Telemental health service delivery to justice-involved persons With substance use: Staff perspectives

Abstract

The purpose of this study was to understand the availability and use of telemental health with justice-involved adults under community supervision with substance use behaviors. Semistructured interviews were administered to 16 community corrections employees from rural facilities in a southern state on their knowledge and experience with telemental health. Thematic analysis using MAXQDA was applied. Five primary themes were found: (a) barriers to accessing face-to-face services, (b) barriers to accessing telemental health services, (c) barriers to accessing services exacerbated by COVID-19 pandemic, (d) benefits of telemental health services, and (e) suggestions to improve mental health services. Findings revealed limited awareness of available services among staff, challenges to accessing services including lack of transportation or insurance, exacerbation of challenges due to the pandemic, and suggestions for increased training and funding for telemental health services.

Keywords

telemental health substance use justice-involved community supervision pandemic

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References

Abrams

(2024, December 17). How insurance woes are impacting mental health care. https://www.apa.org/topics/psychotherapy/insurance-mental-health-care

Andrilla

C. H. A.

Patterson

D. G.

Garberson

L. A.

Coulthard

Larson

E. H.

(2018). Geographic variation in the supply of selected behavioral health providers. American Journal of Preventive Medicine, 54(6), 199–207. https://doi.org/10.1016/j.amepre.2018.01.004

Batastini

A. B.

King

C. M.

Morgan

R. D.

McDaniel

(2016). Telepsychological services with criminal justice and substance abuse clients: A systematic review and meta-analysis. Psychological Services, 13(1), 20–30. https://doi.org/10.1037/ser0000042

Bohmart

M. N.

DeMaris

(2017). Cumulative disadvantage and the role of transportation in community supervision. Crime & Delinquency, 64(8), 1033–1056. https://doi.org/10.1177/0011128716686344

Brooks

McCluskey

Turley

King

(2015). The utility of template analysis in qualitative psychology research. Qualitative Research in Psychology, 12(2), 202–222. https://doi.org/10.1080/14780887.2014.955224

Centers for Disease Control and Prevention. (2024, May 13). Research anthology: Telehealth and telemedicine. Public Health Law. https://www.cdc.gov/phlp/php/publications/research-anthology-telehealth-and-telemedicine.html

Chamberlain

A. W.

Gricius

Wallace

D. M.

Borjas

Ware

V. M.

(2018). Parolee– parole officer rapport: Does it impact recidivism? International Journal of Offender Therapy and Comparative Criminology, 62(11), 3581–3602. https://doi.org/10.1177/0306624X17741593

Cohen

T. H.

Starr

V. L.

(2021). Survey of US probation and pretrial services agencies’ adaptations to COVID-19. Federal Probation, 85(1), 14. https://www.researchgate.net/publication/356759621_Survey_of_US_Probation_and_Pretrial_Services_Agencies’_Adaptations_to_COVID-19

Graves

Payne

Bradshaw

Bratton

(2022). Recidivism in Arkansas: A roadmap to reform. https://doc.arkansas.gov/wpcontent/uploads/2022/04/Recidivism-in-Arkansas-A-Roadmap-to-Reform-April29_2022-single_BOC_FINAL.pdf

10.

Heggie

Fuller

Paynter

M. R.

Goudreau

(2025). Health outcomes and healthcare access experiences of incarcerated and recently released women in rural areas: A scoping review. Rural and Remote Health, 25(2), 1–19. https://doi.org/10.22605/RRH9618

11.

Hull

Samuels

(2020, January). How have states addressed behavioral health needs through JRI? Urban Institute. https://www.urban.org/sites/default/files/publication/101643/addressing_behavioral_health_through_the_justice_reinvestment_initiative.pdf

12.

Ilomäki

Ruusuvuori

Laitinen

(2021). Effects of transmission delay on client participation in video-mediated group health counseling. Qualitative Health Research, 31(12), 2328–2339. https://doi.org/10.1177/10497323211010726

13.

