Oral

Health disparities experienced by incarcerated populations have been well documented. The literature on correctional health interventions remains much less developed. The four papers in this session explore, from an international perspective, innovative institutional, policy, quality of care, and medical training initiatives to improve health equity of persons in prisons and jails. A system-wide project to identify structural health risks in the New York City jails will be outlined, with a specific focus on injury prevention and use of the electronic health record to gather quantitative data on risks that may be attributable to the conditions of confinement. The World Health Organization Health in Prison Project’s 2012 report on stewardship of prison health will be presented, including a discussion of the importance of findings in European prison health services to the US context. The National Commission on Correctional Health Care will unveil the Correctional Health Outcome and Resource Data Set, a leading-edge uniform quality monitoring system for analysis and benchmarking in corrections. The final presentation will review how the University of British Columbia has integrated prison health learning opportunities into undergraduate and post-graduate medical education. Evaluation of the program on students’ experience of prison heath and approach to incarcerated or otherwise vulnerable populations will be described.

Session Objectives: -Discuss how the jail environment may present inherent health risks, distinct from risks attributable to individuals that make up the jail population. -Explain outcomes measurement in correctional health care. -Discuss evaluation findings pertaining to the impact of prison health learning experiences on postgraduate and undergraduate medical learners.

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)