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dc.contributor.authorKinner, Stuart A
dc.contributor.authorAlati, Rosa
dc.contributor.authorLongo, Marie
dc.contributor.authorSpittal, Matthew J
dc.contributor.authorBoyle, Frances M
dc.contributor.authorWilliams, Gail M
dc.contributor.authorLennox, Nicholas G
dc.date.accessioned2018-04-30T04:38:37Z
dc.date.available2018-04-30T04:38:37Z
dc.date.issued2016
dc.identifier.issn0143-005X
dc.identifier.doi10.1136/jech-2015-206565
dc.identifier.urihttp://hdl.handle.net/10072/100146
dc.description.abstractBackground: 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.peerreviewedYes
dc.languageEnglish
dc.publisherBMJ Publishing Group
dc.relation.ispartofpagefrom683
dc.relation.ispartofpageto688
dc.relation.ispartofissue7
dc.relation.ispartofjournalJournal of Epidemiology and Community Health
dc.relation.ispartofvolume70
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchHuman geography
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode4406
dc.titleLow-intensity case management increases contact with primary care in recently released prisoners: a single-blinded, multisite, randomised controlled trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionVersion of Record (VoR)
gro.facultyArts, Education & Law Group, School of Criminology and Criminal Justice
gro.hasfulltextFull Text
gro.griffith.authorKinner, Stuart A.


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