Cited by 144Criminal Justice and Corrections AnalysisCrime Patterns and InterventionsCriminal Justice and Penology

The DOI matches its Crossref record; 153 of the 155 references it cites were found in a registry or an index; none of the 51 sources its claims cite is checked for support yet.

Consequences of mental and physical health for reentry and recidivism: Toward a health‐based model of desistance*

Open access

Abstract

During the last few decades, criminologists have identified several adult roles and statuses, including employment, positive family relations, and economic stability, as critical for promoting successful reintegration and desistance. Very few researchers, however, have investigated the conditions that serve to bring about these transitions and successes crucial for behavior change. As a complement to a burgeoning amount of literature on the impact of incarceration on health, we emphasize the reverse: Health has important implications for reentry outcomes and reincarceration. Informed by multiple disciplines, we advance a health‐based model of desistance in which both mental and physical dimensions of health affect life chances in the employment and family realms and ultimately recidivism. Investigating this issue with longitudinal data from the Serious and Violent Offender Reentry Initiative (SVORI) and structural equation models, we find overall support for the health‐based model of desistance. Our results indicate several significant pathways through which both manifestations of health influence employment, family conflict, financial problems, and crime and reincarceration. The findings highlight the need for implementation of correctional and transitional policies to improve health among the incarcerated and avert health‐related reentry failures.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This paper proposes and tests a health-based model of desistance, arguing that mental and physical health at release shape employment, family conflict, and financial problems, which in turn affect crime and reincarceration. Using longitudinal SVORI data and structural equation models, it finds support for multiple direct and indirect pathways from health to recidivism.

Key findings

  • Physical health limitations strongly increased depression: a 1-SD increase in health limitations was associated with a .32-SD increase in depressive symptoms. Each SD increase in health limitations reduced the odds of employment at 3 months by 44%.
  • Depression increased family conflict: a 1-SD increase in depression was associated with a .13-SD increase in family conflict. Family conflict, in turn, increased crime: a 1-SD increase in family conflict led to a .20-SD increase in self-reported crime.
  • Financial problems predicted reincarceration: a 1-SD increase in financial problems increased the odds of reincarceration by approximately 21%, while a 1-SD increase in crime increased the odds of reincarceration by 87%.
  • Bootstrap mediation analyses found significant indirect pathways linking physical health limitations and depression to crime and reincarceration through employment, family conflict, and financial problems; employment had negative indirect effects on crime and reincarceration via family conflict and financial problems.

Methods

  • Data came from the Serious and Violent Offender Reentry Initiative (SVORI) evaluation, adult male prisoners across 12 U.S. states; the final models included 1,532 of 1,697 men, with four waves: baseline about 30 days before release and 3, 9, and 15 months postrelease.
  • Physical health limitations and depression were latent baseline constructs; family conflict was measured at 3 months, employment at 3 months, financial problems and self-reported crime at 9 months, and reincarceration at 15 months.
  • The study used hybrid structural equation models with latent constructs, robust weighted least-squares estimation (WLSMV), and bias-corrected bootstrapping with 5,000 draws for mediation tests.

Limitations

  • Stated by the authors: the analysis is limited to adult men convicted of serious and/or violent offenses, so generalizability is limited; future work should examine lesser crimes and women. The financial problems measure may capture some element of financial assistance receipt rather than broader debt, income, or expenses. The SVORI data follow individuals only through 15 months postrelease, and employment quality was not measured.
  • Stated by the authors: future research should examine interactions between physical and mental health conditions, including mediated moderation, because health is only one determinant of depression.
  • Evident from the text: the design is observational, and the authors note that SEM cannot identify causal relationships without experimental data; health was measured at baseline, self-reported crime was used, and attrition/missing data were addressed with multiple techniques but possible bias remains.

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Integrity signals

Registry

Crossref · 10.1111/1745-9125.12213

Cites

153 of 153 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

37 Not checked yet · 33 Own interpretation · 24 Own result · 21 Own method · 4 No basis given

Verify all 51 references — free account

Show all 63 claims

  • It may state two separate claims as one. 37
  • Probably not a substantial claim. 28
56 of 56
  • The paper relies on this without support.

    Very few researchers have investigated the conditions that bring about transitions and successes crucial for behavior change.

    “Very few researchers, however, have investigated the conditions that serve to bring about these transitions and successes crucial for behavior change.”
  • The paper relies on this without support.

    Much less is known about the factors that increase or decrease the likelihood of achieving employment and family milestones.

