Unmet Mental Health and Social Service Needs of Formerly Incarcerated Women Living with HIV in the Deep South
Autor: | Courtenay Sprague, Bharathi Radhakrishnan, Michael L. Scanlon, Shelley M Brown, David W. Pantalone |
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Rok vydání: | 2018 |
Předmět: |
Adult
Social Work medicine.medical_specialty Substance-Related Disorders Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Interviews as Topic Young Adult 03 medical and health sciences Social support 0302 clinical medicine medicine Humans 030212 general & internal medicine Psychiatry Qualitative Research Advanced and Specialized Nursing Health Services Needs and Demand 030505 public health Recidivism Social work Mental Disorders Prisoners Social Support medicine.disease Mental health Community Mental Health Services Substance abuse Mental Health Discharge planning Prisons Alabama Female 0305 other medical science Substance abuse treatment Psychology Delivery of Health Care |
Zdroj: | Journal of the Association of Nurses in AIDS Care. 29:712-727 |
ISSN: | 1055-3290 |
Popis: | Due to the disproportionate burden of HIV among incarcerated women in the United States, jails and prisons have been identified as key sites for health service delivery. Recidivism remains high, potentially reflecting unmet mental health and social service needs of incarcerated women, especially during the postrelease adjustment period. However, little published research has investigated this possibility directly. We conducted semi-structured, in-depth interviews with previously incarcerated women living with HIV, and other key informants, and completed service-availability mapping in two Alabama cities. Key findings were: (a) discharge planning and postrelease support services to manage risky environments were absent, (b) postrelease services were concentrated in a few community-based organizations, (c) mental health and substance abuse treatment during re-entry was essential to prevent relapse, and (d) social support was crucial for postrelease adjustment. We propose a novel conceptual model with key steps to establish continuous care for previously incarcerated women living with HIV. |
Databáze: | OpenAIRE |
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