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6 Health & Just. 1 (2018)

handle is hein.journals/hlthjs6 and id is 1 raw text is: Cossar et al. Health and Justice (2018) 6:1
DOI 10.1186/s40352-018-0059-4

Health and Justice

A    *    A  *                                                    6.-  *1+  -


The associations of poor psychiatric
well-being among incarcerated men with
injecting drug use histories in Victoria,

Reece Cossarl2;, Mark Stoove23, Stuart A. Kinner3'4'5'6, Paul Dietze23, Campbell Aitken 23, Michael Curtis,
Amy Kirwan2 and James R. P. Ogloff1
Background: Dual substance dependence and psychiatric and psychological morbidities are overrepresented in
prison populations and associated with reoffending. In the context of an increasing prison population in Australia,
investigating the needs of vulnerable people in prison with a dual diagnosis can help inform in-prison screening
and treatment and improve prison and community service integration and continuation of care. In this study we
quantified psychiatric well-being in a sample of people in prison with a history of injecting drug use in Victoria,
Australia, and identified factors associated with this outcome.
Methods and Results: Data for this paper come from baseline interviews undertaken in the weeks prior to release
as part of a prospective cohort study of incarcerated men who reported regular injecting drug use prior to their
current sentence. Eligible participants completed a researcher-administered structured questionnaire that canvassed
a range of issues. Psychiatric well-being was assessed using the 12-item General Health Questionnaire (GHQ-12) and
potential correlates were included based on a review of the literature. Of the 317 men included for analyses, 139 were
classified as experiencing current poor psychiatric well-being. In the multivariate model using modified logistic regression,
history of suicide attempt (aOR = 1.36, 95%CI 1.03-1.78), two or more medical conditions (aOR = 1.87, 95%CI 1.30-2.67)
and use of crystal methamphetamine in the week prior to their current sentence (aOR = 1.52, 95%CI 1.05-2.22) were
statistically significantly associated with current poor psychiatric well-being.
Conclusions: Comprehensively addressing the health-related needs for this vulnerable population will require a
multidisciplinary approach and enhancing opportunities to screen and triage people in prison for mental health
and other potential co-occurring health issues will provide opportunities to better address individual health
needs and reoffending risk.
Keywords: Injecting drug use, Dual diagnosis, GHQ-12, Prisoner health

* Correspondence: reece.cossar@burnet.edu.au
'Centre for Forensic Behavioural Science, Swinburne University of
Technology & Forensicare, Melbourne, Australia
2Behaviours and Health Risks, Burnet Institute, Melbourne, Australia
Full list of author information is available at the end of the article
© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
Springer Open                 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license. and indicate if chanoes were made.

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