Formerly incarcerated individuals who face barriers to reintegration within the first year of release are more likely to experience poor physical and mental health, according to new research from Rutgers University-Camden.
The study analyzed data on recently incarcerated men from the Serious and Violent Offender Re-entry Initiative (SVORI) and looked at how multiple barriers to reintegration — including employment, housing, child care, and service needs — accumulate to impact physical and mental health three, nine, and 15 months after release.
“It’s a prison re-entry study that examines outcomes other than recidivism,” said Nathan Link, an assistant professor of criminal justice at Rutgers-Camden. “In general, re-entry work has been far too narrowly focused on recidivism.”
The findings, published in the journal Social Science & Medicine, show that greater reintegration barriers decrease self-rated health for formerly incarcerated individuals at all three intervals, and increases their symptoms of depression at three and nine months after release.
The researchers explain that those released from prison face a wide variety of challenges when coming home and reintegrating back into daily life. These challenges can range from difficulties in finding a job, finding housing, securing affordable childcare, or getting necessary medical services.
They note that people struggle to find jobs because employers may not be willing to hire those who have been incarcerated.
“This is especially true when people must indicate prior incarceration on a job application,” said Dr. Daniel Semenza, an assistant professor of criminal justice.
They further explain that, if the individual leaving prison does not have a home to return to with their family, he or she might struggle to find a place to rent, especially if they do not have the financial means to put any money down, such as the first and last month’s rent plus a security deposit.
The researchers add that people leaving prison often need a range of services, such as childcare, job training, additional education, drug or alcohol treatment, medical treatment, or help accessing public assistance.
“All of these challenges can pile up and make it extremely difficult to start a new life, and our study finds that there may be health consequences to these accumulated barriers as well,” said Semenza.
Study participants were given a list of 30 needs and asked if they needed that service or item. The researchers then counted the number of barriers that each person said they were experiencing at each time point in the study after release from prison.
“Indicating a need represents a potential barrier to reintegration and each contributes to the accumulation of challenges that we discuss in the article,” Semenza said.
The Rutgers-Camden researchers posit that this accumulation — the whole — is greater than the sum of its parts. Drawing on research related to “stress processes and health” to make their case, they stated the months after being released from prison are not only crucial for long-term success, but represent times of significant stress that can be further exacerbated by problems satisfying their variety of needs.
They say that greater acute and prolonged stress can create a kind of “wear and tear” on the body, and those with accumulated barriers to reintegration are likely experiencing higher levels of stress than those with fewer barriers.
“We think of these barriers as placing a heavier and heavier burden on those leaving prison as they accumulate, which can impact both physical and mental health over time,” said Semenza.
The findings show that both lower self-rated physical health and increased symptoms of depression can actually lead back to an increase in reintegration barriers, evidence of a “negative feedback loop” where more barriers to reintegration worsen health, and in turn, poorer health increases these barriers.
“For instance, if a person has difficulty getting a job, it could lead to symptoms of depression, which can in turn make it more difficult to apply for jobs or to attend job training meetings,” says Semenza.
The researchers suggest that comprehensive reintegration services addressing multiple needs related to all aspects of employment, housing, childcare, and public assistance, among other issues, can improve not only recidivism rates but also population health outcomes more broadly.
Source: Rutgers University