# data[].attributes.headline
#6) What are some of the barriers and challenges for
incarcerated persons as they re-enter the general population? How might
Medicaid expansion have an impact on the health of incarcerated persons?

# data[].attributes.subject
#6) What are some of the barriers and challenges for
incarcerated persons as they re-enter the general population? How might
Medicaid expansion have an impact on the health of incarcerated persons?

# data[].attributes.body
Barriers and challenges for incarcerated persons as they re-enter the general population:

Lost support systems

Lost social network or same social network before prison

Laws interfering with using your professional skills as an ex-con

Background checks for post-incarceration employment-

No Dept. of Ed loans for drug offenders

Substance abuse prevention

Loss of voting rights; lack of legal empowerment

Social stigma

Transitioning to new care providers/continuity of care

Impact of Medicaid expansion:

Incarcerated persons will be offered assistance in assuring that their applications for Medicaid are processed by the time they get out

Many more prisoners may be on Medicaid when initially incarcerated and if incarcerated for less than a month they will continue to be covered?

Incarcerated persons eligible for Medicaid should be able to have their specialty (referred) care outside the Public Health system covered by Medicaid

# data[].attributes.headline
All federal prisons have drug abuse education that is funded

# data[].attributes.subject
All federal prisons have drug abuse education that is funded

# data[].attributes.body
-Non residential drug abuse treatment

-Residential drug abuse program

-Community transition drug abuse treatment

(residential re-entry when transitioning out of prisions)

# data[].attributes.body
-In federal prisons: the 8th amendment is the basis of providing healthcare

to persons who are incarcerated (everyone has access to medical, dental, and mental health services)

- In WA: HX, PE, diagnostic studies, dental, immunizations, evaluation of disabilities, consultations, and treatment as required

# data[].attributes.body
-Onsite provider or contracted provider sees the patient

-Can take patient to community hospital

-Prenatal care, no restraints for pregnant women

-Mothers and Infants Nurturing Together

-State provides services

-Cannot use Medicaid funding while incarcerated

-Need for integrated state and federal policies for definition of care and funding

# data[].attributes.headline
Psychiatrists, psychologists, psychiatric nurses work as DOC staff in WA state to provide screening to all offenders entering.

# data[].attributes.subject
Psychiatrists, psychologists, psychiatric nurses work as DOC staff in WA state to provide screening to all offenders entering.

# data[].attributes.body
There are 4 different treatment levels:

1. Long term treatment (6-12 months)

2. Intensive out patient (6-12 weeks)

3. Outpatient (minimum of 3 months)

4. Recovery Houses

# data[].attributes.headline
#6)  What are some of the barriers and challenges for the incarcerated persons as they re-enter the general population? How might Medicaid expansion have an impact on the health of incarcerated persons?

# data[].attributes.subject
#6)  What are some of the barriers and challenges for the incarcerated persons as they re-enter the general population? How might Medicaid expansion have an impact on the health of incarcerated persons?

# data[].attributes.headline
#3 & #5 WA state Offender Health Program

# data[].attributes.subject
#3 & #5 WA state Offender Health Program

# data[].attributes.headline
#6 ACA Criminal Justice Bureau of Justice Assistance Report

# data[].attributes.subject
#6 ACA Criminal Justice Bureau of Justice Assistance Report

# data[].attributes.headline
#6) What are some of the barriers and challenges for
incarcerated persons as they re-enter the general population? How might
Medicaid expansion have an impact on the health of incarcerated persons?

# data[].attributes.subject
#6) What are some of the barriers and challenges for
incarcerated persons as they re-enter the general population? How might
Medicaid expansion have an impact on the health of incarcerated persons?

# data[].attributes.body
A. Washington State: http://apps.leg.wa.gov/rcw/default.aspx?cite=72.09.380

B. Roadblocks to reentry PDF (attached below)

C. DoJ ACA PDF: as another download on padlet -->

D. http://www.bop.gov/resources/health_care_mngmt.jsp (see very bottom of page “Clinical Guidelines for Discharge Assistance” last updated 2002)

# data[].attributes.headline
#5) 
 Who provides treatment for reproductive healthcare
in prison? (There seems to be a deficit of specific corrections institution
guidelines/policy on this area. Perhaps as telling as what is
provided/specified)

# data[].attributes.subject
#5) 
 Who provides treatment for reproductive healthcare
in prison? (There seems to be a deficit of specific corrections institution
guidelines/policy on this area. Perhaps as telling as what is
provided/specified)

# data[].attributes.body
A. American College of Obstetricians and Gynecologists Position Statement

http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Health_Care_for_Underserved_Women/Reproductive_Health_Care_for_Incarcerated_Women_and_Adolescent_Females

B. Washington State Offender Health Plan page 6 (PDF also used for question 3)

C.  BOP: http://www.bop.gov/resources/pdfs/std.pdf

D. BOP: http://www.bop.gov/resources/health_care_mngmt.jsp

E.  Mothers Behind Bars Report (PDF attached, below)

F. ACLU website with state by state policy information concerning treatment of pregnant women (information availability is inconsistent state by state) https://www.aclu.org/maps/state-standards-pregnancy-related-health-care-and-abortion-women-prison-map

# data[].attributes.headline
#4) 

















Who provides treatment for substance abuse in
prison?    

# data[].attributes.subject
#4) 

















Who provides treatment for substance abuse in
prison?    

# data[].attributes.body
A. Federal: http://www.bop.gov/resources/pdfs/detoxification.pdf

B. WA: http://www.doc.wa.gov/family/offenderlife/substanceabuse.asp

C. WA: http://www.doc.wa.gov/aboutdoc/docs/p351gmentalhealthtreatmentservicesfactsheet.pdf

Does WA department of correction consider substance abuse a mental health issue?

# data[].attributes.headline
#3) What is the basis for providing healthcare to
persons who are incarcerated, federal/WA state?

# data[].attributes.subject
#3) What is the basis for providing healthcare to
persons who are incarcerated, federal/WA state?

# data[].attributes.body
WAC 137-91-080: http://apps.leg.wa.gov/wac/default.aspx?cite=137-91-080
WAC 137-91-010: http://apps.leg.wa.gov/wac/default.aspx?cite=137-91-010

Federal Prisons:

http://www.bop.gov/inmates/custody_and_care/medical_care.jsp

http://www.bop.gov/resources/pdfs/phc.pdf

http://www.cdc.gov/correctionalhealth/rec-guide.html

http://apps.leg.wa.gov/rcw/default.aspx?cite=72.10

http://apps.leg.wa.gov/wac/default.aspx?cite=137-91

www.cwla.org/voice/JA10babies.html

# data[].attributes.headline
#2) Why
is the incarcerated population considered underserved?

# data[].attributes.subject
#2) Why
is the incarcerated population considered underserved?

# data[].attributes.body
UPModule: Who are the Underserved https://depts.washington.edu/fammed/online/mod/resource/view.php?inpopup=true&id=2230

# data[].attributes.headline
#1) What is the difference between prison and jail?
What different challenges may exist in providing care for these different
populations?    

# data[].attributes.subject
#1) What is the difference between prison and jail?
What different challenges may exist in providing care for these different
populations?    