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Intellectual and developmental disabilities in Ontario's criminal justice and forensic mental health systems: Using data to tell the story.

التفاصيل البيبلوغرافية
العنوان: Intellectual and developmental disabilities in Ontario's criminal justice and forensic mental health systems: Using data to tell the story.
المؤلفون: Lunsky Y; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada., Matheson FI; ICES, Toronto, Ontario, Canada.; MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Kouyoumdjian F; ICES, Toronto, Ontario, Canada.; Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada., Whittingham L; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.; Department of Child and Youth Studies, Brock University, St. Catharines, Ontario, Canada., Lin E; ICES, Toronto, Ontario, Canada.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; Office of Education, Centre for Addiction and Mental Health, Toronto, Ontario, Canada., Durbin A; ICES, Toronto, Ontario, Canada.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada., Calzavara A; ICES, Toronto, Ontario, Canada., Moser A; Research Branch, Correctional Service Canada, Ottawa, Ontario, Canada., Dastoori P; MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada., Sirotich F; Canadian Mental Health Association, Toronto Branch, Toronto, Ontario, Canada.; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada., Volpe T; Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
المصدر: Criminal behaviour and mental health : CBMH [Crim Behav Ment Health] 2024 Apr; Vol. 34 (2), pp. 197-207. Date of Electronic Publication: 2024 Jan 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Whurr Publishers Ltd Country of Publication: England NLM ID: 9309668 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-2857 (Electronic) Linking ISSN: 09579664 NLM ISO Abbreviation: Crim Behav Ment Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Whurr Publishers Ltd.,
مواضيع طبية MeSH: Intellectual Disability*/epidemiology , Developmental Disabilities*/epidemiology , Criminal Law*/statistics & numerical data , Mental Health Services*/statistics & numerical data, Humans ; Ontario/epidemiology ; Adult ; Male ; Female ; Middle Aged ; Community Mental Health Services/statistics & numerical data ; Correctional Facilities/statistics & numerical data ; Young Adult ; Mental Disorders/epidemiology ; Adolescent ; Forensic Psychiatry ; Prevalence
مستخلص: Background: International studies show that adults with intellectual and developmental disabilities (IDD) are disproportionately represented in the criminal justice and forensic mental health systems; however, it is difficult to capture their involvement across systems in any one jurisdiction.
Aims: The current study aimed to estimate the prevalence of IDD across different parts of the criminal justice and forensic mental health systems in Ontario and to describe the demographic and clinical profiles of these individuals relative to their counterparts without IDD.
Methods: This project utilised administrative data to identify and describe the demographic and clinical characteristics of adults with IDD and criminal justice or forensic involvement across four sectors: federal correctional facilities, provincial correctional facilities, forensic inpatient mental health care and community mental health programmes. Questions were driven by and results were contextualised by a project advisory group and people with lived experience from the different sectors studied, resulting in a series of recommendations.
Results: Adults with IDD were over-represented in each of the four settings, ranging from 2.1% in federal corrections to 16.7% in forensic inpatient care. Between 20% (forensic inpatient) and 38.4% (provincial corrections) were under the age of 25 and between 34.5% (forensic inpatient) and 41.8% (provincial corrections) resided in the lowest income neighbourhoods. Medical complexity and rates of co-occurring mental health conditions were higher for people with IDD than those without IDD in federal and provincial corrections.
Conclusions: Establishing a population-based understanding of people with IDD within these sectors is an essential first step towards understanding and addressing service and care needs. Building on the perspectives of people who work in and use these systems, this paper concludes with intervention recommendations before, during and after justice involvement.
(© 2024 The Authors. Criminal Behaviour and Mental Health published by John Wiley & Sons Ltd.)
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معلومات مُعتمدة: Ontario Ministry of Community and Social Services; Ontario Ministry of Health; Ministry of Long-Term Care
فهرسة مساهمة: Keywords: criminal justice; developmental disability; forensic; hospitalizations; intellectual disability; prison
تواريخ الأحداث: Date Created: 20240124 Date Completed: 20240427 Latest Revision: 20240427
رمز التحديث: 20240427
DOI: 10.1002/cbm.2331
PMID: 38264949
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2857
DOI:10.1002/cbm.2331