Promoting Health Literacy and Improved Self-Care Management of Incarcerated Populations Using Secure Tablet Technology

项目总结/摘要 涉及司法的人口是一个高需求、健康差异的人口。 监狱中慢性病、传染病、 性传播感染、药物使用障碍以及医疗和精神健康共病。 70%到90%的从监狱和监狱释放的人没有医疗保险，他们经常 3缺乏医疗保险，缺乏医疗服务， 释放后社区保健的连续性与累犯率的增加有关， 高医疗保健费用，健康状况不佳，头两周死亡风险增加12倍 4司法所涉人群的健康状况不佳是一个公共卫生问题，一个公共安全问题， 对纳税人来说代价高昂。 目前的项目旨在让参与司法的个人获得健康信息，以提高他们的 知识和利用卫生服务和资源。通过这种方式，该项目将使参与者能够 提高健康素养，健康保险素养，自我护理管理技能，医疗保健决策， 和整体生活质量。拟议的项目将向司法部门提供与健康有关的模块， 涉及被关押在4个参与的惩教设施中的个人。这些模块将使用 现有的安全的平板电脑教育系统该项目有4个具体目标：1）开展健康 使用安全平板电脑平台进行需求评估，以确定健康保险资格状态， 准备重返社区的个人在司法方面的特殊健康信息需求; 2） 通过安全的平板电脑平台提供健康信息课程和培训模块; 3）使用 培训前和培训后调查，衡量卫生信息培训对健康水平的影响 识字和信心，以提高被监禁者的自我照顾管理技能， 重新进入社区; 4）在从监禁中释放后对参与者进行6个月的抽样跟踪 收集释放后的结果，包括：资格和卫生保健覆盖的状况;访问的频率， 医疗保健提供者;急诊室就诊和/或住院的频率;参与 慢性健康状况、精神健康或物质使用障碍的治疗方案; 药物依从性;和返回监禁的频率。该项目的积极成果 可以改善研究参与者的释放后结果，并促进此类计划的扩展 整个刑事司法系统。

PROJECT SUMMARY/ABSTRACT The justice-involved population is a high-needs, health disparity population.1 Individuals released from jails and prisons have a disproportionately high incidence of chronic health conditions, infectious diseases, sexually transmitted infections, substance use disorders, and medical and mental health co-morbidity.2 Since 70 to 90 percent of individuals released from jails and prisons have no health insurance, they are frequent users of high-cost local emergency medical services.3 Lack of health insurance coverage and lack of continuity of health care in the community upon release are associated with increased rates of recidivism, high health care costs, poor health outcomes and a 12-fold increase in the risk of death in the first two weeks after release.4 Poor health within the justice-involved population is a public health issue, a public safety issue and costly for taxpayers. The current project aims to engage justice-involved individuals with health information to enhance their knowledge and use of health services and resources. In this way, the project will empower participants toward improved health literacy, health insurance literacy, self-care management skills, health care decision- making and overall quality of life. The proposed project will make health-related modules available to justice- involved individuals incarcerated in 4 participating correctional facilities. The modules will be deployed using an existing, secure, tablet-based education system. The project has 4 specific aims: 1) Conduct a health needs assessment using the secure tablet platform to determine the health coverage eligibility status and special health information needs of justice involved individuals preparing for reentry into the community; 2) Deliver the health information curricula and training modules through the secure tablet platform; 3) Using pre- and post-training surveys, measure the impact of health information training on the level of health literacy and confidence to improve self-care management skills of incarcerated individuals preparing for reentry into the community; 4) Follow a sample of participants for 6 months after release from incarceration to collect post-release outcomes including: eligibility and status of health care coverage; frequency of visits to a health care provider; frequency of emergency room visits and/or hospitalizations; level of involvement in treatment programs for chronic health conditions, mental health or substance use disorder; level of compliance with medications; and frequency of return to incarceration. Positive results from this project could improve post-release outcomes for study participants, and facilitate the expansion of such programs throughout the criminal justice system.