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OtherREGULAR ARTICLE

Current and Lifetime Psychiatric Illness Among Inmates Not Identified as Acutely Mentally Ill at Intake in Connecticut's Jails

Robert L. Trestman, Julian Ford, Wanli Zhang and Valerie Wiesbrock
Journal of the American Academy of Psychiatry and the Law Online December 2007, 35 (4) 490-500;
Robert L. Trestman
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Julian Ford
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Wanli Zhang
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Valerie Wiesbrock
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    Table 1

    Demographic Information

    Race/EthnicityMenWomenTotal%CDOC % (as of 01/04)
    White1279121842.928.0*
    Black1116617734.844.0 (ns)
    Hispanic684211021.727.0 (ns)
    Asian0110.2
    American Indian1120.4
    Total307201508100.0
    NMeanSDRange
    Age, y50831.69.318–64
    Education, y50811.51.80–16
    • CDOC, Connecticut Department of Correction.

    • * p < .05.

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    Table 2

    Percent Lifetime History of One or More Psychiatric Diagnoses by Structured Interview (SCID‐P and SCID‐II)

    WhiteBlackHispanicTotal Sample (n = 505)
    Male (n = 127; 25.1%)Female (n = 91; 18.0%)Male (n = 111; 22.0%)Female (n = 66; 13.1%)Male (n = 68; 13.5%)Female (n = 42; 8.3%)MaleFemaleWhiteBlackHispanicAll
    Psychotic0.82.22.70.00.02.41.61.51.41.70.91.6
    Affective32.564.814.743.123.559.524.356.546.425.337.337.1
    Anxiety*47.758.829.541.832.644.437.649.753.835.337.843.6
    PTSD18.342.923.837.517.545.020.041.828.628.728.228.6
    Cluster A9.58.013.612.314.911.912.210.28.913.113.811.4
    Cluster B39.736.437.336.556.740.542.837.438.337.050.540.7
    ASPD35.723.635.527.053.733.339.527.030.732.445.934.6
    BPD16.026.48.217.513.423.812.923.220.311.617.416.9
    Cluster C11.818.911.816.99.019.011.518.114.713.712.814.1
    Any Axis I54.878.744.368.339.074.447.674.165.854.353.159.1
    Axis I only15.735.312.229.86.322.512.330.424.018.712.619.5
    Axis II only5.64.47.33.116.42.48.63.55.15.711.06.6
    ASPD only4.03.41.81.613.42.45.32.63.71.79.24.2
    BPD only0.80.00.00.00.00.00.300.5000.2
    Any disorder67.582.457.773.871.675.064.977.073.763.671.669.7
    • Women: n = 199 (missing, 2: American Indian, 1; Asian‐American, 1) white, 45%; black, 33%; Hispanic, 21%. Men: n = 306 (missing, 1 American Indian); white, 41%; black, 36%; Hispanic, 22%. SCID, Structured Clinical Interview for DSM‐IV.

    • * Excluding PTSD.

    • View popup
    Table 3

    Percent Comorbid Lifetime Psychiatric Disorders

    Disorder CategoryMales (n = 307)Females (n = 201)White (n = 218)Black (n = 177)Hispanic (n = 110)Total (n = 508)
    Multiple Axis I27.555.948.128.637.639.3
    Multiple Axis II20.726.622.221.126.623.1
    Axis II with current Axis I23.841.033.025.033.630.6
    Axis II with lifetime Axis I27.042.035.328.434.532.9
    • View popup
    Table 4

    Current Mental Illness

    WhiteBlackHispanicTotal Sample (n = 505)
    Male (n = 127; 25.1%)Female (n = 91; 18.0%)Male (n = 111; 22.0%)Female (n = 66; 13.1%)Male (n = 68; 13.5%)Female (n = 42; 8.3%)MaleFemaleWhiteBlackHispanicAll
    Psychotic0.01.12.70.00.00.01.30.50.51.70.01.0
    Affective20.842.25.424.614.721.413.832.229.812.517.321.0
    Anxiety*30.939.722.232.731.133.328.235.935.627.132.132.0
    PTSD5.116.98.817.91.635.05.721.510.012.014.611.9
    • Women: n = 199 (missing, 2; American Indian, 1; Asian‐american, 1); white, 45%; black, 33%; Hispanic, 21%. Men: n = 306 (missing, 1 American Indian); white, 41%; black, 36%; Hispanic, 22%.

    • * Excluding PTSD.

    • View popup
    Table 5

    Global Assessment of Function Scores by Lifetime History of Mental Illness

    nMeanSDRanget Test (Two‐Tailed)
    Total group
        Total50062.116.010–96t = 10.59, df = 498, p < 0.001
        No MH diagnosis15372.313.7
        Any MH diagnosis34757.514.7
    Men
        Total30365.416.010–96t = 8.85, df = 250,* p < 0.001
        No MH diagnosis10774.812.8
        Any MH diagnosis19660.215.1
    Women
        Total19757.014.620–90t = 5.53, df = 195, p < 0.001
        No MH diagnosis4666.714.3
        Any MH diagnosis15154.013.4
    • * Corrected for unequal variance.

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Journal of the American Academy of Psychiatry and the Law Online: 35 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 35, Issue 4
December 2007
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Current and Lifetime Psychiatric Illness Among Inmates Not Identified as Acutely Mentally Ill at Intake in Connecticut's Jails
Robert L. Trestman, Julian Ford, Wanli Zhang, Valerie Wiesbrock
Journal of the American Academy of Psychiatry and the Law Online Dec 2007, 35 (4) 490-500;

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Current and Lifetime Psychiatric Illness Among Inmates Not Identified as Acutely Mentally Ill at Intake in Connecticut's Jails
Robert L. Trestman, Julian Ford, Wanli Zhang, Valerie Wiesbrock
Journal of the American Academy of Psychiatry and the Law Online Dec 2007, 35 (4) 490-500;
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