Health outcomes and retention in care following release from prison for patients of an urban post-incarceration Transitions clinic

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29 Citations (Scopus)

Abstract

Chronic health conditions are overrepresented among prisoners who often face barriers to medical care following release. Transitions clinics seek to provide timely access to medical care following release. This retrospective cohort study investigated care delivery and health outcomes for recently released prisoners receiving care at the Bronx Transitions Clinic. Among 135 recently released prisoners, median time from release to initial medical visit was 10 days (IQ Range: 5-31). Six-month retention in care was high for HIV-infection (86%), but lower for opioid dependence (33%), hypertension (45%) and diabetes (43%). At six months, 54% of HIV-patients had a suppressed viral load, but fewer buprenorphine-treated patients reduced opioid use (19%), and fewer hypertensive and diabetic patients reached respective blood pressure (35%) and hemoglobin A1c (14%) goals. Access to medical care is necessary but not sufficient to control chronic health conditions. Additional interventions are necessary for formerly incarcerated people to achieve optimal health outcomes.

Original languageEnglish (US)
Pages (from-to)1139-1152
Number of pages14
JournalJournal of Health Care for the Poor and Underserved
Volume25
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Prisoners
Prisons
Opioid Analgesics
Health
Buprenorphine
Viral Load
HIV Infections
Hemoglobins
Cohort Studies
Retrospective Studies
HIV
Blood Pressure
Hypertension
Delivery of Health Care

Keywords

  • Chronic non-infectious diseases
  • Former prisoners
  • Health outcomes
  • HIV
  • Opioid dependence
  • Transitions clinic

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Health outcomes and retention in care following release from prison for patients of an urban post-incarceration Transitions clinic",
abstract = "Chronic health conditions are overrepresented among prisoners who often face barriers to medical care following release. Transitions clinics seek to provide timely access to medical care following release. This retrospective cohort study investigated care delivery and health outcomes for recently released prisoners receiving care at the Bronx Transitions Clinic. Among 135 recently released prisoners, median time from release to initial medical visit was 10 days (IQ Range: 5-31). Six-month retention in care was high for HIV-infection (86{\%}), but lower for opioid dependence (33{\%}), hypertension (45{\%}) and diabetes (43{\%}). At six months, 54{\%} of HIV-patients had a suppressed viral load, but fewer buprenorphine-treated patients reduced opioid use (19{\%}), and fewer hypertensive and diabetic patients reached respective blood pressure (35{\%}) and hemoglobin A1c (14{\%}) goals. Access to medical care is necessary but not sufficient to control chronic health conditions. Additional interventions are necessary for formerly incarcerated people to achieve optimal health outcomes.",
keywords = "Chronic non-infectious diseases, Former prisoners, Health outcomes, HIV, Opioid dependence, Transitions clinic",
author = "Fox, {Aaron D.} and Anderson, {Matthew R.} and Gary Bartlett and John Valverde and Starrels, {Joanna L.} and Cunningham, {Chinazo O.}",
year = "2014",
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AU - Fox, Aaron D.

AU - Anderson, Matthew R.

AU - Bartlett, Gary

AU - Valverde, John

AU - Starrels, Joanna L.

AU - Cunningham, Chinazo O.

PY - 2014

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N2 - Chronic health conditions are overrepresented among prisoners who often face barriers to medical care following release. Transitions clinics seek to provide timely access to medical care following release. This retrospective cohort study investigated care delivery and health outcomes for recently released prisoners receiving care at the Bronx Transitions Clinic. Among 135 recently released prisoners, median time from release to initial medical visit was 10 days (IQ Range: 5-31). Six-month retention in care was high for HIV-infection (86%), but lower for opioid dependence (33%), hypertension (45%) and diabetes (43%). At six months, 54% of HIV-patients had a suppressed viral load, but fewer buprenorphine-treated patients reduced opioid use (19%), and fewer hypertensive and diabetic patients reached respective blood pressure (35%) and hemoglobin A1c (14%) goals. Access to medical care is necessary but not sufficient to control chronic health conditions. Additional interventions are necessary for formerly incarcerated people to achieve optimal health outcomes.

AB - Chronic health conditions are overrepresented among prisoners who often face barriers to medical care following release. Transitions clinics seek to provide timely access to medical care following release. This retrospective cohort study investigated care delivery and health outcomes for recently released prisoners receiving care at the Bronx Transitions Clinic. Among 135 recently released prisoners, median time from release to initial medical visit was 10 days (IQ Range: 5-31). Six-month retention in care was high for HIV-infection (86%), but lower for opioid dependence (33%), hypertension (45%) and diabetes (43%). At six months, 54% of HIV-patients had a suppressed viral load, but fewer buprenorphine-treated patients reduced opioid use (19%), and fewer hypertensive and diabetic patients reached respective blood pressure (35%) and hemoglobin A1c (14%) goals. Access to medical care is necessary but not sufficient to control chronic health conditions. Additional interventions are necessary for formerly incarcerated people to achieve optimal health outcomes.

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