Discharge Planning and Continuity of Health Care: Findings From the San Francisco County Jail

Wang, Emily A.; White, Mary C.; Jamison, Ross; Goldenson, Joe; Estes, Milton; Tulsky, Jacqueline P.

doi:10.2105/ajph.2007.119669

Cited by 72 publications

(68 citation statements)

References 8 publications

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“…As few as one in ten people with jail stays may be insured. 30 Using previous estimates of coverage opportunities for prisoners in Medicaid and the Marketplaces 31 and adjusting them to reflect demographic differences between the prison and jail populations, we estimate that roughly 25-30 percent of people released from jails could enroll in Medicaid in expansion states, and about 20 percent could enroll in a Marketplace health plan. We also estimate that people with jail stays will constitute about one-sixth of new Medicaid enrollees and nearly one-tenth of Marketplace enrollees.…”

Section: Health Care For Inmatesmentioning

confidence: 99%

What The Affordable Care Act Means For People With Jail Stays

Regenstein

Rosenbaum

2014

Health Affairs

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About one in six people expected to enroll in Medicaid under health reform expansions and nearly one in ten expected to enroll in qualified health plans through the health insurance Marketplaces will have spent some time in jail during the past year. People who have spent time in jail frequently cycle in and out of incarceration; have high rates of chronic physical, mental health, and substance use conditions; and historically have been uninsured and without access to continuous health care. The Affordable Care Act may not change the quality of health care in jails, but its provision of better access to care before and after people are incarcerated could have positive long-term effects on both the health of those individuals and overall health care costs. Achieving these results will require careful planning and coordination among jail health care programs, Medicaid, and Marketplace health plans. The use of electronic health records by jails and community providers could help ensure that treatments are consistent no matter where a patient resides. Policy makers and health plans could also ensure continuity of care by including in their networks some of the same safety-net providers that are under contract to furnish care to jail inmates.

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Section: Health Care For Inmatesmentioning

confidence: 99%

What The Affordable Care Act Means For People With Jail Stays

Regenstein

Rosenbaum

2014

Health Affairs

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“…3 While most inmates are without health insurance, 4 those with insurance demonstrate reduced recidivism and better access to mental health and substance abuse treatment when released. [5][6][7] The ACA expands Medicaid eligibility for low-income adults and allows eligible inmates to apply for coverage while in jail.…”

Section: Reducing Acute Care Use (Hospitalizations and Emergency Depamentioning

confidence: 99%

“…Few inmates receive discharge planning in jail and few of our study participants would have received it before our interviews, which were conducted soon after incarceration. 4 …”

Section: Acute Care Usementioning

confidence: 99%

Older Jail Inmates and Community Acute Care Use

et al. 2014

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Objectives: To describe older jail inmates' predetainment use of acute care (Emergency Department (ED) or hospitalization in the 3 months prior to arrest) and their plans for using acute care after release.Methods: Cross-sectional study of 247 jail inmates age 55 or older assessing sociodemographic characteristics, health and geriatric conditions associated with predetainment and anticipated post-release acute care use.Results: 52% of older inmates reported predetainment acute care use and 47% planned to use the ER after release. In modified Poisson regression, homelessness was independently associated with predetainment use (RR 1.42, CI 1.10 -1.83) and having a primary care provider was inversely associated with planned use (RR 0.69, CI 0.53 -0.89).Conclusions: The Affordable Care Act extends Medicaid eligibility to all persons leaving jail in an effort to decrease post-release acute care use in this high-risk population. In addition, jail-to-community transitional care models that address the health, geriatric and social factors prevalent in older adults leaving jail, with specific focuses on linkages to housing and primary care, are needed to enhance the impact of ACA policies on acute care use for this population.2

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“…At the time of booking, arrestees undergo medical screening and assessment, and they receive treatment, including medication, for diagnosed health problems while they are in jail. However, because 90 percent of inmates leave jail without health insurance coverage of any kind, 12 they lack access to regular health care in the community.…”

Section: Jails and The Jail-involved Populationmentioning

confidence: 99%