Structural Conditions and Health After Release From Prison

Healthcare Organizational Structural Conditions and the Health of People Recently Released From Prison

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05989282

Acronym

SCHARP

Enrollment

508

Registered

2023-08-14

Start date

2023-08-05

Completion date

2028-06-30

Last updated

2026-08-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiovascular Diseases, Health Care Utilization

Brief summary

People released from prison experience two times higher cardiovascular (CV) mortality than the general population, have a high prevalence of poor CV health and increased risk of CV events within 2 years of release. Access to high quality healthcare following release from prison is key to preventing poor health and CV outcomes. Our study team will investigate facilitators and barriers to health care access experienced by people released from prison.

Detailed description

Upon release from prison, people face numerous challenges including unstable housing, limited employment, stigma, and poor health. Structural conditions in healthcare systems, including policies, practices and attitudes around healthcare access, transition programs, culture, support of social determinants of health, and specialized services for people released from prison, may influence access and health outcomes for people released from prison. We will enroll people released from prison into a prospective cohort study to examine the association between exposure to structural conditions and 12-month primary outcomes of healthcare utilization (clinic visits, emergency visits, hospitalization) and secondary outcomes of CV hospitalization and all-cause mortality. Moderation by participant characteristics such as self-reported race, ethnicity, gender, age and baseline CV health will be tested.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* Recenlty released from state prison into the Denver/Aurora Colorado metro area * Age 18 and older * Ability to understand study procedures in English or Spanish * No plans to leave the area for six months

Exclusion criteria

* On "current inmate" status or still under correctional observation (i.e., under locked confinement part of the day or night) * Plans to leave area within six months * Unable to consent

Design outcomes

Primary

Measure	Time frame	Description
Healthcare utilization	12 months	Clinic visits, emergency visits, hospitalization

Secondary

Measure	Time frame	Description
Cardiovascular hospitalization	12 months	Hospitalization for a cardiovascular condition
Death	12 months	All-cause death

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORStacie Daugherty

Kaiser Permanente Institute for Health Research

Outcome results