The Experts below are selected from a list of 10158 Experts worldwide ranked by ideXlab platform
Josiah D Rich - One of the best experts on this subject based on the ideXlab platform.
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the first comprehensive program for opioid use disorder in a us statewide Correctional System
American Journal of Public Health, 2018Co-Authors: Jennifer G Clarke, Rosemarie A Martin, Shelley A Gresko, Josiah D RichAbstract:The article explores the Rhode Island Department of Corrections (RIDOC), the first state Correctional System to initiate a comprehensive program to screen all individuals for opioid use disorder. Particular focus is given to how the program led to a 12 percent drop in statewide overdose deaths. Additional topics discussed include how the program utilizes medications including methadone and naltrexone, efforts in the state to reduce opioid overdose deaths, and Gina Raimondo, governor of Rhode Island.
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postincarceration fatal overdoses after implementing medications for addiction treatment in a statewide Correctional System
JAMA Psychiatry, 2018Co-Authors: Traci C Green, Jennifer G Clarke, Lauren Brinkleyrubinstein, Brandon D L Marshall, Nicole Alexanderscott, Rebecca Boss, Josiah D RichAbstract:This analysis examines the association of death from overdose among individuals released from the Rhode Island Correctional System after implementation of a comprehensive program of medications for addiction therapy.
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a budget impact analysis of newly available hepatitis c therapeutics and the financial burden on a state Correctional System
Journal of Urban Health-bulletin of The New York Academy of Medicine, 2015Co-Authors: John T Nguyen, Josiah D Rich, Bradley W Brockmann, Fred Vohr, Anne C Spaulding, Brian T MontagueAbstract:Hepatitis C virus (HCV) infection continues to disproportionately affect incarcerated populations. New HCV drugs present opportunities and challenges to address HCV in corrections. The goal of this study was to evaluate the impact of the treatment costs for HCV infection in a state Correctional population through a budget impact analysis comparing differing treatment strategies. Electronic and paper medical records were reviewed to estimate the prevalence of hepatitis C within the Rhode Island Department of Corrections. Three treatment strategies were evaluated as follows: (1) treating all chronically infected persons, (2) treating only patients with demonstrated fibrosis, and (3) treating only patients with advanced fibrosis. Budget impact was computed as the percentage of pharmacy and overall healthcare expenditures accrued by total drug costs assuming entirely interferon-free therapy. Sensitivity analyses assessed potential variance in costs related to variability in HCV prevalence, genotype, estimated variation in market pricing, length of stay for the sentenced population, and uptake of newly available regimens. Chronic HCV prevalence was estimated at 17 % of the total population. Treating all sentenced inmates with at least 6 months remaining of their sentence would cost about $34 million—13 times the pharmacy budget and almost twice the overall healthcare budget. Treating inmates with advanced fibrosis would cost about $15 million. A hypothetical 50 % reduction in total drug costs for future therapies could cost $17 million to treat all eligible inmates. With immense costs projected with new treatment, it is unlikely that Correctional facilities will have the capacity to treat all those afflicted with HCV. Alternative payment strategies in collaboration with outside programs may be necessary to curb this epidemic. In order to improve care and treatment delivery, drug costs also need to be seriously reevaluated to be more accessible and equitable now that HCV is more curable.
Jennifer G Clarke - One of the best experts on this subject based on the ideXlab platform.
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the first comprehensive program for opioid use disorder in a us statewide Correctional System
American Journal of Public Health, 2018Co-Authors: Jennifer G Clarke, Rosemarie A Martin, Shelley A Gresko, Josiah D RichAbstract:The article explores the Rhode Island Department of Corrections (RIDOC), the first state Correctional System to initiate a comprehensive program to screen all individuals for opioid use disorder. Particular focus is given to how the program led to a 12 percent drop in statewide overdose deaths. Additional topics discussed include how the program utilizes medications including methadone and naltrexone, efforts in the state to reduce opioid overdose deaths, and Gina Raimondo, governor of Rhode Island.
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postincarceration fatal overdoses after implementing medications for addiction treatment in a statewide Correctional System
JAMA Psychiatry, 2018Co-Authors: Traci C Green, Jennifer G Clarke, Lauren Brinkleyrubinstein, Brandon D L Marshall, Nicole Alexanderscott, Rebecca Boss, Josiah D RichAbstract:This analysis examines the association of death from overdose among individuals released from the Rhode Island Correctional System after implementation of a comprehensive program of medications for addiction therapy.
Nicholas Freudenberg - One of the best experts on this subject based on the ideXlab platform.
