A5048313602- Criminal Justice and Corrections Analysis
- Homelessness and Social Issues
- Emergency and Acute Care Studies
- HIV, Drug Use, Sexual Risk
- Posttraumatic Stress Disorder Research
- Healthcare Policy and Management
- HIV/AIDS Research and Interventions
- Mobile Health and mHealth Applications
- Primary Care and Health Outcomes
- Elder Abuse and Neglect
- Adolescent and Pediatric Healthcare
- Substance Abuse Treatment and Outcomes
- Electronic Health Records Systems
- Cybercrime and Law Enforcement Studies
- Prenatal Substance Exposure Effects
- Law, AI, and Intellectual Property
- Geriatric Care and Nursing Homes
- Health Policy Implementation Science
- Healthcare professionals’ stress and burnout
- Health disparities and outcomes
- Digital Mental Health Interventions
- Migration, Health and Trauma
- Opioid Use Disorder Treatment
- Suicide and Self-Harm Studies
- Racial and Ethnic Identity Research
University of California, San Francisco
2010-2025
Public Health Foundation
2023-2025
VA Connecticut Healthcare System
2020
Yale University
2020
Southeast Health District
2010-2012
San Francisco Department of Public Health
2010-2012
Harvard University
2012
Massachusetts General Hospital
2012
Objectives. Individuals released from prison have high rates of chronic conditions but minimal engagement in primary care. We compared 2 interventions designed to improve care and reduce acute utilization: Transitions Clinic, a care–based management program with community health worker, versus expedited Methods. performed randomized controlled trial 2007 2009 among 200 recently prisoners who had medical condition or were older than 50 years. abstracted 12-month outcomes an electronic...
Low-income and minority communities are disproportionately affected by incarceration, which exacerbates health disparities. Through enhanced primary care, the Transitions Clinic Network (TCN) seeks to improve of people with chronic conditions who return their from prison. Using TCN data, we assessed impact early engagement in care referral correctional systems on use acute (emergency department visits hospitalizations) recidivism. Of 751 patients, 29.8 percent were referred partners, 52.7...
Most California prisoners experience discontinuity of health care upon return to the community. In January 2006, physicians working with community organizations and representatives San Francisco Department Public Health's safety-net system opened Transitions Clinic (TC) provide transitional primary as well case management for returning Francisco. This article provides a complete description TC, including an illustrative case, reports information about recently released individuals who...
More than 80% of people in jail or prison report having used illicit substances their lifetimes. After release from incarceration, resumption substance use carries risks, including parole revocation, exacerbation mental health conditions, transmission infectious diseases, and drug overdose. This cross-sectional study baseline data the Transitions Clinic Network (TCN, www.transitionsclinic.org ), a multi-site prospective longitudinal cohort post-incarceration medical care. We investigated...
Background Health systems can be integral to addressing population health, including persons with incarceration exposure. Few studies have comprehensively integrated state-wide data assess how the primary care system impact criminal justice outcomes. We examined whether enhanced decrease future contact among individuals just released from prison. Methods linked administrative (2013–2016) of Connecticut Department Correction, Mental and Addiction Services, Social Service, Court Support...
The internet has created new markets and enabled alternative business models for criminal activity, such as human trafficking. Consequently, research is needed to understand the complexity, occurrence, impact of internet-enabled crime on victims society. Many scholars have called interdisciplinary approaches study develop interventions address a broad range cybercrimes, but this call challenging implement. Therefore, we provide confessional account our experience associated with developing...
Community members returning from incarceration experience serious health disparities, which intensified during the COVID-19 pandemic. In response, community workers with lived of in Transitions Clinic Network established a California reentry care hotline to support time-sensitive linkages postrelease medical care. From June 2020 2023, supported 1276 people transitioning incarceration. Lessons this peer-led public intervention are relevant for states utilizing Medicaid waivers improve equity...
Criminal justice system costs in the United States have exponentially increased over last decades, and providing health care to individuals released from incarceration is costly. To better understand how manage state budgets for those who been incarcerated, we aimed assess state-level of an enhanced primary program, Transitions Clinic Network (TCN), chronically-ill older recently prison.We linked administrative data Connecticut Department Correction, Medicaid, Mental Health Addiction...
Background Individuals released from carceral facilities have high rates of hospitalization and death, especially in the weeks immediately after their return to community settings. During this transitional process, individuals leaving incarceration are expected engage with multiple providers working separate, complex systems, including health care clinics, social service agencies, community-based organizations, probation parole services. This navigation is often complicated by individuals’...
This Viewpoint discusses the health harms to individuals and communities because of mass incarceration in US proposes interventions ensure equity for all individuals.
People released from prison experience high health needs and face barriers to care in the community. During COVID-19 pandemic, people early California state prisons under-resourced communities. Historically, there has been minimal coordination between community primary care. The Transitions Clinic Network (TCN), a community-based non-profit organization, supports network of clinics adopting an evidence-based model for returning members. In 2020, TCN linked Department Corrections...
Over half a million individuals return from United States prisons and millions more jails every year, many of whom with complex health social needs. Community workers (CHWs) perform diverse roles to improve outcomes in disadvantaged communities, but no studies have assessed their role as integrated members primary care team serving returning incarceration. Using data participants who received through the Transitions Clinic Network, model that integrates CHWs lived experienced incarceration...
Incarcerated individuals face high rates of mental illness, substance use disorders and communicable diseases including HIV, with increased health complications mortality in the early post-release period. Multiple re-entry interventions linking justice-involved to community resources via peer navigation have emerged, though limited data exist on mechanics personal impact these approaches. This paper quantifies evaluates a pilot study combined Community Health Worker (CHW)-re-entry...
Posttraumatic stress disorder (PTSD) is prevalent among people who have been incarcerated. Here, we examined whether screening positive for PTSD was associated with other indicators of poor health, acute healthcare utilization, and poverty primary care patients upon release from incarceration. We conducted a cross-sectional survey in national network clinics serving recently released Participants were 416 completed the Primary Care screen (PC-PTSD) questions about mental physical economic...
<sec> <title>BACKGROUND</title> Individuals released from carceral facilities have high rates of hospitalization and death, especially in the weeks immediately after their return to community settings. During this transitional process, individuals leaving incarceration are expected engage with multiple providers working separate, complex systems, including health care clinics, social service agencies, community-based organizations, probation parole services. This navigation is often...
Introduction: People with human immunodeficiency virus (HIV; PWH) who use substances are disproportionately involved in the criminal justice system. While HIV viral suppression typically improves during incarceration, these gains frequently lost after release. We evaluated impact of a combined intervention (formerly incarcerated community health workers (CHW) plus re-entry organization; CHW+) on post-release HIV- and substance use-related outcomes.Methods: conducted pilot randomized...