Characteristics of recently incarcerated primary care patients with and without a positive posttraumatic stress disorder screening upon clinic intake

• Published in: Psychological trauma Vol. 16; no. 4; p. 692
• Main Authors: Zielinski, Melissa J, Alkov, Danielle, McCauley, Erin, Aminawung, Jenerius A, Shavit, Shira, Wang, Emily A
• Format: Journal Article
• Language: English
• Published: United States 01.05.2024
• Subjects: Adult; Cross-Sectional Studies; Depression; Female; Health Status; Humans; Ill-Housed Persons - psychology; Ill-Housed Persons - statistics & numerical data; Male; Mass Screening; Middle Aged; Poverty; Primary Health Care - statistics & numerical data; Prisoners - psychology; Prisoners - statistics & numerical data; Stress Disorders, Post-Traumatic - diagnosis; Stress Disorders, Post-Traumatic - epidemiology
• ISSN: 1942-969X
• DOI: 10.1037/tra0001427

Posttraumatic stress disorder (PTSD) is prevalent among people who have been incarcerated. Here, we examined whether screening positive for PTSD was associated with other indicators of poor health, acute healthcare utilization, and poverty among primary care patients upon release from incarceration. We conducted a cross-sectional survey in a national network of primary care clinics serving people recently released from incarceration. Participants were 416 patients who completed the Primary Care PTSD screen (PC-PTSD) and other questions about mental and physical health, acute healthcare utilization, and economic status within 6 months of release. Screening positive for PTSD was associated with worse status across nearly all variables examined, including being more likely to report: poor/fair health (61.6% vs. 41.7%), current depressive symptoms (89.7% vs. 50.8%), lifetime depression diagnosis (63.3% vs. 35.3%), cannabis use since release (20.7% vs. 9.6%), homelessness (31.9% vs. 18.5%), having no cash on hand (56.3% vs. 39.0%) and severe food insecurity (29.3% vs. 18.2%; all s < .01). Reporting recent suicidality (14.3% vs. 7.0%), alcohol use since release (30.2% vs. 20.0%), and emergency department utilization (20.4% vs. 12.2%) was also more likely (all s ≤ .03). These trends were largely upheld when controlling for demographic characteristics and chronic physical health conditions using linear probability regression. Primary care patients recently released from incarceration have a need for wrap-around services that address health challenges and poverty. Patients with significant PTSD symptoms face even greater challenges. Identification and treatment of PTSD both during and after incarceration is warranted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).