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    The pivotal role of primary care in meeting the health needs of people recently released from prison

    Access Status
    Fulltext not available
    Authors
    Kinner, S.
    Young, Jesse
    Carroll, M.
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Kinner, S. and Young, J. and Carroll, M. 2015. The pivotal role of primary care in meeting the health needs of people recently released from prison. Australasian Psychiatry. 23 (6): pp. 650-653.
    Source Title
    Australas Psychiatry
    DOI
    10.1177/1039856215613008
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/3131
    Collection
    • Curtin Research Publications
    Abstract

    OBJECTIVE: Australia's prison population is growing at a rate well in excess of population growth. Indigenous Australians are over-represented by a factor of 13. Prisoners are a profoundly marginalised group characterised by complex health and social needs. Despite improvements in health during incarceration, poor health outcomes after release are common, and the net effect of incarceration is usually health depleting. Given the need for effective care coordination, primary care plays a pivotal role in meeting the health needs of this population. In this paper we review what is known about patterns of primary care utilisation in ex-prisoners, identify evidence-based strategies for increasing access to primary care in ex-prisoners, and consider how such contact may shape subsequent health service outcomes. CONCLUSIONS: Primary care is a necessary but not sufficient condition for effective post-release support. Positive outcomes may depend more on the quality than the quantity of care received. Given massive over-representation of Indigenous people in Australia's prisons, and compelling evidence of preventable morbidity and mortality after release from prison, effective models of care for this population are an important component of closing the gap in Indigenous life expectancy.

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      One consequence of the deinstitutionalisation of psychiatric care and increase in community care is the rising number of mentally ill people in prison populations where there are insufficient mental health professionals ...
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