1 / 16

Orientation The Network for Justice Health Orlando, FL Gallagher, CA MAY 6, 2009

Orientation The Network for Justice Health Orlando, FL Gallagher, CA MAY 6, 2009. Unique population High risk Supervised by justice system Adolescents and Adults Families of justice-involved persons. Unique setting Residential Jails Prisons Juvenile facilities Other institutions

kelly-vargas
Download Presentation

Orientation The Network for Justice Health Orlando, FL Gallagher, CA MAY 6, 2009

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Orientation The Network for Justice Health Orlando, FL Gallagher, CA MAY 6, 2009

  2. Unique population High risk Supervised by justice system Adolescents and Adults Families of justice-involved persons Unique setting Residential Jails Prisons Juvenile facilities Other institutions Community Probation Half-way houses Group homes Parole What is ‘Justice Health’

  3. ‘Justice Health’ Disproportionately • racial and ethnic minorities • lower socio-economic classes • under-resourced • undereducated • suffer from constellations of social, physical and mental health problems Common theme of human rights concerns and issues of health care equity

  4. Health Physical Mental Health Substance use

  5. Outcomes of interest Mortality Health-related quality of life Improved functioning Access to care Justice-system contact

  6. Justice system populations

  7. Importance for public health Prison Jail Community

  8. ‘Parallel’ populations Medicaid eligible No medical home Children in need of services Foster care system Substance abuse Homeless Unemployed Underserved

  9. Primary research areas Prevalence Relative risks Costs Measurement Interventions Service provision disparities meeting standards systems modeling Systematic summary Rapid evidence Exhaustive searches Knowledge mapping Quantitative descriptive summaries Meta-analysis Umbrella review Use systematic methods to drive primary research and establish EBP

  10. Some observations Justice-involved persons • have higher rates of unresolved disorders • are at risk for premature death and injury • account for a disproportionate volume of all infectious disease carriers The potential of existing evidence has not been fully realized The justice system does not provide adequate care Service providers do not have adequate evidence-based guidelines A more purposeful method will advance the field Open-access products are preferable

  11. Ultimate goalEvidence-based guidelines and practices Primary research (interventions, descriptions) Exhaustive searching, mapping, grading Prioritization for subsequent research Prevalence, opportunity, impact, etc. Systematic reviews Rapid evidence, meta-analysis, etc. RCT, primary research, guideline development Steering

  12. Network for Justice Health Continue individual primary research Consolidate existing knowledge Join together to direct field and participate as able Pool resources Foster collaboration, inspire volunteerism Disseminate information Prioritize research Form working groups Coordinate with existing bodies Affiliate with international organizations

  13. Objectives Establish the state of knowledge surrounding effective practices Use this as the basis for decision-making to identify high priority areas Coordinate research in priority areas to improve our knowledge about evidence-based practices and treatments Develop open-access dissemination and training tools for decision-makers and care providers

  14. Meeting objectives Take a tour of what we know and how we know it Bring together existing resources Weigh merit of objectives Explore different methodologies Develop partnerships Gauge interest and commitment

  15. Recent Activities Protocols for exhaustive searches Knowledge mapping initiative Cochrane paper Systematic reviews AHRQ grant proposal Support meetings and dissemination Products Campbell updates

  16. Expertise At the table Around the world How to better link

More Related