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

项目摘要/摘要 涉及司法的人口是高需求、健康差距较大的人口。1从监狱释放的人 监狱的慢性健康状况、传染病、 性传播感染、药物使用障碍以及医疗和心理健康并存2 70%到90%的从监狱和监狱释放的人没有医疗保险，他们经常 当地高成本紧急医疗服务的用户。3缺乏医疗保险覆盖范围和缺乏 释放后社区卫生保健的连续性与再次犯罪率的增加有关， 高昂的医疗费用，糟糕的健康结果，以及前两周死亡风险增加了12倍 4在涉及司法的人群中健康不良是一个公共卫生问题，是一个公共安全问题 而且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，以增强他们的 卫生服务和资源的知识和使用情况。通过这种方式，该项目将赋予参与者权力 提高健康素养、健康保险素养、自我保健管理技能、保健决策- 生活质量和整体生活质量。拟议的项目将向司法部提供与健康有关的模块-- 涉及被监禁在4个参与惩教机构的个人。这些模块将使用以下方式部署 现有的、安全的、基于平板电脑的教育系统。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，以确定医疗保险资格状态和 司法的特殊保健信息需求涉及准备重返社区的个人；2) 通过安全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，衡量健康信息培训对健康水平的影响 提高服刑人员自我护理管理技能的识字率和信心 重新进入社区；4)在出狱后对参与者进行为期6个月的跟踪调查 收集出院后的结果，包括：医疗保险的资格和状况；就诊频率 卫生保健提供者；急诊室就诊和/或住院的频率；参与的程度 慢性健康状况、精神健康或物质使用障碍的治疗方案；水平 服药依从性；以及重返监狱的频率。这个项目取得了积极的成果 可以改善研究参与者的出院后结果，并促进此类计划的扩展 在整个刑事司法系统中。

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.