Jackson

B. A.

(2015, January 6). Fostering innovation in community and institutional corrections: Identifying high-priority technology and other needs for the US corrections sector. Rand Corporation. https://www.rand.org/pubs/research_reports/RR820.html

14.

Kepley

H. O.

Streeter

R. A.

(2018). Closing behavioral health workforce gaps: A HRSA program expanding direct mental health service access in underserved areas. American Journal of Preventive Medicine, 54(6), 190–191. https://doi.org/10.1016/j.amepre.2018.03.006

15.

King

(2012). Doing template analysis. In Symon

Cassell

(Eds.), Qualitative organizational research: Core methods and current challenges (pp. 426–450). Sage. https://doi.org/10.4135/9781526435620.n24

16.

J. S.

El-Toukhy

Quintero

S. M.

Wilkerson

M. J.

Nápoles

A. M.

Stewart

A. L.

Strassle

P. D.

(2023). Disparities in telehealth access, not willingness to use services, likely explain rural telehealth disparities. The Journal of Rural Health, 39(3), 617–624. https://doi.org/10.1111/jrh.12759

17.

Krider

A. E.

Parker

T. W.

(2021). COVID-19 tele-mental health: Innovative use in rural behavioral health and criminal justice settings. Journal of Rural Mental Health, 45(2), 86–94. https://doi.org/10.1037/rmh0000153

18.

Mark

T. L.

Parish

W. J.

(2024). Behavioral health parity—Pervasive disparities in access to in-network care continue. RTI International.

19.

Martin

K. D.

Zettler

H. R.

(2022). COVID-19’s impact on probation professionals’ views about their roles and the future of probation. Criminal Justice Review, 47(2), 167–184. https://doi.org/10.1177/07340168211052876

20.

McNeil

D. E.

Sadeh

Delucchi

K. L.

Binder

R. L.

(2015). Prospective study of violence risk reduction by a mental health court. Psychiatric Services, 66(6), 598–603. https://doi.org/10.1176/appi.ps.201400203

21.

Mental Health America. (2025). Rural mental health crisis. https://mhanational.org/resources/rural-mental-health-crisis/

22.

Mental Health America. (2026). Ranking the states. https://mhanational.org/the-state-of-mental-health-in-america/data-rankings/ranking-the-states/

23.

Morash

Kashy

Smith

Cobbina

(2014). The effects of probation or parole agent relationship style and women offenders’ criminogenic needs on offenders’ responses to supervision interactions. Criminal Justice and Behavior, 42, 412–434. https://doi.org/10.1177/0093854814551602

24.

National Alliance on Mental Illness. (2021). Arkansas state fact sheet [Report]. https://www.nami.org/wp-content/uploads/2023/07/ArkansasStateFactSheet.pdf

25.

National Institute of Justice. (2021). The role of human services during community supervision [Report]. https://nij.ojp.gov/topics/articles/role-human-services-during-community-supervision

26.

Oser

C. B.

Rockett

Otero

Batty

Booty

Gressick

Staton

Knudsen

H. K.

(2024). Rural and urban clinician views on COVID-19’s impact on substance use treatment for individuals on community supervision in Kentucky. Health & Justice, 12(1), 12. https://doi.org/10.1186/s40352-024-00266-9

27.

The Pew Charitable Trust. (2024, February 7). Number of U.S. adults on probation or parole continues to decline [Report]. https://www.pewtrusts.org/en/research-and-analysis/articles/2023/12/14/number-of-us-adults-on-probation-or-parole-continues-to-decline#:~:text=Nationwide%2C%20nearly%203.7%20million%20people,at%20the%20end%20of%202021

28.

Prison Policy Initiative. (2023). Arkansas profile [Report]. https://www.prisonpolicy.org/profiles/AR.html

29.

Saunders

(2024). Supervision violations and their impact on incarceration: A technical analysis of prison populations and admissions from people serving community supervision terms. The Council of State Governments Justice Center.

