Understanding the Public Health Implications of Prisoner Reentry in California: Phase I Report
Lois M. Davis
RAND, 2009 - Law - 192 pages
The past few decades have witnessed a significant increase in the number of ex-prisoners returning to communities nationwide. Often overlooked are this population's physical and social-behavioral health concerns and, consequently, the role that health care plays in influencing the success of reintegration. The prison population is disproportionately sicker than the U.S. population in general, with substantially higher rates of infectious diseases, serious mental illness, and substance abuse disorders-trends that are mirrored in California. To address the related public health challenges, it is necessary to better understand the health care needs of these former inmates and the capacity of the health care safety net in the communities to which they return. The first phase of this study used a variety of approaches to assess the health care needs of California prisoners upon their release, the geographic distribution of state prisoners who return to local communities, and the health care services that are available in these communities. A statewide analysis of data from a survey of inmates, geocoded corrections data on California parolees and cluster analysis, and a focused analysis of the four counties in which nearly one-third of California parolees reside (Alameda, Kern, Los Angeles, and San Diego) provide policymakers with a picture of communities' capacity to meet the needs of parolees and other underserved populations.
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Objective and Scope
Physical Health Needs and Utilization
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10-minute drive accessibility categories accessibility of parolees Accessibility quartile accessibility to mental acute care hospitals African-American parolees Alameda County alcohol Angeles County Bakersfield California inmates CDCR census tracts Chapter clusters of parolees concentrations of parolees Distribution of Parolees drug-treatment providers facilities four counties FTEs geographic health and substance health care needs health care resources health care safety highest quartile inmates reported k-medoids Kern County Latino inmates Latino parolees levels of accessibility maps measure of accessibility mental health problems mental health providers mental health services methamphetamine MHSA Mid-low MISP clinics missing capacity data overall parolee concentrations parolee population parolees reside PCCs percent of parolees percent versus POCs population-weighted centroid prevalence prison inmates Proposition 36 PSN providers reentry population reside in areas safety-net San Diego County SASCA South Los Angeles Statistical significance substance abuse treatment Supervisorial District Table Total U.S. U.S. Census Bureau uninsured white parolees zip code