Department of Family and Community Medicine, Baylor College of Medicine, 3701 Kirby Dr., Suite 600, Houston, TX 77098, USA.
Psychiatr Serv. 2011 Feb;62(2):120-2. doi: 10.1176/ps.62.2.pss6202_0120.
The Jail Inreach Project is a health care-based intensive case management "inreach" program that engages incarcerated persons from the homeless population who have behavioral health disorders (mental illness, substance use disorder, or both) in establishing a plan for specific postrelease services. The Jail Inreach Project aims to provide continuity of care and integrate this highly marginalized subpopulation of homeless persons into primary and behavioral health care systems by establishing patient-centered health homes. The use of integrated primary and behavioral health models in conjunction with provisions for immediate access to and continuity of care upon release is emerging as a best practice in combating the rapid cycling of this vulnerable population between streets and shelters, emergency centers, and the county jail. Preliminary results indicate that more than half of the persons referred to the program remained successfully linked with services postrelease, whereas slightly less than one-third who engaged in services while incarcerated did not retain linkage on release.
监狱内展延计划是一个以医疗为基础的强化个案管理“内展”计划，它针对有行为健康障碍（精神疾病、药物使用障碍或两者兼有）的无家可归者中的被监禁人员，制定具体的释放后服务计划。监狱内展延计划旨在通过建立以患者为中心的健康之家，提供持续的医疗服务，并将这一高度边缘化的无家可归人群纳入初级和行为医疗保健系统。将综合初级和行为健康模式与立即获得和释放后持续医疗服务的规定结合使用，正在成为应对这一脆弱人群在街头和收容所、急救中心和县城监狱之间快速循环的最佳做法。初步结果表明，该计划转介的人员中，超过一半在释放后仍能成功获得服务，而在监禁期间接受服务的人员中，略少于三分之一的人在释放后无法保持联系。
