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Of the participants in need of treatment, 18.5% did not participate in any formal treatment programs or religious programs and services. Untreated inmates were disproportionately young and male and less likely to report preincarceration cocaine dependence. Treatment participation varied little as a function of race or symptoms of mental illness. The most common reason for nonparticipation was the belief that one would not be around long enough to participate in programs. Other reasons were both institution-related and person-related in nature, including doubts about treatment efficacy, stigma concerns, lack of motivation, and lack of programs, especially addressing mental illness.<\/jats:p>","DOI":"10.1177\/0306624x13489828","type":"journal-article","created":{"date-parts":[[2013,6,19]],"date-time":"2013-06-19T20:34:27Z","timestamp":1371674067000},"page":"914-930","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":46,"title":["Why Do Some Jail Inmates Not Engage in Treatment and Services?"],"prefix":"10.1177","volume":"58","author":[{"given":"Candace L.","family":"Meyer","sequence":"first","affiliation":[{"name":"Private Practice, Herndon, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June P.","family":"Tangney","sequence":"additional","affiliation":[{"name":"George Mason University, Fairfax, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Stuewig","sequence":"additional","affiliation":[{"name":"George Mason University, Fairfax, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly E.","family":"Moore","sequence":"additional","affiliation":[{"name":"George Mason University, Fairfax, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,6,18]]},"reference":[{"key":"bibr1-0306624X13489828","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.53.12.1547"},{"key":"bibr2-0306624X13489828","doi-asserted-by":"publisher","DOI":"10.1023\/A:1018759201290"},{"key":"bibr3-0306624X13489828","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000","edition":"4"},{"key":"bibr4-0306624X13489828","doi-asserted-by":"publisher","DOI":"10.1177\/1043986202239740"},{"key":"bibr5-0306624X13489828","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2004.08.023"},{"key":"bibr6-0306624X13489828","doi-asserted-by":"publisher","DOI":"10.1007\/s10591-009-9110-x"},{"key":"bibr7-0306624X13489828","first-page":"395","volume-title":"Social psychological foundations of clinical psychology","author":"Dearing R. 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