    “much less is known about the factors that serve to increase or decrease the likelihood of achieving these milestones that may serve as a turning point in one's life.”
  • The paper relies on this without support.

    Links between mental and physical health, crime, and reincarceration, including intervening processes, have never been examined in a prior study.

    “links between mental and physical health, crime, and reincarceration, which include complex intervening processes through family conflict, employment, and economic hardship, have never been examined in a prior study.”
  • The paper relies on this without support.

    Few studies have been aimed at examining the impact of physical health on offending.

    “few studies have been aimed at examining the impact of physical health on offending.”
  • The paper relies on this without support.

    No study has focused on how physical mobility issues may impact the process of desistance after release from prison.

    “No study to our knowledge has focused on how physical mobility issues may impact the process of desistance after release from prison.”
  • The paper relies on this without support.

    Most studies connecting health and crime are cross-sectional.

    “most studies connecting health and crime are cross-sectional.”
  • The paper relies on this without support.

    Research results have provided little additional insight into the mediating mechanisms between physical health and crime.

    “research results have provided little additional insight into the mediating mechanisms between physical health and crime.”
  • The paper relies on this without support.

    Research is lacking on the complex roles both mental and physical health states play in affecting prosocial behavior among those reentering society.

    “research is lacking on the complex roles both mental and physical health states play in affecting prosocial behavior among those reentering society.”
  • The paper relies on this without support.

    There are no unmeasured confounders that would explain the observed relationships between health, reentry outcomes, and recidivism.

    “Because we use observational data, we include several key covariates to reduce the possibility that statistically significant relationships could be the result of confounding.”
  • The paper relies on this without support.

    The specified structural model correctly represents the causal ordering among health, reentry outcomes, and recidivism.

    “we then imposed structure on the model by specifying how the constructs are related to one another (see figure 1).”
  • The paper relies on this without support.

    Health information is often collected for other reasons at prison intake.

    “as health information is often collected for other reasons at prison intake, it may not be too burdensome for correctional authorities to redirect this information toward assessment tools to set in motion plans to improve prisoner health.”
  • The paper relies on this without support.

    Most risk assessment tools focus little on physical health.

    “Most risk assessment tools devote significant attention to criminal and behavioral history and social areas of criminogenic need, but they focus little on physical health.”
12 of 12

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Citations

Cites

Show all 155 references

Research works printed but not linked: 12

  1. Acock A. C., 2013, Discovering structural equation modeling using Stata
  2. Alper M., 2018, 2018 Update on prisoner recidivism
  3. Bannon A., 2010, Criminal justice debt: A barrier to reentry
  4. Ginsburg‐Kempany K., 2017, Handbook on risk and need assessment: Theory and practice
  5. Harris A., 2016, A pound of flesh: Monetary sanctions as a permanent punishment for poor people
  6. Lattimore P. K., 2010, The multi‐site evaluation of SVORI: Methodology and analytic approach
  7. Lattimore P. K., 2009, The multi‐site evaluation of SVORI: Summary and synthesis
  8. Laub J. H., 2003, Shared beginnings, divergent lives: Delinquent boys to age (Vol. 70)
  9. Muthén L. K., 2017, Mplus user's guide
  10. 10.2307/2657381 · DOI · Paper page
  11. U.S. Department of Justice, Civil Rights Division, 2019, Justice Department alleges conditions in Alabama men's prisons violate the Constitution
  12. C. A. Visher J. Yahner La N. Vigne 2010 Urban Institute Press Washington DC

Cited by

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Metadata

Authors
Link, N. W., Ward, J. T., & Stansfield, R.
Affiliations
  • Rutgers, The State University of New Jersey (US)
  • Temple University (US)
Corresponding author
Link, Nathan W.
Venue
Criminology
Publisher
Wiley
Published
2019-06-10
Volume
57
Issue
3
Pages
544-573
ISSN
  • 0011-1384 (ISSN-L)
  • 1745-9125
OpenAlex
W2950505069
Cited by
144
References
155
Citations by year
2026: 16 · 2025: 23 · 2024: 21 · 2023: 24 · 2022: 25 · 2021: 18 · 2020: 15 · 2019: 1
FWCI
29.63
Type
journal article
Language
en
Open access
Locations
  • Criminology (publishedVersion, cc-by-nc)
  • CrimRxiv (publishedVersion, cc-by-nc-nd)
Topics
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
  • Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
  • Social Sciences › Law › Criminal Justice and Penology
Keywords
desistance from crime, prisoner reentry, recidivism, mental health, physical health, incarceration, employment, family conflict, financial hardship, correctional policy

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