142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

297479
Reentry and reunification: Investigating the influence of children in the reentry experience of mothers released from short-term jail stay

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Elisabeth Stelson, LSW, MSW, MPH , Perelman School of Medicine, Dept. of Family Medicine & Community Health, University of Pennsylvania, Philadelphia, PA
Marjie Mogul, MBA, PhD , Department of Research and Evaluation, Maternity Care Coalition, Philadelphia, PA
Holly Harner, PhD, MPH, CRNP, WHNP-BC , School of Nursing and Health Sciences, LaSalle University, Philadelphia, PA
Rosemary Frasso, PhD, MSc, CPH , Center for Public Health Initiatives, University of Pennsylvania School of Medicine, Philadelphia, PA
Jeane Grisso, MD, MSCE , Perelman School of Medicine, School of Nursing, Center for Public Health Initiatives, University of Pennsylvania, Perelman School of Medicine and School of Nursing, Philadelphia, PA
Background: The incarceration rate of women has increased 800% in the last 30 years, and 80% of incarcerated women are mothers of children (<18 years of age). Research on community reentry for mothers released from prison has shed light on how social determinates of health—such as social support, housing, and employment—relate to successful reunification with children. Successful prison reentry has been linked to improved health and social outcomes for both the mother and child. However, little is known about maternal reentry following release from jail, which is markedly different from prison, characterized by a shorter stay, uncertainty awaiting sentence, and access to fewer resources. Purpose: 1) To investigate the reentry experience of mothers released from a jail-stay; explore the role of the maternal-child relationship in the reentry experience; and identify participant-generated maternal-child health goals following release from jail. 2) To inform interventions to increase the rate of successful reentry and associated social and health outcomes. Methods: Women with a history of recent release from jail were recruited from a maternal-child health organization in Philadelphia to participate in a qualitative study designed to explore maternal perceptions of the reentry experience. In-depth interviews were conducted (N=15), audio-recorded, and transcribed verbatim. Common coding methods were facilitated using NVivo10. Interviews ranged from 60 to 120 minutes. All interviews were triple coded, and inter-coder discrepancies were resolved through consensus. Results: Participants explained that their children served three primary roles in their reentry: providing access to emotional, informational, and instrumental social support; generating motivation for goal-setting and probation compliance; and strengthening the sense of maternal identity. Many of the participants’ goals were directly related to the behavioral health of either the mother or child or social determinates of health, such as housing, employment, and education. Conclusions: Strong maternal-child relationships could help diminish reentry barriers for mothers and improve outcomes for both women and children directly related to the social determinates of health. Children motivate their mothers to try to stay out of jail and provide a reason for mothers to strive to reach social and health goals. Thus, mothers in jail or those recently released from jail could be a promising population for policy interventions that support the mother-child relationship in order to decrease recidivism and promote maternal-child health.

Learning Areas:

Advocacy for health and health education
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Analyze the influence of children on mothers released from short-term jail stay. Differentiate between the maternal jail reentry experience and the maternal prison reentry experience.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Research Associate with the Maternity Care Coalition in Philadelphia, which provides supportive services to mothers of young children released from county jail. This research was conducted as part of a Master in Public Health thesis at the University of Pennsylvania. My professional interests focus on trauma-informed prison reentry programs and substance abuse. I have presented on behavioral health program development and developing community capacity at national conferences.
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.