258396 Patient Engagement in Women Offenders: An Intervention for Engaging Women in Healthcare Upon Release from Incarceration

Sunday, October 28, 2012

Alison M. Colbert, PhD, PHCNS, BC , School of Nursing, Duquesne University, Pittsburgh, PA
Tammy L. Hughes, PhD , School of Education, Duquense University, PIttsburgh, PA
Vanessa Durand, MS Ed , School of Education, Duquesne University, Pittsburgh, PA
Rick Zoucha, PhD, APRN, BC , School of Nursing, Duquesne University, Pittsburgh, PA
Susan Cohen, DSN, APRN, FAAN , School of Nursing, University of Pittsburgh, Pittsburgh, PA
L. Kathleen Sekula, PhD, APRN, BC, FAAN , School of Nursing, Duquesne University, Pittsburgh, PA
Background: Women recently released from correctional facilities are among the most vulnerable in our society. They are mostly poor and undereducated, with increased risk of morbidity and mortality. They may also be managing a chronic mental or physical health problem which means they face additional demands beyond the criminal justice system. Successful self-management requires engagement, access to services, health education, stress management strategies, and interpersonal skills. Interventions focusing on these issues may offer an innovative approach to improving self-care, which may result in more individuals meeting their health goals and successfully re-integrating into the community. Description: Based on data from two previous studies, an intervention model was designed that includes intensive case management, motivational interviewing, and interpersonal therapy. Individual sessions are provided over 8-weeks, and include a structured workbook format. The primary outcomes measures are: engagement, self-efficacy, depression/anxiety symptoms, and adherence to treatment regimens. This presentation will also provide preliminary results from a pilot study of the intervention with women recently released from jail. Lessons Learned: The program shows promise for improving healthcare outcomes for women. Release and re-entry goals are addressed; however, tailoring for specific communities (resources, incarceration patterns, etc) is required. Interventions should be led by nurses yet integrated into existing re-entry programs, as this multi-disciplinary approach is the most feasible and has shown to be most effective. Recommendations: The model addresses many of the needs of women offenders and improvements in targeted outcomes may have an impact on long term recidivism and substance use.

Learning Areas:
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Describe how improving patient engagement in healthcare could positively influence long term goals for women recently released from incarceration. 2. Describe how improving patient engagement in healthcare could positively influence short term goals for women recently released from incarceration 3. Describe a model for increasing engagement in healthcare for women recently released from incarceration.

Keywords: Prisoners Health Care, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Assistant Professor at the Duquesne University School of Nursing. I am a certified Clinical Specialist in Community Health Nursing with over 15 years of clinical and administrative experience in community health. My research focuses on health education in vulnerable populations, specifically incarcerated and recently incarcerated women.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.