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jails prisons and the health of urban populations a review of the impact of the Correctional System on community health
Journal of Urban Health-bulletin of The New York Academy of Medicine, 2001Co-Authors: Nicholas FreudenbergAbstract:This review examined the interactions between the Correctional System and the health of urban populations. Cities have more poor people, more people of color, and higher crime rates than suburban and rural areas; thus, urban populations are overrepresented in the nation's jails and prisons. As a result, US incarceration policies and programs have a disproportionate impact on urban communities, especially black and Latino ones. Health conditions that are overrepresented in incarcerated populations include substance abuse, human immunodeficiency virus (HIV) and other infectius diseases, perpetration and victimization by violence, mental illness, chronic disease, and reproductive health problems. Correctional Systems have direct and indirect effects on health. Indirectly, they influence family structure, economic opportunities, political participation, and normative community values on sex, drugs, and violence. Current Correctional policies also divert resources from other social needs. Correctional Systems can have a direct effect on the health of urban populations by offering health care and health promotion in jails and prisons, by linking inmates to community services after release, and by assisting in the process of community reintegration. Specific recommendations for action and reseach to reduce the adverse health and social consequences of current incarceration policies are offered.
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special feature continuity of care from corrections to community jails prisons and the health of urban populations a review of the impact of the Correctional System on community health
2001Co-Authors: Nicholas FreudenbergAbstract:This review examined the interactions between the Correctional System and the health of urban populations. Cities have more poor people, more people of color, and higher crime rates than suburban and rural areas; thus, urban populations are overrepresented in the nation's jails and prisons. As a result, USincarceration policies and programs have a disproportionate impact on urban communities, especially black and Latino ones. Health conditions that are overrepresented in incarcerated popula- tions include substance abuse, human immunodeficiency virus (HIV) and other infec- tious diseases, perpetration and victimization by violence, mental illness, chronic dis- ease, and reproductive health problems. Correctional Systems have direct and indirect effects on health. Indirectly, they influence family structure, economic opportunities, political participation, and normative community values on sex, drugs, and violence. Current Correctional policies also divert resources from other social needs. Correc- tional Systems can have a direct effect on the health of urban populations by offering health care and health promotion in jails and prisons, by linking inmates to commu- nity services after release, and by assisting in the process of community reintegration. Specific recommendations for action and research to reduce the adverse health and social consequences of current incarceration policies are offered.
Dale L Morse - One of the best experts on this subject based on the ideXlab platform.
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hiv infection among women entering the new york state Correctional System
American Journal of Public Health, 1991Co-Authors: Perry F Smith, J Mikl, B I Truman, L Lessner, J S Lehman, R W Stevens, E A Lord, R K Broaddus, Dale L MorseAbstract:Human immunodeficiency virus infection is the leading medical problem among prison inmates in several states. In 1988 a blinded seroprevalence study was conducted on 480 New York female prison entrants to determine the prevalence of and risk factors for HIV infection in this population. Ninety (18.8 percent) women were HIV-seropositive. Seroprevalence was highest among women ages 30-39 (25.0 percent) and varied by ethnicity (Hispanics, 29.4 percent; Blacks, 14.4 percent; Whites, 7.1 percent) and residence (New York City, 23.8 percent; Upstate, 5.1 percent). Nearly half (44.9 percent) of the 136 acknowledged intravenous drug users and one-third (33.8 percent) of the 71 women with a positive syphilis serology were HIV-seropositive. There was no difference in fertility histories between seropositive and seronegative women, and two of 21 pregnant women were seropositive. This study led to increased clinical and prevention services for this high-risk population.
M Lehmanthomas - One of the best experts on this subject based on the ideXlab platform.
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telehealth support of managed care for a Correctional System the open architecture telehealth model
Telemedicine Journal and E-health, 2017Co-Authors: S Rappaportellen, Reynoldsh Neal, M LehmanthomasAbstract:Abstract Introduction: The intent was to evaluate time to match initial investment of a new, statewide Correctional System telehealth program based upon cumulative savings by avoidance of transportation and custody-related costs. Materials and Methods: The setting was a statewide Correctional System where prisoners received medical care through enhanced telemedicine technology supported by newly recruited specialty providers delivered through an open architecture System. The patients were incarcerated persons requiring nonemergent consultations in 10 specialties. A financial model was created to estimate transportation expenses, including vehicular use and custody staff, during the out of prison travel for traditional face-to-face care. Cost savings were then estimated by multiplying transportation expenses by the number of telehealth encounters (avoided cost) and summed cumulatively. Savings were mapped monthly. Private sector specialists were recruited, provided security clearance, trained in the use of...
