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Redefining & Investing in Community: Improving Telehealth Care and Educational Programs among People Incarcerated in Rural State Prisons

重新定义

基本信息

批准号：
10783592
负责人：
Jacob Eikenberry
金额：
$ 112.17万
依托单位：
FROM PRISON CELLS TO PHD, INC.
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-22 至 2028-09-21
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10783592
关键词：
Academy Address Adopted Agriculture Black race Caring Certification Clinical Services Communities Consultations Coping Skills Devices Discipline Economics Education Employment Employment Opportunities Evaluation Geographic Locations Geography Government Officials Health Promotion Health Resources Health Services Health Services Accessibility Health education Healthcare Imprisonment Insurance Internet Intervention Investments Justice Knowledge Maryland Mental Health Mental Health Services Mental association Mentors Missouri Modeling Participant Patients Persons Population Prisons Professional Education Quarantine Research Resources Rural Rural Community Speed Stress and Coping System Telemedicine Time Trauma Universities Videoconferencing Walking community partnership cost evidence base experience health care availability health care delivery health care service health inequalities higher education improved innovation low socioeconomic status mental health education online resource physical conditioning physical health service programs remote communities rural area rural setting science and society social stigma telehealth telehealthcare web site

项目摘要

Delivery of healthcare services within prison systems is underpinned by different models, yet access to timely and optimal healthcare is often constrained by multifaceted factors. This has resulted in health inequities within the U.S. carceral system (for both people who are incarcerated and staff in prisons). Given that people who are currently incarcerated are often in rural areas, they have limited access to healthcare and education. Telehealth has been used as an effective and low-cost alternative to conventional care, and internet access within rural and remote communities is currently being prioritized by government officials. Expanding high speed internet access in carceral settings could allow for telehealth services as an alternative approach to conventional care in a range of healthcare disciplines as a means of reaching populations with poor access to healthcare services, such as rural and remote carceral communities. Our organization and our research partner each serve and connect with remote incarcerated communities using the internet. To increase access to telehealth physical and mental health services, we propose to support the installation of high-speed internet into approximately 14 state prisons within the states of Maryland and Missouri. We are prioritizing prisons in rural areas that serve a predominantly Black incarcerated population. We will also be expanding our organization’s existing educational programming to include an insurance walk-through course, courses to reduce stigma about physical and mental health, and courses to promote physical and mental health care knowledge.

监狱系统内提供医疗保健服务的模式各不相同，但获得及时和最佳医疗保健的机会往往受到多方面因素的制约。这导致了美国监狱系统内的健康不平等（对于被监禁的人和监狱工作人员）。鉴于目前被监禁的人往往在农村地区，他们获得医疗保健和教育的机会有限。远程保健已被用作传统保健的一种有效和低成本的替代办法，政府官员目前正在优先考虑在农村和偏远社区接入互联网。在监狱环境中扩大高速互联网接入可以使远程医疗服务成为一系列医疗保健学科中传统护理的替代方法，作为接触难以获得医疗保健服务的人群（如农村和偏远监狱社区）的一种手段。我们的组织和我们的研究合作伙伴都使用互联网服务和连接远程监禁社区。为了增加获得远程保健身心健康服务的机会，我们提议支持在马里兰州和密苏里州的大约14所州立监狱安装高速互联网。我们正在优先考虑在农村地区的监狱，服务于主要是黑人被监禁人口。我们还将扩大我们组织现有的教育方案，包括保险演练课程，减少对身心健康的污名化的课程，以及促进身心健康保健知识的课程。