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Special Population: Care of Incarcerated Persons

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Chronic Illness Care

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Abstract

Over 2 million people are incarcerated in US jails and prisons and nearly 4.5 million are under community supervision through probation or parole, which significantly impacts health outcomes of individuals and communities. Health services across the criminal legal system are often interconnected since persons can be incarcerated in different facilities. The care in each institution is linked to the capacities of the jurisdiction responsible for that facility. For state-operated facilities and many local jurisdictions, the department of corrections or similar agencies have policies and regulations that inform standards for healthcare. An initial medical evaluation consisting of screening, a general health assessment, and clearance is routinely completed when individuals enter a criminal legal facility. Medical clearance includes a documented clinical assessment that is completed prior to entry and may require transfer to a local emergency department if there are acute injuries or conditions. Persons released from incarceration face enormous challenges for successful reentry, including housing instability, food insecurity, unemployment, lack of transportation, lack of identification cards, compliance with post-release supervision requirements, debt, and reunification with loved ones and family.

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Authors and Affiliations

  1. Department of Medicine, Hennepin Healthcare, Minneapolis, MN, USA

    Rachel Sandler Silva

  2. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Evan Ashkin

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  1. Rachel Sandler Silva
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Correspondence to Rachel Sandler Silva .

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  1. Department of Family Medicine, University of North Carolina, CHAPEL HILL, NC, USA

    Timothy P. Daaleman

  2. Department of Family Medicine, University of North Carolina, CHAPEL HILL, NC, USA

    Margaret R. Helton

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Silva, R.S., Ashkin, E. (2023). Special Population: Care of Incarcerated Persons. In: Daaleman, T.P., Helton, M.R. (eds) Chronic Illness Care. Springer, Cham. https://doi.org/10.1007/978-3-031-29171-5_27

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