Structural Conditions and Health After Release From Prison (SCHARP)

Kaiser Permanente

Status: Enrolling

Conditions: Cardiovascular Diseases; Health Care Utilization

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT05989282

IRB# 00002931

R01HL164106 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

People released from prison experience two times higher cardiovascular (CV) mortality than the general population, have a high prevalence of poor CV health and increased risk of CV events within 2 years of release. Access to high quality healthcare following release from prison is key to preventing poor health and CV outcomes. Our study team will investigate facilitators and barriers to health care access experienced by people released from prison.

Full description

Upon release from prison, people face numerous challenges including unstable housing, limited employment, stigma, and poor health. Structural conditions in healthcare systems, including policies, practices and attitudes around healthcare access, transition programs, culture, support of social determinants of health, and specialized services for people released from prison, may influence access and health outcomes for people released from prison. We will enroll people released from prison into a prospective cohort study to examine the association between exposure to structural conditions and 12-month primary outcomes of healthcare utilization (clinic visits, emergency visits, hospitalization) and secondary outcomes of CV hospitalization and all-cause mortality. Moderation by participant characteristics such as self-reported race, ethnicity, gender, age and baseline CV health will be tested.

Enrollment: 400 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Recenlty released from state prison into the Denver/Aurora Colorado metro area
• Age 18 and older
• Ability to understand study procedures in English or Spanish
• No plans to leave the area for six months

Exclusion criteria

• On "current inmate" status or still under correctional observation (i.e., under locked confinement part of the day or night)
• Plans to leave area within six months
• Unable to consent

Trial design

400 participants in 1 patient group

Exposure to structural conditions

Description:

Using a survey, we will measure participant exposure to organizational: access policies, transition programs, culture, support for social determinants of health and specialized services.