{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:37:57Z","timestamp":1782898677499,"version":"3.54.5"},"reference-count":37,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>Background: Former prison inmates experience high rates of hospitalizations and death during the transition from prison to the community, particularly from drug-related causes and early after release. The authors designed a randomized controlled trial (RCT) of patient navigation to reduce barriers to health care and hospitalizations for former prison inmates. Methods: Forty former prison inmates with a history of drug involvement were recruited and randomized within 15\u00a0days after prison release. Participants were randomized to receive 3 months of patient navigation (PN) with facilitated enrollment into an indigent care discount program (intervention) or facilitated enrollment into an indigent care discount program alone (control). Structured interviews were conducted at baseline, 3 months, and 6 months. Outcomes were measured as a change in self-reported barriers to care and as the rate of health service use per 100 person-days. Results: The mean number of reported barriers to care was reduced at 3 and 6 months in both groups. At 6 months, the rate of emergency department\/urgent care visits per 100 person-days since baseline was 1.1 among intervention participants and 0.5 among control participants ( P = .04), whereas the rate of hospitalizations per 100 person-days was 0.2 in intervention participants and 0.6 in control participants ( P = .04). Conclusions: Recruitment of former inmates into an RCT of patient navigation was highly feasible, but follow-up was limited by rearrests. Results suggest a significantly lower rate of hospitalizations among navigation participants, although the rate of emergency department\/urgent care visits was not improved. Patient navigation is a promising, pragmatic intervention that may be effective at reducing high-cost health care utilization in former prison inmates.<\/jats:p>","DOI":"10.1080\/08897077.2014.932320","type":"journal-article","created":{"date-parts":[[2014,6,24]],"date-time":"2014-06-24T11:26:30Z","timestamp":1403609190000},"page":"34-41","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":36,"title":["A Patient Navigation Intervention for Drug-Involved Former Prison Inmates"],"prefix":"10.1177","volume":"36","author":[{"given":"Ingrid A.","family":"Binswanger","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA"},{"name":"Division of Substance Dependence, University of Colorado School of Medicine, Aurora, Colorado, USA"},{"name":"Denver Health Medical Center, Denver, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Whitley","sequence":"additional","affiliation":[{"name":"Denver Health Medical Center, Denver, Colorado, USA"},{"name":"Prevention Services Division, Colorado Department of Public Health and Environment, Denver, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul-Ryan","family":"Haffey","sequence":"additional","affiliation":[{"name":"Denver Health Medical Center, Denver, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane R.","family":"Mueller","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-Joon","family":"Min","sequence":"additional","affiliation":[{"name":"Division of Health Care Policy and Research, University of Colorado School of Medicine, Aurora, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,1,1]]},"reference":[{"key":"bibr1-08897077.2014.932320","volume-title":"Correctional Populations in the United States, 2012","author":"Glaze LE","year":"2013"},{"key":"bibr2-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1037\/e560272006-001"},{"key":"bibr3-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa064115"},{"key":"bibr4-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.02990.x"},{"key":"bibr5-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyl225"},{"key":"bibr6-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2003.00264.x"},{"key":"bibr7-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-9-201311050-00005"},{"key":"bibr8-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-13-16"},{"key":"bibr9-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.9008"},{"key":"bibr10-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.202"},{"key":"bibr11-08897077.2014.932320","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir446"},{"key":"bibr12-08897077.2014.932320","doi-asserted-by":"crossref","unstructured":"Mallik-Kane K, Visher CA. 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