Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach

Abstract Background Worldwide, the United States has the highest incarceration rate per capita. Thousands of people are released from US correctional facilities each year, including many who are impacted by HIV infection and substance use disorder (SUD), two frequently comorbid conditions that prese...

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Autores principales:	Zoe Pulitzer, Maria Box, Laura Hansen, Yordanos M. Tiruneh, Ank E. Nijhawan
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Jail Prison Reentry HIV Substance use disorder Community health worker Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960
Acceso en línea:	https://doaj.org/article/7d7f6f6c36af4ca7966121a6cd987c81
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spelling	oai:doaj.org-article:7d7f6f6c36af4ca7966121a6cd987c812021-12-05T12:04:51ZPatient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach10.1186/s40352-021-00161-72194-7899https://doaj.org/article/7d7f6f6c36af4ca7966121a6cd987c812021-12-01T00:00:00Zhttps://doi.org/10.1186/s40352-021-00161-7https://doaj.org/toc/2194-7899Abstract Background Worldwide, the United States has the highest incarceration rate per capita. Thousands of people are released from US correctional facilities each year, including many who are impacted by HIV infection and substance use disorder (SUD), two frequently comorbid conditions that present multiple challenges upon reentry. Reentry and care engagement research involving justice-involved people with HIV (PWH) with comorbid SUD has been largely limited to the perspective of those released. To formulate effective interventions for this population aimed at maintaining health and reducing recidivism, it is crucial to collect data from formerly incarcerated individuals with firsthand experience of the reentry process as well as other actors within the reentry framework. Insights from medical and legal service providers working in reentry systems have the potential to address key implementation concerns. To inform an intervention aimed at helping recently-released individuals PWH and SUD, we conducted a qualitative study to assess barriers and facilitators to community reentry from the perspectives of diverse consumers and providers of medical, legal, and reentry services. Results Fifteen stakeholders within XXX County participated in in-person interviews. Results indicated that 1) Patients/clients emphasized psychosocial support and individual attitude more than medical and legal participants, who chiefly focused on logistical factors such as finances, housing, and transportation; 2) Patients/clients expressed both medical and legal needs during the reentry period, though medical providers and participants from legal entities mainly expressed concerns limited to their respective scopes of work; 3) All three participant groups underscored the need for a low-barrier, collaborative, patient-centered approach to reentry with the goal of achieving self-sufficiency. Conclusions Findings support and extend existing literature detailing the barriers and facilitators to successful reentry. Our findings underscore the notion that an effective reentry intervention addresses both medical and legal needs, includes an individualized approach that incorporates psychosocial needs, and focuses on establishing self-sufficiency.Zoe PulitzerMaria BoxLaura HansenYordanos M. TirunehAnk E. NijhawanBMCarticleJailPrisonReentryHIVSubstance use disorderCommunity health workerPublic aspects of medicineRA1-1270Social pathology. Social and public welfare. CriminologyHV1-9960ENHealth & Justice, Vol 9, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Jail Prison Reentry HIV Substance use disorder Community health worker Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960
spellingShingle	Jail Prison Reentry HIV Substance use disorder Community health worker Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960 Zoe Pulitzer Maria Box Laura Hansen Yordanos M. Tiruneh Ank E. Nijhawan Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach
description	Abstract Background Worldwide, the United States has the highest incarceration rate per capita. Thousands of people are released from US correctional facilities each year, including many who are impacted by HIV infection and substance use disorder (SUD), two frequently comorbid conditions that present multiple challenges upon reentry. Reentry and care engagement research involving justice-involved people with HIV (PWH) with comorbid SUD has been largely limited to the perspective of those released. To formulate effective interventions for this population aimed at maintaining health and reducing recidivism, it is crucial to collect data from formerly incarcerated individuals with firsthand experience of the reentry process as well as other actors within the reentry framework. Insights from medical and legal service providers working in reentry systems have the potential to address key implementation concerns. To inform an intervention aimed at helping recently-released individuals PWH and SUD, we conducted a qualitative study to assess barriers and facilitators to community reentry from the perspectives of diverse consumers and providers of medical, legal, and reentry services. Results Fifteen stakeholders within XXX County participated in in-person interviews. Results indicated that 1) Patients/clients emphasized psychosocial support and individual attitude more than medical and legal participants, who chiefly focused on logistical factors such as finances, housing, and transportation; 2) Patients/clients expressed both medical and legal needs during the reentry period, though medical providers and participants from legal entities mainly expressed concerns limited to their respective scopes of work; 3) All three participant groups underscored the need for a low-barrier, collaborative, patient-centered approach to reentry with the goal of achieving self-sufficiency. Conclusions Findings support and extend existing literature detailing the barriers and facilitators to successful reentry. Our findings underscore the notion that an effective reentry intervention addresses both medical and legal needs, includes an individualized approach that incorporates psychosocial needs, and focuses on establishing self-sufficiency.
format	article
author	Zoe Pulitzer Maria Box Laura Hansen Yordanos M. Tiruneh Ank E. Nijhawan
author_facet	Zoe Pulitzer Maria Box Laura Hansen Yordanos M. Tiruneh Ank E. Nijhawan
author_sort	Zoe Pulitzer
title	Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach
title_short	Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach
title_full	Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach
title_fullStr	Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach
title_full_unstemmed	Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach
title_sort	patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7d7f6f6c36af4ca7966121a6cd987c81
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Patient, medical and legal perspectives on reentry: the need for a low-barrier, collaborative, patient-centered approach

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