Access to Healthcare Among Young Adult Probationers Participating in a Pilot Health-Focused Reentry Program

Author:

Ojeda Victoria D.12ORCID,Parker Tamara2,Lyles Maurice2,Edwards Todd M.2,Jimenez Cielo2,Hiller-Venegas Sarah2ORCID,Berliant Emily2,Lister Zephon2

Affiliation:

1. University of California, San Diego, La Jolla, USA

2. University of California, San Diego School of Medicine, La Jolla, USA

Abstract

Justice-involved adults experience disparities in healthcare access. This pilot study examines healthcare access among young adult probationers ( n = 66) receiving 6-months of Service Navigation and Health Coaching support implemented between 2017 and 2021. Data are from baseline, 6-month follow-up and satisfaction surveys. Between baseline and follow-up, the proportion of insured young adult participants (66%–88%; p < .001) and those using healthcare services (36%–71%; p < .001) increased significantly; report of unmet physical healthcare needs decreased significantly (44%–26%; p = .003). Satisfaction data revealed increased self-efficacy, motivation, focus, and improved organizational, goal setting, and communication skills. The program improved healthcare access by increasing health insurance and recent use of healthcare services. Longitudinal studies are needed to assess maintenance of these outcomes and potential impacts on disparities in health status and access to care indicators. Integrating navigation and coaching supports to advance the well-being of justice-involved young adults is a promising mechanism to facilitate healthcare access.

Funder

National Institute on Minority Health and Health Disparities

U.S. Office of Minority Health

Publisher

SAGE Publications

Reference53 articles.

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