Background While incarcerated people are known to experience trauma at higher rates than the general population, little is known about how the correctional health system contributes to trauma rates. Methods We conducted 20 semi-structured qualitative interviews with men who were recently released from a correctional system to understand their experiences with healthcare systems and medical staff during incarceration. Using reflexive thematic analysis within a critical realist framework, we coded and analyzed the data iteratively to refine and unify emerging themes. Results The unanticipated concept of healthcare-induced trauma emerged and was revealed in three overall themes: (1) healthcare leading to fear of serious illness or death, (2) healthcare leading to fear of people, including healthcare providers, correctional staff, and other incarcerated people, and (3) the correctional institutional, social, and physical environment leads to fear of place. Conclusions Healthcare in correctional settings has the potential to induce trauma, even when the medical conditions addressed are not life-threatening. Future research should examine the factors contributing to the development of healthcare-induced trauma in correctional settings and develop interventions to prevent and address this phenomenon.

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Objective: To help mitigate potential gambling harm, responsible gambling information centres are launching across casino venues in North America. The launch of the first such centre in the USA provided an opportunity to achieve three goals: (1) document the centre’s reach among casino patrons, (2) generate a comprehensive description of services provided, and (3) explore the potential for a dose–response relationship between centre exposure and gambling beliefs and behaviour. Design: We documented services provided and surveyed consecutive centre visitors. Setting: We achieved these goals at the GameSense Info Center, located in the first Massachusetts casino. Method: Programme staff recorded their services via electronic checklist and administered one-page surveys to visitors with whom they discussed problem or responsible gambling. Results: Programme staff reported engaging directly with approximately 1% of daily patrons. About 70% of their interactions were casual. During conversations that did move beyond a casual nature, programme staff typically provided information about responsible gambling, consistent with patrons’ self-reported needs and concerns. Finally, among a sample of patrons who repeatedly engaged with programme staff at the most involved level ( N = 129), those with relatively little programme exposure were more likely to hold an accurate gambling belief but less likely to report having set time limits on their casino visits. Conclusion: We did not observe support for the notion that using an on-site information centre to teach patrons about important gambling concepts is associated with more responsible gambling behaviour.