title: Facilitators and barriers to continuing healthcare after jail: a community-integrated program.
abstract: A cooperative, community-oriented "public health model of correctional healthcare" was developed to address the needs of persons temporarily displaced into jail from the community, and to improve the health and safety of the community. It emphasizes 5 key elements: early detection, effective treatment, education, prevention, and continuity of care. In the program, physicians and case managers are "dually based"-they work both at the jail and at community healthcare centers. This, together with discharge planning, promotes continuity of care for inmates with serious and chronic medical conditions. This report characterizes the health status and healthcare in this group, and identifies facilitators and barriers to engagement in primary medical and mental health care after release from jail.
authors.affiliation: Baystate Medical Center, Springfield, MA 01199, USA. thomas.lincoln@bhs.org
authors.forename: Thomas
authors.initials: T
authors.lastname: Lincoln
authors.forename: Sofia
authors.initials: S
authors.lastname: Kennedy
authors.forename: Robert
authors.initials: R
authors.lastname: Tuthill
authors.forename: Cheryl
authors.initials: C
authors.lastname: Roberts
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Conklin
authors.forename: Theodore M
authors.initials: TM
authors.lastname: Hammett
mesh_terms: D000553:Ambulatory Care; D019058:Community Networks / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D008404:Massachusetts; D011330:Prisons