D: Managing the Key Transition Period
2: Transition planning for continued care upon release is a major problem.
Sound discharge planning is a critical component of ensuring continued care. For example, when individuals with mental illness are released from prison or jail, the failure to provide them with appropriate medication and connections to supportive services in the community may result in decompensation, increasing the risk of antisocial or criminal activity. [1] In most jurisdictions, no single entity or agency has the clear responsibility to connect released prisoners to health care systems and other support systems; consequently, efforts to ensure continuity of care after release from prison and jail are often inadequate. [2] Coordinated treatments for HIV/AIDS, substance abuse, and mental illness are critical to managing those ongoing health conditions (see Policy Statement 10, Physical Health Care, and Policy Statement 11, Mental Health Care). Yet a recent survey on discharge planning practices found that few state corrections systems have programs in place to help transition dually and triply diagnosed inmates from prison back to the community. [3] A variety of obstacles hinder transition planning, which is particularly deficient for inmates with serious health needs. [4] These include the distance between correctional facilities and communities, which may make it difficult for community providers to meet with inmates and plan for their release. In addition, some correctional facilities have policies that prevent external service providers from visiting the facility. [5]
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, Criminal Justice/Mental Health Consensus Project (New York) .
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Cheryl Roberts, Sofia Kennedy, and Theodore M. Hammett, "Linkages Between In-Prison and Community-Based Health Services" (paper presented at the Urban Institute's Re-Entry Roundtable, New York, Dec. 11 - 13, 2002).
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, "Health-Related Issues in Prisoner Reentry," Crime & Delinquency 47, no. 3, 390 - 409 .
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For example, preliminary results from a survey of the discharge planning procedures in 10 state departments of correction indicated that the staffing and resources devoted to discharge planning are generally inadequate for HIV positive inmates and other inmates with sexually transmitted diseases. ( , "Health-Related Issues in Prisoner Reentry," Crime & Delinquency 47, no. 3, 390 - 409 ). Another recent survey found that among 31 of the 50 state correctional medical directors who responded, only 19 correctional medical programs scheduled post-release health care appointments. (Nancy A. Flanagan, "Transitional Health Care Planning for Ex-Offenders: Current Status in US Prisons," paper presented at the NCCHC National Conference on Correctional Health, Austin, TX, October 2003).
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, "Health-Related Issues in Prisoner Reentry," Crime & Delinquency 47, no. 3, 390 - 409 .
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