Ob je c tive s He a lth Ca re During a nd Afte r I nc a rc e ra - PDF document

2/10/2020 Ob je c tive s He a lth Ca re During a nd Afte r I nc a rc e ra tio n  1) R e vie w tr e nds of inc ar c e r ation in the US. L isa Pra tt MD  2) Re c o g nize the me dic a l risks o f a n Jo a nie Adding to n-White MD inc a rc e ra te d po pula tio n b e fo re , during , a nd a fte r re le a se . vide o  3)Illustra tio n o f c o nne c tio ns in c a re thro ug h E xpe rt pa ne l disc ussio n. 2.2 million Americans are incarcerated ~11 million cycle through jails each year A Histor y of Inc ar c e r ation is Common ~ 1 in 30 American adults have relied on a correctional facility for healthcare services at some point in their life Anhalt C, Williams B. The state of research funding from the national institutes of health for criminal justice health research.Ann Photo: Intern Med. 2015 Mar 3; 162(5):345-52. California Dept. of Corrections & Rehabilitation 1

2/10/2020 And inc re a sing … T his Pho to b y Unkno wn Autho r is lic e nse d und e r CC BY-SA Dispr opor tionate ly Affe c ts Me n of Color De spite simila r ra te s o f drug use : 2

2/10/2020 A rapidly aging prison population 2007  2012 • 9.6% decrease in total arrests across the US • 27% increase in arrests aged 55 or older R isk to He alth of our Community Se sa me Stre e t Muppe t Ale x  2.7 millio n c hildre n ha ve a pa re nt in ja il.  Co nc e ntra te d numb e rs fro m impo ve rishe d ne ig hb o rho o ds. 3

2/10/2020 3000 juve nile s ha ve b e e n se nte nc e d to die in priso n. We a re the o nly c o untry tha t c o nde mns c hildre n to life witho ut pa ro le . Risks fo r inc a rc e ra tio n a nd Ob je c tive s me dic a l pro b le ms  1) Re vie w tre nds o f inc a rc e ra tio n in the US.  2) R e c ognize the me dic al r isks of an inc ar c e r ate d population be for e , dur ing, and afte r r e le ase .  3)Illustra tio n o f c o nne c tio ns in c a re thro ug h E xpe rt pa ne l disc ussio n. 4

2/10/2020 Prevalence of Medical Conditions among Federal and State Prisoners, Jail Inmates, and the Noninstitutionalized U.S. Chro nic dise a se Population. Ma rsc hke , L . M., Bro dsky, M., & Una ng 's, J. (2015). Me dic al pro ble ms o f state and fe de ral priso ne rs and jail inmate s, 2011-12 . Wa shing to n, D.C.: U.S. De pa rtme nt o f Justic e , Offic e o f Justic e Pro g ra ms, Bure a u o f Justic e Sta tistic s., R ic h JD e t al. N E ngle J Me d 2011;364:2081- 2083. Drug a b use He a lth risks o f inc a rc e ra tio n  T ho usa nds o f no nvio le nt o ffe nde rs'  Risky se x pra c tic e s a nd ra pe de c a de s in priso n.  I VDA a nd ta tto o ing  65% me e t c rite ria fo r a ddic tio n.  Vio le nc e  11% re c e ive a ny type o f a ddic tio n  PT SD fro m vio le nc e while inc a rc e ra te d tre a tme nt. (Po st-inc a rc e ra tio n syndro me )  Hig h ra te o f a ddic tio n=hig h ra te o f  So lita ry Co nfine me nt re c idivism.  L a c k o f se lf-ma na g e me nt o f c hro nic illne sse s Na tio na l Ce nte r o n Addic tio n a nd Sub sta nc e Ab use (CASA) 5

2/10/2020 Anna ls o f inte rna l me dic ine Re le a se a nd Risk Mo rta lity a fte r re le a se : No v 5, 2013  Ove r 50% o f SF Ja il inma te s ho me le ss o n re le a se .  E D is use d fo r he a lth c a re .  ”Co lla te ra l Co nse q ue nc e s”  Diffic ulty e mplo yme nt  Pro hib ite d fro m a c c e ssing ma ny pub lic suppo rts: fo o d sta mps; ho using / se c tio n 8; vo ting  L isa Pra tt MD Dire c to r o f Sa n F ra nc isc o Ja il Our  Ja ke Ise nb e rg MD Pa ne l  Nic ho le Pe ttwa y 6