dc.contributor.author | Kinner, Stuart A | |
dc.contributor.author | Alati, Rosa | |
dc.contributor.author | Longo, Marie | |
dc.contributor.author | Spittal, Matthew J | |
dc.contributor.author | Boyle, Frances M | |
dc.contributor.author | Williams, Gail M | |
dc.contributor.author | Lennox, Nicholas G | |
dc.date.accessioned | 2018-04-30T04:38:37Z | |
dc.date.available | 2018-04-30T04:38:37Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 0143-005X | |
dc.identifier.doi | 10.1136/jech-2015-206565 | |
dc.identifier.uri | http://hdl.handle.net/10072/100146 | |
dc.description.abstract | Background: 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.
Methods: 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.
Results: 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% CI 3% to 14%).
Conclusions: Individualised case management in the month after release from prison increases usage of primary care and MH services in adult ex-prisoners for at least 6 months post-release. Given the poor health profile of ex-prisoners, there remains an urgent need to develop and rigorously evaluate interventions to increase health service contact in this profoundly marginalised population. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.publisher | BMJ Publishing Group | |
dc.relation.ispartofpagefrom | 683 | |
dc.relation.ispartofpageto | 688 | |
dc.relation.ispartofissue | 7 | |
dc.relation.ispartofjournal | Journal of Epidemiology and Community Health | |
dc.relation.ispartofvolume | 70 | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearch | Human geography | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.subject.fieldofresearchcode | 4406 | |
dc.title | Low-intensity case management increases contact with primary care in recently released prisoners: a single-blinded, multisite, randomised controlled trial | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dc.description.version | Version of Record (VoR) | |
gro.faculty | Arts, Education & Law Group, School of Criminology and Criminal Justice | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Kinner, Stuart A. | |