2017
DOI: 10.1176/appi.ps.201600482
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Expedited Medicaid Enrollment, Service Use, and Recidivism at 36 Months Among Released Prisoners With Severe Mental Illness

Abstract: Expedited Medicaid had a sustained effect on both increased months of enrollment (p<.01) and increased use of community mental health and general medical services (p<.01) 36 months after prison release. However, expedited Medicaid did not reduce criminal recidivism, consistent with 12-month findings, Conclusions: Outcome results at 12 months were sustained at 36 months-namely, expedited Medicaid for released prisoners with severe mental illness improved enrollment and service use with no effects on criminal re… Show more

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Cited by 11 publications
(10 citation statements)
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References 12 publications
(15 reference statements)
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“…Recent research has examined the effect of expedited Medicaid enrollment in a statewide sample of offenders with severe mental illness released from Washington State prisons. Although Medicaid enrollment and health service use were significantly greater in the expedited group than in propensity score–weighted controls, there were no significant between‐group differences in arrests or re‐incarceration either at 12‐month or 36‐month follow‐up periods …”
Section: Introductionmentioning
confidence: 85%
See 1 more Smart Citation
“…Recent research has examined the effect of expedited Medicaid enrollment in a statewide sample of offenders with severe mental illness released from Washington State prisons. Although Medicaid enrollment and health service use were significantly greater in the expedited group than in propensity score–weighted controls, there were no significant between‐group differences in arrests or re‐incarceration either at 12‐month or 36‐month follow‐up periods …”
Section: Introductionmentioning
confidence: 85%
“…Although Medicaid enrollment and health service use were significantly greater in the expedited group than in propensity score-weighted controls, there were no significant between-group differences in arrests or re-incarceration either at 12-month 21 or 36month follow-up periods. 22 The implication of these studies is that while Medicaid enrollment substantially improves access to mental health treatment, this greater level of treatment does not correspond to reductions in incarceration. Another possibility is these studies have failed to properly account for timeliness or intensity of mental health service use upon release from institutional settings.…”
mentioning
confidence: 99%
“…Other interventions addressed risk factors for justice involvement like lack of insurance, unemployment, emotional regulation, and academic achievement [ 79 81 , 82 •, 83 ]. Two quasi-experimental studies focused on healthcare access, examining the downstream service use and recidivism effects of expedited Medicaid enrollment for recent prison releasees with schizophrenia or bipolar disorder in Washington State ( n = 3086) [ 79 , 80 ]. Twelve months post-implementation, 81% of the expedited group and 43% of the services as usual group were enrolled in Medicaid, ( p < .01).…”
Section: Criminal Justicementioning
confidence: 99%
“…Other interventions addressed risk factors for justice involvement like lack of insurance, unemployment, emotional regulation, and academic achievement (79-81, 82, 83). Two quasi-experimental studies focused on healthcare access, examining the downstream service use and recidivism effects of expedited Medicaid enrollment for recent prison releasees with schizophrenia or bipolar disorder in Washington State (n 5 3086) (79,80). Twelve months postimplementation, 81% of the expedited group and 43% of the services as usual group were enrolled in Medicaid, (p , .01).…”
Section: Criminal Justicementioning
confidence: 99%