30.

Seuren

L. M.

Ilomäki

Dalmaijer

Shaw

S. E.

Stommel

W. J. P.

(2024). Communication in telehealth: A state-of-the-art literature review of conversation- analytic research. Research on Language and Social Interaction, 57(1), 73–90. https://doi.org/10.1080/08351813.2024.2305045

31.

Shah

Hawks

Walker

R. J.

Egede

L. E.

(2023). Substance use disorders, mental illness, and health care utilization among adults with recent criminal legal involvement. Psychiatric Services, 75(3), 221–227. https://doi.org/10.1176/appi.ps.20220491

32.

Singh

G. K.

Siahpush

(2014). Widening rural–urban disparities in all-cause mortality and mortality from major causes of death in the USA, 1969–2009. Journal of Urban Health, 91, 272–292. https://doi.org/10.1007/s11524-013-9847-2

33.

Sirdfield

Nichols

Mullen

(2022). Probation and COVID-19: Lessons learned to improve health-related practice. Probation Journal, 69(2), 216–234. https://doi.org/10.1177/02645505221087980

34.

Staton

Levi

Winston

Oser

C. B.

Fallin-Bennett

Dickson

Webster

J. M.

Leukefeld

Tillson

(2024). Examining use of telehealth in jails: Linking women to community OUD services. BMC Women’s Health, 24(1), 549. https://doi.org/10.1186/s12905-024-03394-4

35.

Tauscher

J. S.

DePue

M. K.

Swank

Salloum

R. G.

(2023). Determinants of preference for telehealth versus in-person treatment for substance use disorders: A discrete choice experiment. Journal of Substance Use and Addiction Treatment, 146, 208938. https://doi.org/10.1016/j.josat.2022.208938

36.

Thomas

Garate

Bashir

Moss

Nair

(2022). Telehealth reform post- public health emergency: Crucial next steps. Proceedings (Baylor University Medical Center), 36(2), 269–271. https://doi.org/10.1080/08998280.2022.2153323

37.

Thomas

K. L.

Dobis

E. A.

McGranahan

(2024). The nature of the rural-urban mortality gap (Report No. EIB-265). U.S. Department of Agriculture, Economic Research Service. https://doi.org/10.32747/2024.8321813.ers

38.

Tian

E. J.

Venugopalan

Kumar

Beard

(2021). The impacts of and outcomes from telehealth delivered in prisons: A systematic review. PLOS ONE, 16(5), Article e0251840. https://doi.org/10.1371/journal.pone.0251840

39.

U.S. Department of Agriculture. (2025). Rural classifications. Economic Research Service. www.ers.usda.gov/topics/rural-economy-population/rural-classifications

40.

Viglione

Nguyen

(2022). Changes in the use of telehealth services and use of technology for communication in U.S. community supervision agencies since COVID-19. Criminal Justice and Behavior, 49(12), 1727–1745. https://doi.org/10.1177/00938548221092976

41.

Weinzimmer

L. G.

Dalstrom

M. D.

Klein

C. J.

Foulger

de Ramirez

S. S.

(2021). The relationship between access to mental health counseling and interest in rural telehealth. Journal of Rural Mental Health, 45(3), 219–228. https://doi.org/10.1037/rmh0000179

42.

Widra

Jones

(2023, April 3). Mortality, health, and poverty: The unmet needs of people on probation and parole. Prison Policy Initiative. https://www.prisonpolicy.org/blog/2023/04/03/nsduh_probation_parole/

43.

Zaller

Varghese

F. P.

Bull

Skaggs

Braziel

H. L.

Snyder

L. R.

Stigar

L. V.

(2023). Telehealth among substance using justice-involved persons on community supervision: Benefits, challenges, and suggestions for future use. The Journal of Rural Health, 39(2), 452–458. https://doi.org/10.1111/jrh.12720