How the justice system can affect physical, mental health

"Many people often think of low-level interactions with the justice system as being inconsequential," says April Fernandes, author of a paper on the work and an assistant professor of sociology at NC State. "For example, if someone is arrested and released, it's seen as 'no harm, no foul.'

"We're learning that there can be significant mental health effects from low-level contacts. And there can be significant physical health effects even when convictions are associated with probation or fines, rather than jail time."

For this study, Fernandes looked at data from a nationally representative sample of about 9,000 young people who participated in the National Longitudinal Survey of Youth 1997, focusing specifically on data submitted between 1999 and 2010. The study participants were between the ages of 18 and 32.

Specifically, Fernandes evaluated self-reported physical and mental health assessments to determine whether there was a change in reported health status associated with justice system contact. Fernandes looked at four types of contact for study participants: being arrested; being charged; being convicted; and being sentenced to jail time.

"People reported increases in depression and stress across the continuum of contact, from arrest to jail time," Fernandes says. "That's consistent with previous work.

"And we knew that jail time affects physical health, for a host of reasons. But the fact that convictions were associated with physical health effects is particularly interesting. It would be worth exploring what drives those outcomes in greater detail."