Psychiatric hospital admission and later crime, mental health, and labor market outcomes
研究精神病院入院决策对患者后续犯罪、治疗轨迹和劳动力市场结果的影响,发现入院减少了犯罪行为但降低了劳动力市场参与,对男性及有犯罪记录者影响更显著。
Most OECD countries have downsized treatment capacity at psychiatric hospitals substantially. We investigate consequences of these reductions by studying how the decision whether to admit individuals in mental distress to a psychiatric hospital affects their subsequent crime, treatment trajectories, and labor market outcomes. To circumvent nonrandom selection into admission, we use a proxy of occupancy rates prior to a patient's first contact with a psychiatric hospital as an instrument. We find that admissions reduce criminal behavior, likely due to incapacitation, and predominantly for males and those with a criminal record. Furthermore, admission lowers patients' subsequent labor market attachment, likely because a psychiatric hospital admission is an eligibility criterion for welfare benefits.