Characteristics and carceral experience for persons with and without intellectual and developmental disabilities in a southeastern US state prison system Open Access

Abstract

Intellectual, neurodevelopmental, and developmental disabilities (ID/ND) in prison populations are highly prevalent compared with the community. We conducted a cross-sectional study of all persons who resided in a southeastern US state prison system on January 1, 2017. Our goal was to describe the ID/ND population and delineate their experiential differences from their neurotypical (NT) peers. Our hypothesis was that those with ID/ND do not have the same experience before and while imprisoned compared to their neurotypical peers. They had higher levels of mental health services classified as inpatient/severe during their entire health history (OR 3.99 p<0.0001) and for their most recent mental health record (OR 4.53 p<0.0001). They had twice the prevalence of HIV compared to their NT peers (2.5% vs. 1.2%), were more likely to live under higher security settings (high = 24.8% vs 26.0%; medium = 68.1% vs 65.0%; minimum = 6.9% vs 8.8%), have had prior incarcerations on their criminal record (no previous incarcerations = 45.3% vs 59.0), and spend more time in the prison system (10 versus 8 years). Since ID/ND persons in our study utilized mental health services at high levels, carceral programming for persons with ID/ND should account for their high behavioral health needs.

Table of Contents

Abstract Page 4

Introduction Page 6

Methods and Materials Page 7

Results Page 8

Discussion Page 9

Next Steps Page 14

Figures and Tables Page 15

About this Master's Thesis

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School	Rollins School of Public Health
Department	Epidemiology
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Psychology, Developmental
Keyword	Classification Correctional Health Incarceration Intellectual Disability Diversion Court HIV Learning Disability Developmental Disability Discharge Planning Cognitive Disability Prison Mental Health
Committee Chair / Thesis Advisor	Anne Spaulding, Emory University

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