NYC Correctional Health Services

Transcription

1 OPERATIONALIZING THE TRANSNATIONAL FRAMEWORK: PARTICIPANTS, PROGRAMS & SYSTEMS NYC Correctional Health Services Alison O. Jordan LCSW Jacqueline Cruzado- Quinones Janet Wiersema, MPH Paul Teixeira, DrPH Bronx Health & Housing Consortium 5 th Annual Convening December 8, 2015

2 NYC CHS: INTEGRATING TRANSNATIONALISM Assessing transnationalism Participants, Programs and System Integrating transnationalism Participants, Programs and System Points of intervention Jail-based patients, Jail Health Providers, Community network Fidelity documentation Participants and Training

3 RIKERS ISLAND Vernon C. Bain Center, Bronx Brooklyn Detentio n Center Manhattan Detention Center Transitional Health Care Coordination

4 Twin Epidemics: Mass Incarceration & HIV Correc&onal Health is Public Health Over 70% of people released to the community after incarceration return to the areas of greatest socioeconomic and health disparities

5 CORRECTIONAL HEALTH SERVICES FaciliCes At A Glance 12 jails: 9 on Rikers Island (1 female facility, 1 adolescent facility), 3 borough houses, public hospital inpacent unit Average Daily PopulaCon ~10,800 (2014) Annual Admissions 60,000 (2014) Community Releases* Length of Stay 60,000 / year mean=37 days; median~7d Return to Community ~78% *Annual releases from NYC DOC Report of Discharges by zip code for CFY 14

6 JAIL DEMOGRAPHICS We estimate that Puerto Ricans are 1/3 of Hispanic population.

7 TRANSNATIONALISM: PARTICIPANTS, PROGRAMS & SYSTEMS Transnational Checklist Added specific ethnicity to RW assessment EHR report reviewed weekly for recruitment Air Bridge program integration Curriculum Development / Partner training

8 TRANSNATIONAL CHECKLIST Key indicators: Ethnic identifier (e.g., Nuyorican, Boriqua, Puerto Rican) Place of birth / childhood; Parent birth place Length of time in states? PR? Location of family / friends Air Bridge? Access to health care / services states? PR? Finances - send /receive money from PR? Overall impact on healthcare / HIV care? Interested in PR-based services?

9 PROGRAM INTEGRATION EHR RW Assessment includes specific ethnicity: Informs study recruitment / enrollment Discharge planning QA / Integrity of Recruitment Fidelity to service model / known denominator

10 Air Bridge Deren et al found: HIV-infected Puerto Ricans seek care in NYC 62% of NY-based Puerto Ricans lived in PR 42% of PR-based lived in NYC

11 TRANSNATIONAL CHECKLIST: PROGRAM If seeking return to PR: Refer to One Stop Career Center of PR Over 60 MOUs with other agencies to provide health care and other support services Limited time? Refer to Harlem United for enrollment and services

12 One Stop Career Center locacons Arecibo Neo Med HIV Center, Care Inc. Lucha Contra el SIDA, Inc. CDT Hormigueros PrevenCve Medicine Pry Med Medical Center, Inc. Puerto Rico Dept. of Health COSSMA, Inc. Inc. Associaconde Salude Primaria de Puerto Rico Corporacion Fondita de Jesus Corporacion SANOS Salud Integral de la Montana, Inc. Concilio de Salud Integral de Loiza,Inc IniciaCva Comunitaria de InvesCgacion, Inc. Caribbean Medical Hospital University of Puerto Rico Other FQACs

13 SYSTEM INTEGRATION OF TRANSNATIONALISM: Worked with NYU Center for Latino Adolescent and Family Health (CLAFH) to develop curriculum using: HRSA / ETAC materials Transnationalism checklist ETAC / UPR webinars Curriculum includes transnationalism concepts administered in two setting and in three formats: Jail- and community- based training 3 training formats: 1) doctors and clinical staff, 2) midlevel staff, 3) support staff

14 TRAINING ATTENDANCE (to date) Training Location Grand Rounds Mid-Level (Half day) Case Mgt (Full Day) Total Rikers Bronx TBD Citywide Coming Soon! Total (to date)

15 Selected Slides from Provider Training:

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31 Thank you! Alison O. Jordan, Principal Investigator / Jackie Cruzado-Quinones, Project Manager / Janet Wiersema, Project Director / Paul Teixeira, Evaluator /