Preventing Interruptions in Health Care After Release From Jail

The burden of illness, especially mental health and substance abuse, among the incarcerated population is a major factor for recidivism. County jails throughout the United States provide health care disconnected to care given before and after incarceration. Although the mental health issues of incarcerated individuals are well managed during incarceration, they have inadequate medical coverage and medications upon release. In partnership with the Philadelphia Department of Prisons, we launched a new initiative to enroll women into Medicaid before release and set up their first doctor's appointments to ensure continuous access to treatment. This article presents a methodology for connection between health care provided while inside a jail and health care given in the community for people returning to communities after incarceration. We describe a process for establishing and reestablishing health insurance while incarcerated and making first appointments in preparation for discharge from a large urban jail.

Automated summary

The burden of illness, especially mental health and substance abuse, among the incarcerated population is a major factor for recidivism. Despite well-managed mental health issues during incarceration, individuals lack adequate medical coverage and medications upon release. This article presents a methodology for connecting healthcare inside jails with community healthcare for individuals returning to society after incarceration, highlighting the importance of registering inmates for Medicaid and facilitating their first medical appointments.