The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the challenges facing the public and private sectors around the world. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. R ® is a registered trademark.
This paper first presents an overview of the changing characteristics of the reentry population and its demographics. Second, it presents national estimates of the prevalence of certain chronic medical conditions, infectious diseases, mental illness, and substance abuse and dependency within the state prison and soon-to-be-released populations. Third, it discusses comorbidity and the limitations in our ability to determine what medical conditions among released offenders may have been preexisting. Fourth, it considers some key treatment and ethical dilemmas that improved screening raises for the correctional health and public health systems, and examines some emerging challenges.
E ach year, more than 700,000 incarcerated individuals leave federal and state prisons and return to local communities where they will have to compete with individuals in those communities for jobs. In today's economy, having a college education is necessary to compete for many jobs; according to Georgetown Center on Education and the Workforce (Carnevel, Smith, and Strohl, 2013), two-thirds of job postings will require some level of college education by 2020. 1 The Bureau of Labor Statistics lists 174 occupations as having a typical entrylevel education requirement of a bachelor's degree, and it projects that employment in these occupations will grow by 10 percent over the next decade (Torpey, 2018). Those who have been in prison are often at a disadvantage in this competition because they typically return to communities without college education or, for that matter, any higher education plans. The stakes for ex-offenders are higher than they are for others; being able to land a job can mean the difference between successfully transitioning back into a community and returning to prison. For incarcerated students, a key obstacle to obtaining a college education is cost. Prior to 1994, those who were incarcerated were eligible to receive Pell Grants to help cover the costs of participating in these programs. However, the 1994 amendment to the Higher Education Act (HEA) eliminated Pell Grant eligibility for students incarcerated in federal and state prisons (Crayton and Neusteter, 2008).
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.