Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial
Background The world prison population is large and growing. Poor health outcomes after release from prison are common, but few programmes to improve health outcomes for ex-prisoners have been rigorously evaluated. The aim of this study was to evaluate the impact of individualised case management on...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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BMJ Publishing
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/72934 |
| _version_ | 1848762880504102912 |
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| author | Kinner, S. Alati, Rosa Longo, M. Spittal, M. Boyle, F. Williams, G. Lennox, N. |
| author_facet | Kinner, S. Alati, Rosa Longo, M. Spittal, M. Boyle, F. Williams, G. Lennox, N. |
| author_sort | Kinner, S. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background The world prison population is large and growing. Poor health outcomes after release from prison are common, but few programmes to improve health outcomes for ex-prisoners have been rigorously evaluated. The aim of this study was to evaluate the impact of individualised case management on contact with health services during the first 6 months postrelease. Methods Single-blinded, randomised, controlled trial. Baseline assessment with N=1325 adult prisoners in Queensland, Australia, within 6 weeks of expected release; follow-up interviews 1, 3 and 6 months postrelease. The intervention consisted of provision of a personalised booklet ('Passport') at the time of release, plus up to four brief telephone contacts in the first 4 weeks post-release. Results Of 1179 eligible participants, 1003 (85%) completed =1 follow-up interview. In intention-to-treat analyses, 53% of the intervention group and 41% of the control group reported contacting a general practitioner (GP) at 1 month post-release (difference=12%, 95% CI 5% to 19%). Similar effects were observed for GP contact at 3 months (difference=9%, 95% CI 2% to 16%) and 6 months (difference=8%, 95% CI 1% to 15%), and for mental health (MH) service contact at 6 months post release (difference=8%, 95% CI 3% to 14%). Conclusions Individualised case management in the month after release from prison increases usage of primary care and MH services in adult ex-prisoners for at least 6 months post-release. Given the poor health profile of ex-prisoners, there remains an urgent need to develop and rigorously evaluate interventions to increase health service contact in this profoundly marginalised population. Trial registration number ACTRN12608000232336. |
| first_indexed | 2025-11-14T10:54:36Z |
| format | Journal Article |
| id | curtin-20.500.11937-72934 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:54:36Z |
| publishDate | 2016 |
| publisher | BMJ Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-729342018-12-13T09:33:20Z Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial Kinner, S. Alati, Rosa Longo, M. Spittal, M. Boyle, F. Williams, G. Lennox, N. Background The world prison population is large and growing. Poor health outcomes after release from prison are common, but few programmes to improve health outcomes for ex-prisoners have been rigorously evaluated. The aim of this study was to evaluate the impact of individualised case management on contact with health services during the first 6 months postrelease. Methods Single-blinded, randomised, controlled trial. Baseline assessment with N=1325 adult prisoners in Queensland, Australia, within 6 weeks of expected release; follow-up interviews 1, 3 and 6 months postrelease. The intervention consisted of provision of a personalised booklet ('Passport') at the time of release, plus up to four brief telephone contacts in the first 4 weeks post-release. Results Of 1179 eligible participants, 1003 (85%) completed =1 follow-up interview. In intention-to-treat analyses, 53% of the intervention group and 41% of the control group reported contacting a general practitioner (GP) at 1 month post-release (difference=12%, 95% CI 5% to 19%). Similar effects were observed for GP contact at 3 months (difference=9%, 95% CI 2% to 16%) and 6 months (difference=8%, 95% CI 1% to 15%), and for mental health (MH) service contact at 6 months post release (difference=8%, 95% CI 3% to 14%). Conclusions Individualised case management in the month after release from prison increases usage of primary care and MH services in adult ex-prisoners for at least 6 months post-release. Given the poor health profile of ex-prisoners, there remains an urgent need to develop and rigorously evaluate interventions to increase health service contact in this profoundly marginalised population. Trial registration number ACTRN12608000232336. 2016 Journal Article http://hdl.handle.net/20.500.11937/72934 10.1136/jech-2015-206565 BMJ Publishing restricted |
| spellingShingle | Kinner, S. Alati, Rosa Longo, M. Spittal, M. Boyle, F. Williams, G. Lennox, N. Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial |
| title | Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial |
| title_full | Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial |
| title_fullStr | Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial |
| title_full_unstemmed | Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial |
| title_short | Low-intensity case management increases contact with primary care in recently released prisoners: A single-blinded, multisite, randomised controlled trial |
| title_sort | low-intensity case management increases contact with primary care in recently released prisoners: a single-blinded, multisite, randomised controlled trial |
| url | http://hdl.handle.net/20.500.11937/72934 |