Peer Sessions

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PS6: Special Populations: "Expanding Access to Reproductive Health Care for Incarcerated Women within a County Jail"

Women represent the fastest growing prison population and are systematically underserved and socioeconomically disadvantaged. Additionally, this population has reduced access to and utilization of family planning services. To address this need, Title X services were expanded to the Cook County Department of Corrections (CCDOC) within Cermak Health Services of Cook County (CHS). Comprehensive family planning services were provided to women pre-release, including the provision of long-acting reversible contraceptive methods.

PS7: Reentry: "Probation- medical partnership using a gender, trauma, and motivational intervention to improve justice and health outcomes for women"

Women probation clients suffer further legal, health, and social consequences. The overarching aim of this project is to examine the impact of an academic healthcare-probation partnership on legal and medical outcomes for 140 high-recidivism risk women. The partnership includes training and supervision of probation officers in gender and trauma-informed motivational strategies. This qualitative framework analysis explores themes which arose in audio-taped meetings between the trained probation officers and 20 clients.

PS11: Reentry: "The Impact of Peer Mentoring and College Education on Self- Efficacy and Reintegration"

This session will present findings from mixed-methods data collected over a 3-year period on the impact of peer mentoring and college education in a group of formerly incarcerated adults (n=26). Qualitative findings revealed that 1) the structure of school is beneficial to both recovery and reduced criminal behavior; 2) academic success enhances self-efficacy; 3) the challenges to academic success are both practical and intangible; and 4) peer support is essential to academic success.

PS13: Substance Use Disorders: "The Relationship between Incarceration and Outcomes of Buprenorphine Maintenance Treatment"

The effectiveness of buprenorphine maintenance treatment (BMT) for opioid use disorder is not well studied in criminal justice populations. We investigated associations between incarceration and BMT outcomes in a multisite, longitudinal cohort study of 306 patients initiating BMT in primary care. Data included quarterly surveys and medical record review. One-year retention in BMT appeared lower in those with a history of recent incarceration than without (OR = 0.72, 95% CI: 0.36-1.45).

PS13: Substance Use Disorders: "Receipt of Pharmacotherapy for Alcohol Use Disorder By Justice- Involved Status Among Veterans Health Administration Patients"

Half of veterans involved in the criminal justice system suffer from alcohol use disorder. However, access to evidence-based pharmacological treatments including naltrexone, acamprosate, topiramate, and disulfiram varies in criminal justice settings. Veterans Health Administration (VA) facilities are an alternative location for veterans exiting prison or involved in jail/court (including veterans on probation/parole) to receive these medications, but use is generally low across VA settings and justice involvement may impact prescribing rates.

PS12: Health Policy: "Rights- Based Approach to Sound Canteen and Care Packaging Policy Development"

California correctional facilities have incurred approximately 6 billion dollars in healthcare cost in managing incarcerated offenders chronic illnesses. As rates of type 2 diabetes, hypertension, and obesity are on the rise in a California prison population, there is an urgent need to promote self-care by providing healthy nutritional alternatives in prison canteens to improve health status and reduce healthcare costs.

PS11: Reentry: "Channeling Freire to Teach Inmates the Social Determinants of Health"

Having been educated with didactic lectures and power point presentations, many of us continue using this pedagogy in our work with inmates. However, literacy limitations, and differences in learning styles often make it difficult achieve the desired learning objectives. This presentation will contrast a traditional approach to teaching about the social determinants of health with that of Brazilian educator Paolo Freire, where learning goals include taking action to achieve social change.

PS10: Public Health: "Impact of Telemedicine on Patient and Provider Satisfaction and HIV Health Care Outcomes"

With today’s developments in technology, health care appointments between patients and health care providers via telemedicine are on the increase. In the prison setting, telemedicine is reaping considerable benefits, for example, cost-savings due to decreased transportation needs; increased safety for both correctional employees and the general public, as the opportunity for escape is minimized (1-3); and the potential for improved health care outcomes specifically for HIV.

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