Community Reintegration of Previously Incarcerated Older Adults: Exploratory Insights from a Canadian Community Residential Facility Program

Colibaba, Amber; Skinner, Mark W.; Balfour, Gillian; Byrne, David; Dieleman, Crystal

doi:10.1080/08959420.2022.2029269

Cited by 1 publication

(8 citation statements)

References 27 publications

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“…Our findings from Ontario, Canada illustrate that health care practices across the care continuum are not aligned with the complex needs of previously incarcerated older adults, centralizing risk management rather than the older populations that they serve. These findings speak to the challenges of community reintegration of this population, such as accessing appropriate, safe, affordable, and supportive housing [ 25 ] like long-term care. A Community Residential Facility (CRF) like Haley House is transitional in nature, and while it can act as supportive accommodation in the interim, residents are required to find alternative housing that for many, due to care needs, is, or should be, long-term care.…”

Section: Discussionmentioning

confidence: 99%

“…An exploratory case study of Haley House, a Community Residential Facility (CRF) in Peterborough, Ontario, Canada was conducted to examine the community reintegration of previously incarcerated older adults between February and April 2019 [ 25 ]. With ethics approval from Trent University's Research Ethics Board, semi-structured interviews were conducted with staff and community stakeholders to determine the challenges and barriers of this population when reintegrating back into the community.…”

Section: Methodsmentioning

confidence: 99%

“…With participants' informed consent, interviews were audio-recorded and transcribed by the project’s research assistant (co-author Amber Colibaba). Following the completion of the initial study on the experiences of previously incarcerated older adults on community reintegration [ 25 ], a secondary, follow-up deductive thematic analysis was conducted by the two lead authors (Laura Poulin and Amber Colibaba) to explore previously incarcerated older adults’ transitions into long-term care. The secondary analysis began with a review of the initial project transcripts to develop a new code manual that represented the current project themes (e.g., access to care, long-term care, inequitable experiences).…”

Section: Methodsmentioning

confidence: 99%

“…Despite these recognized challenges, recent increases in incarceration rates [ 23 ] has focused research on the compromised health profiles of aging populations inside correctional facilities [ 19 ]. As such, the intersection of older adults and incarceration fixates on increasing the care provided within correctional institutions [ 24 ] rather than on providing adequate supports across the care continuum [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…As a means of filling this gap, we aim to increase knowledge on previously incarcerated older adults’ transitions into long-term care. Accessing long-term care services is a pivotal part of reintegrating previously incarcerated older adults back into the community to ensure adequate support for their complex health and care needs [ 25 ]. To examine these transitions, we conducted a secondary exploratory analysis of a case study on Haley House, a Community Residential Facility, which acts as transitional housing for men on conditional release from Canadian federal correctional institutions in Peterborough, Ontario.…”

Section: Introductionmentioning

confidence: 99%

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Lost in transition? Community residential facility staff and stakeholder perspectives on previously incarcerated older adults’ transitions into long-term care

et al. 2023

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Background Establishing an effective continuum of care is a pivotal part of providing support for older populations. In contemporary practice; however, a subset of older adults experience delayed entry and/or are denied access to appropriate care. While previously incarcerated older adults often face barriers to accessing health care services to support community reintegration, there has been limited research on their transitions into long-term care. Exploring these transitions, we aim to highlight the challenges of securing long-term care services for previously incarcerated older adults and shed light on the contextual landscape that reinforces the inequitable care of marginalized older populations across the care continuum. Methods We performed a case study of a Community Residential Facility (CRF) for previously incarcerated older adults which leverages best practices in transitional care interventions. Semi-structured interviews were conducted with CRF staff and community stakeholders to determine the challenges and barriers of this population when reintegrating back into the community. A secondary thematic analysis was conducted to specifically examine the challenges of accessing long-term care. A code manual representing the project themes (e.g., access to care, long-term care, inequitable experiences) was tested and revised, following an iterative collaborative qualitative analysis (ICQA) process. Results The findings indicate that previously incarcerated older adults experience delayed access and/or are denied entry into long-term care due to stigma and a culture of risk that overshadow the admissions process. These circumstances combined with few available long-term care options and the prominence of complex populations already in long-term care contribute to the inequitable access barriers of previously incarcerated older adults seeking entry into long-term care. Conclusions We emphasize the many strengths of utilizing transitional care interventions to support previously incarcerated older adults as they transition into long-term care including: 1) education & training, 2) advocacy, and 3) a shared responsibility of care. On the other hand, we underscore that more work is needed to redress the layered bureaucracy of long-term care admissions processes, the lack of long-term care options and the barriers imposed by restrictive long-term care eligibility criteria that sustain the inequitable care of marginalized older populations.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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