ArticleBMC emergency medicine2013
Emergency department utilization among recently released prisoners: a retrospective cohort study.
Article in BMC emergency medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.
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Who cites it
53 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.
- Interventions at the Transition from Prison to the Community for Prisoners with Mental Illness: A Systematic Review.Administration and policy in mental health · 2018Pooled it
- A patient navigation intervention for drug-involved former prison inmates.Substance abuse · 2015Trial
- Sociodemographic, health and criminological risk factors for post-imprisonment mental health and substance use-related service contacts: A nationwide retrospective cohort study using linked data (RELEASE).Social psychiatry and psychiatric epidemiology · 2026Article
- Help-seeking for mental health and substance use problems among people in contact with the criminal justice system: a mixed-methods social network analysis.Health & justice · 2026Article
- Left Behind in Electronic Access: Control Over Personal Health Information While Incarcerated.Journal of general internal medicine · 2026Article
- Adverse health outcomes in violent crime convicted persons: risk factors for somatic inpatient healthcare utilization.BMC public health · 2026Article
- Article
- "I Know What I Need": A Mixed Methods Study of Mental Health-Seeking Behaviors in Formerly Incarcerated Black Men.Journal of racial and ethnic health disparities · 2025Article
- Trajectories of mental health symptoms, suicide attempts and substance use disorders among women after prison release in Santiago, Chile.Social psychiatry and psychiatric epidemiology · 2025Article
- Emergency Medical Services Calls for Service at Adult Detention Centers: A Descriptive Study.The western journal of emergency medicine · 2025Article
- Pre-Incarceration Healthcare Use and Access Barriers among Men with HIV and those at-Risk for Contracting HIV: A Case Study of an Urban Jail.AIDS and behavior · 2025Article
- Structural and healthcare predictors of substance use-related death following release from incarceration: A retrospective cohort study in Rhode Island, 2018-2020.The International journal on drug policy · 2025Article
- Access to services for mental ill-health and substance use among people released from prison in Scotland (RELEASE): Retrospective observational cohort study protocol.International journal of population data science · 2025Article
- Jail-based medication for opioid use disorder and patterns of reincarceration and acute care use after release: A sequence analysis.Journal of substance use and addiction treatment · 2024Observational
- Substance Use Disorders, Mental Illness, and Health Care Utilization Among Adults With Recent Criminal Legal Involvement.Psychiatric services (Washington, D.C.) · 2024Article
- Associations Between Supported Accommodation and Health and Re-offending Outcomes: a Retrospective Data Linkage Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- The Associations Between Medical and Mental Health Conditions and Health Care Utilization in US Adults with Past-Year Criminal Legal Involvement.Journal of general internal medicine · 2024Article
- Article
- The Reentry Health Care Hub: Creating a California-Based Referral System to Link Chronically Ill People Leaving Prison to Primary Care.International journal of environmental research and public health · 2023Article
- Relationship between criminal legal system exposure and health care utilization in US adults with diabetes: A cross-sectional study.Journal of the National Medical Association · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe population of ex-prisoners returning to their communities is large. Morbidity and mortality is increased during the period following release. Understanding utilization of emergency services by this population may inform interventions to reduce adverse outcomes. We examined Emergency Department utilization among a cohort of recently released prisoners.
methodsWe linked Rhode Island Department of Corrections records with electronic health record data from a large hospital system from 2007 to 2009 to analyze emergency department utilization for mental health disorders, substance use disorders and ambulatory care sensitive conditions by ex-prisoners in the year after release from prison in comparison to the general population, controlling for patient- and community-level factors.
resultsThere were 333,369 total ED visits with 5,145 visits by a cohort of 1,434 ex-prisoners. In this group, 455 ex-prisoners had 3 or more visits within 1 year of release and 354 had a first ED visit within 1 month of release. ED visits by ex-prisoners were more likely to be made by men (85% vs. 48%, p < 0.001) and by blacks (26% vs. 16%, p < 0.001) compared to the Rhode Island general population. Ex-prisoners were more likely to have an ED visit for a mental health disorder (6% vs. 4%, p < 0.001) or substance use disorder (16%vs. 4%, p < 0.001). After controlling for patient- and community-level factors, ex-prisoner visits were significantly more likely to be for mental health disorders (OR 1.43; 95% CI 1.27-1.61), substance use disorders (OR 1.93; 95% CI 1.77-2.11) and ambulatory care sensitive conditions (OR 1.09; 95% CI 1.00-1.18).
conclusionsED visits by ex-prisoners were significantly more likely due to three conditions optimally managed in outpatient settings. Future work should determine whether greater access to outpatient services after release from prison reduces ex-prisoners' utilization of emergency services.
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