Adverse Impacts of Mental Health Needs Assessment on Jail Outcomes
研究利用工具变量法发现，临床医生评估的心理健康需求评分越差，青少年和成年人的监禁时间越长、自杀企图越多，成年人再犯率也越高。
<h3>Abstract</h3> We investigate the causal impact of jail mental health needs scores, assigned by clinicians, on youth and adult outcomes. Utilizing an instrumental variable (IV) approach leveraging quasi-random assignment of intake clinicians, we find that worse scores increase incarceration duration and suicide attempts in both groups and recidivism in adults. For the marginal person, worse scores may lead to consequences like prolonged jail stays, which counteract potential benefits. We discuss possible mechanisms, including the existence of a mental health docket for misdemeanors, and effects of scores on bond posting, mental healthcare, type of housing within the jail, and length of stay.