title: Behind bars: the compelling case for academic health centers partnering with correctional facilities.
abstract: Academic health centers (AHCs), particularly those that are publicly funded institutions, have as their mission the treatment of disadvantaged populations, the training of the next generation of clinicians, and the development and dissemination of new knowledge to reduce the burden of disease and improve the health of individuals and populations. Incarcerated populations have the most prevalent and acute disease burden and health disparities in the United States, even in comparison with inner-city populations. Yet, only a small proportion of AHCs have reached out to incarcerated populations to fulfill their mission. Those AHCs that have partnered with correctional facilities have overcome concerns about the value and popularity of "training behind bars"; the cost, liability, and pragmatics of caring for a medically complicated population; and the viability of correctional health research and extramural research funding. They have done so to great benefit to patients, students, and faculty. Partnering with correctional facilities to provide health care offers opportunities for AHCs to fulfill their core missions of clinical service, education, and research, while also enhancing their financial stability, to the benefit of all. In this Commentary, the authors discuss, based on their experiences, these concerns, how existing partnerships have overcome them, and the benefits of such relationships to both AHCs and correctional facilities.
authors: Dr. Trestman is professor, Department of Medicine, University of Connecticut Health Center, Farmington, Connecticut. Dr. Ferguson is professor, Department of Family Medicine, University of Massachusetts Medical School, Worcester, Massachusetts. Dr. Dickert is chief operating officer, University Correctional Health Care, Rutgers University Behavioral Health Care, Piscataway, New Jersey.
authors: Robert L
authors: RL
authors: Trestman
authors: Warren
authors: W
authors: Ferguson
authors: Jeff
authors: J
authors: Dickert
mesh_terms: D000046:Academic Medical Centers; D003695:Delivery of Health Care; D004503:Education, Medical, Graduate; D005257:Fellowships and Scholarships; D006301:Health Services Needs and Demand; D006302:Health Services Research; D054624:Health Status Disparities; D006801:Humans; D007373:Interinstitutional Relations; D011330:Prisons; D014481:United States