Low-intensity case management increases contact with primary care in recently released prisoners: a single-blinded, multisite, randomised controlled trial

Journal of Epidemiology and Community Health
Stuart A KinnerNicholas Lennox

Abstract

The world prison population is large and growing. Poor health outcomes after release from prison are common, but few programmes to improve health outcomes for ex-prisoners have been rigorously evaluated. The aim of this study was to evaluate the impact of individualised case management on contact with health services during the first 6 months post-release. Single-blinded, randomised, controlled trial. Baseline assessment with N=1325 adult prisoners in Queensland, Australia, within 6 weeks of expected release; follow-up interviews 1, 3 and 6 months post-release. The intervention consisted of provision of a personalised booklet ('Passport') at the time of release, plus up to four brief telephone contacts in the first 4 weeks post-release. Of 1179 eligible participants, 1003 (85%) completed ≥1 follow-up interview. In intention-to-treat analyses, 53% of the intervention group and 41% of the control group reported contacting a general practitioner (GP) at 1 month post-release (difference=12%, 95% CI 5% to 19%). Similar effects were observed for GP contact at 3 months (difference=9%, 95% CI 2% to 16%) and 6 months (difference=8%, 95% CI 1% to 15%), and for mental health (MH) service contact at 6 months post release (difference=8%, 95...Continue Reading

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Citations

Mar 26, 2016·The Australian and New Zealand Journal of Psychiatry·Rohan BorschmannStuart A Kinner
Jan 17, 2017·Journal of Intellectual Disability Research : JIDR·J T YoungS A Kinner
Nov 18, 2017·International Journal of Environmental Research and Public Health·Alexander D LoveJesse T Young
Sep 26, 2017·Epidemiology and Psychiatric Sciences·M J SpittalS A Kinner
Apr 1, 2019·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Jesse T YoungStuart A Kinner
Sep 16, 2017·International Journal of Prisoner Health·Heather LeutwylerElaine Zahnd
Jul 14, 2017·The Medical Journal of Australia·Megan CarrollStuart A Kinner
Nov 11, 2018·BMC Health Services Research·Fiona G KouyoumdjianStephen W Hwang
Jul 8, 2021·Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care·Patricia BeckerDaniel O'Connell

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