定性阶段，两个阶段都为第三定性阶段提供信息 在第一阶段，N = 500 名 25 岁至 25 岁的女性。 我们将招募 54 名有犯罪记录的人来完成一项网络调查，其中包括以下措施： 行为健康问题、受害经历以及有关动态的理论指导措施 这些数据将是行为健康需求的附带后果以及寻求帮助和获得帮助。 用于识别影响妇女寻求帮助和获得帮助的领域的模式。 使用生活史日历对 N=40 名有犯罪记录的女性进行单独访谈，分层 我们将探索完成第一阶段调查的女性的有目的的子样本。 寻求帮助和获得帮助，包括我们第一阶段和第二阶段的结果的动态。 II 将通知我们在第三阶段与服务提供商的访谈。 N=30 名在治疗和服务场所为有犯罪记录的女性提供服务的服务提供者。 阐明他们对影响妇女的组织和提供者的障碍和促进因素的看法 寻求帮助和获得帮助的过程将找到新的促进者来帮助—— 改善妇女犯罪行为健康和福祉的成就和干预方向 记录。