Tuesday, December 15, 2015

The Norwegian Offender Mental Health & Addiction Study - Design & Implementation of a National Survey & Prospective Cohort Study

The Norwegian prison inmates are burdened by problems before they enter prison. Few studies have managed to assess this burden and relate it to what occurs for the inmates once they leave the prison. The Norwegian Offender Mental Health and Addiction (NorMA) study is a large-scale longitudinal cohort study that combines national survey and registry data in order to understand mental health, substance use, and criminal activity before, during, and after custody among prisoners in Norway. The main goal of the study is to describe the criminal and health-related trajectories based on both survey and registry linkage information. Data were collected from 1,499 inmates in Norwegian prison facilities during 2013-2014. Of these, 741 inmates provided a valid personal identification number and constitute a cohort that will be examined retrospectively and prospectively, along with data from nationwide Norwegian registries. This study describes the design, procedures, and implementation of the ongoing NorMA study and provides an outline of the initial data.

Below:  Baseline questionnaire information about prisoners’ experiences at different phases: childhood/early life, before and during custody.



Below:  Overview of risk factors and outcomes, and the national registers were information is retrieved



Table 1

Background and prisoning characteristics (n = 1499).
TOTAL (n = 1499)VALID PIN (n = 741)NON-VALID PIN (n = 758)
n%n%n%
Gender (men)*139693.1%69093.1%70693.1%
Age (mean)*34.635.533.6
Country of birth*
Norway100667.1%60481.5%40253.0%
Nordic Countries, outside Norway402.7%101.3%304.0%
Western Europe outside Scandinavia533.5%91.2%445.8%
Eastern Europe1268.4%273.6%9913.1%
Africa1097.3%233.1%8611.3%
South or Central America201.3%70.9%131.7%
North America100.7%10.1%91.2%
Asia855.7%425.7%435.7%
Oceania10.1%10.1%
Norwegian citizenship*113475.7%66289.3%47262.3%
Status of imprisonment*a
Sentence113175.5%57978.1%55272.8%
Remand26917.9%14419.4%12516.5%
Protective custody734.9%172.3%567.4%
Notes:
*Missing values: Gender (n = 7, 0.5%), Age (n = 131, 8.7%), Country of birth (n = 49, 3.3%), Norwegian citizenship (n = 35, 2.3%), Status of imprisonment (n = 41, 2.7%).
a15 respondents reported both Sentence and Remand.

Full article at:   http://goo.gl/vn3gCZ

1Norwegian Centre for Addiction Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
2Oslo University Hospital, Division for Mental Health and Addiction, Oslo, Norway.
3The Correctional Service of Norway, Staff Academy, Oslo, Norway.
4Norwegian Institute for Alcohol and Drug Research, Oslo, Norway.
5Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Hamar, Norway.
6Norwegian Institute of Public Health, Department of Pharmacoepidemiology, Oslo, Norway.
7Alcohol Research Group, Emeryville, CA, USA.
  

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