Background
Over 20 million Americans are currently incarcerated or have been in the past. Most are from medically underserved populations; one in three African American men and one in six Latino men born in 2001 are projected to go to prison during their lifetimes. The amount of funding from the National Institutes of Health (NIH) to understand and improve the health of criminal justice-involved persons is unknown.
Objective
Describe NIH funding for research addressing the health and healthcare needs of criminal justice-involved individuals.
Design
Review of NIH grants (from 2008 through 2012) in the RePORT (Research Portfolio Online Reporting Tools) database.
Setting
The NIH RePORT database.
Patients
Criminal justice involved individuals participating in NIH-funded clinical research.
Measurements
NIH research and training grants awarded by number, type, research area, institute or center, and dollar amount.
Results
Of more than 250,000 NIH funded grants, 180 (less than 0.1%) focused on criminal justice health research. The three most common foci of criminal justice health research grants were substance use and/or HIV (64%), mental health (11%), and juvenile health (8%). Two institutes, the National Institute on Drug Abuse and the National Institute of Mental Health, funded 78% of all grants. In 2012, the NIH invested $40.9 million in criminal justice health research, or 1.5% of the $2.7 billion health disparities budget for that year.
Limitations
NIH-supported research that did not explicitly include current or former prisoners but may have relevance to criminal justice health was not included.
Conclusions
Federal funding for research focused on understanding and improving the health of criminal justice-involved persons is small, even when compared to the NIH’s overall investment in health disparities research. The NIH is well-positioned to transform the care of current and former prisoners by investing in this critical yet overlooked research area.
Primary Funding Source
One author received funding support from the National Institute on Aging at the National Institutes of Health and Tideswell at UCSF.