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

    Access Status
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    Authors
    Kinner, S.
    Alati, Rosa
    Longo, M.
    Spittal, M.
    Boyle, F.
    Williams, G.
    Lennox, N.
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Kinner, S. and Alati, R. and Longo, M. and Spittal, M. and Boyle, F. and Williams, G. and Lennox, N. 2016. 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. 70 (7): pp. 683-688.
    Source Title
    Journal of Epidemiology and Community Health
    DOI
    10.1136/jech-2015-206565
    ISSN
    0143-005X
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/72934
    Collection
    • Curtin Research Publications
    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 postrelease. 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 postrelease. 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. Trial registration number ACTRN12608000232336.

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