This study first sought to estimate the local Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) prevalence of various substance use disorders (SUDs) and psychiatric conditions among a sample of male county jail inmates (N = 200) from 2016 data. The observed patterns in prevalence and internal consistency for the various conditions among a subgroup of inmates with a DSM-5 moderate-severe SUD diagnosis (n = 149) were then compared to a comparable sample of Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) substance-dependent inmates derived from 2008 data collected in an adjacent county jail (N = 176) using a nearly identical structured clinical interview. Results revealed 87.0% of inmates in the total 2016 sample met criteria for any DSM-5 SUD. Despite similar methodology, comparable sample populations, and county jails in the same geographic region, there were marked differences between studies with respect to the prevalence of certain SUDs over an 8-year period. Conversely, 2016 prevalence rates for the co-occurring conditions were within 1% to 7% points of the rates evidenced in 2008.

Steven L. Proctor, Norman G. Hoffmann, Alyssa Raggio
Criminal Justice and Behavior, Vol 46, Issue 1, 2019

Prevalence of Substance Use Disorders and Psychiatric Conditions Among County Jail Inmates: Changes and Stability Over Time [2018]