“Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic

Abstract The COVID-19 pandemic inspired calls for rapid decarceration of prisons and jails to slow the spread of disease in a high-risk congregate setting. Due to the rarity of intentionally-decarcerative policies, little is known about the effects of rapid decarceration on individuals with serious...

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Main Authors: Jennifer E. James, Emily F. Dauria, Riya Desai, Adelaide Bell, Jacob M. Izenberg
Format: Article
Language:English
Published: BMC 2023-09-01
Series:Health & Justice
Online Access:https://doi.org/10.1186/s40352-023-00238-5
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author Jennifer E. James
Emily F. Dauria
Riya Desai
Adelaide Bell
Jacob M. Izenberg
author_facet Jennifer E. James
Emily F. Dauria
Riya Desai
Adelaide Bell
Jacob M. Izenberg
author_sort Jennifer E. James
collection DOAJ
description Abstract The COVID-19 pandemic inspired calls for rapid decarceration of prisons and jails to slow the spread of disease in a high-risk congregate setting. Due to the rarity of intentionally-decarcerative policies, little is known about the effects of rapid decarceration on individuals with serious mental illness (SMI) substance use disorder (SUD), a population who receive many services via the criminal legal system (CLS). We conducted interviews with 13 key informants involved in CLS in San Francisco, CA to better understand the implication of the decarcerative policies put into practice in early 2020. Participants described a tension between the desire to have fewer people incarcerated and the challenges of accessing services and support – especially during the lockdown period of the pandemic – outside of the CLS given the number of services that are only accessible to those who have been arrested, incarcerated, or sentenced. These findings emphasize the need for investing in community social services rather than further expanding the CLS to achieve the goal of supporting individuals with SMI and SUD shrinking the US system of mass incarceration.
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spelling doaj.art-b7004d507267489591a8ac4f206460342023-11-19T12:41:56ZengBMCHealth & Justice2194-78992023-09-011111810.1186/s40352-023-00238-5“Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemicJennifer E. James0Emily F. Dauria1Riya Desai2Adelaide Bell3Jacob M. Izenberg4Institute for Health and Aging, University of California, San FranciscoSchool of Public Health, Department of Behavioral and Community Health Sciences, University of PittsburghSchool of Medicine, University of California, San FranciscoWashington and Lee UniversityDepartment of Psychiatry and Behavioral Sciences, University of California, San FranciscoAbstract The COVID-19 pandemic inspired calls for rapid decarceration of prisons and jails to slow the spread of disease in a high-risk congregate setting. Due to the rarity of intentionally-decarcerative policies, little is known about the effects of rapid decarceration on individuals with serious mental illness (SMI) substance use disorder (SUD), a population who receive many services via the criminal legal system (CLS). We conducted interviews with 13 key informants involved in CLS in San Francisco, CA to better understand the implication of the decarcerative policies put into practice in early 2020. Participants described a tension between the desire to have fewer people incarcerated and the challenges of accessing services and support – especially during the lockdown period of the pandemic – outside of the CLS given the number of services that are only accessible to those who have been arrested, incarcerated, or sentenced. These findings emphasize the need for investing in community social services rather than further expanding the CLS to achieve the goal of supporting individuals with SMI and SUD shrinking the US system of mass incarceration.https://doi.org/10.1186/s40352-023-00238-5
spellingShingle Jennifer E. James
Emily F. Dauria
Riya Desai
Adelaide Bell
Jacob M. Izenberg
“Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic
Health & Justice
title “Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic
title_full “Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic
title_fullStr “Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic
title_full_unstemmed “Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic
title_short “Good luck, social distance”: rapid decarceration and community care for serious mental illness and substance use disorder during the COVID-19 pandemic
title_sort good luck social distance rapid decarceration and community care for serious mental illness and substance use disorder during the covid 19 pandemic
url https://doi.org/10.1186/s40352-023-00238-5
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