Reentry and Recidivism: Comparison of Veterans and Nonveterans in a 3-year State Prison Release Cohort
Abstract: In the United States, 95% of people incarcerated in prisons will eventually return to the community; however, almost half will be rearrested at least once in the first year after release. To better understand risk, need, and responsivity in order to develop reentry policy and programming, this brief report examines whether and how veterans and nonveterans leaving state prison differ on demographics, behavioral health needs, criminal history, and recidivism. Veterans compared to nonveterans leaving incarceration were older, more likely to be White, and more educated and needed more mental health treatment. Veterans had fewer drug offenses, but more sex offenses. Risk to recidivate was lower in veterans compared to nonveterans, yet there was no difference in measured 1-year recidivism. The Department of Veterans Affairs and community service providers may need to tailor programs to meet the differing needs of veterans versus nonveterans, while accounting for race.
Abstract: IMPORTANCE: Veterans with occupational performance (e.g., activities of daily living [ADL]) limitations who are receiving inpatient psychiatric care may benefit from outpatient occupational therapy upon discharge, but access disparities have not been investigated. OBJECTIVE: To investigate whether ADL limitations, an indicator of need, are associated with outpatient occupational therapy utilization after inpatient psychiatric hospitalization in the Veterans Health Administration (VHA) and whether this relationship differs by facility characteristics. DESIGN: Secondary analysis of VHA medical record data. Modified Poisson regression was used to model outpatient occupational therapy utilization (yes or no) as a function of ADL limitations, facility characteristics, and sociodemographic and clinical characteristics. Interactions were used to estimate whether the relationship between ADL limitations and outpatient occupational therapy utilization differs across facility characteristics. SETTING: VHA outpatient setting. PARTICIPANTS: Veterans who received VHA inpatient psychiatric care from 2015 to 2020 and lived