Journal article
Associations Between Supported Accommodation and Health and Re-offending Outcomes: a Retrospective Data Linkage Study
Journal of Urban Health, Vol.101, pp.80-91
2024
PMID: 38349583
Abstract
Following release from prison, housing and health issues form a complex and mutually reinforcing dynamic, increasing reincarceration risk. Supported accommodation aims to mitigate these post-release challenges. We describe the impact of attending Rainbow Lodge (RL), a post-release supported accommodation service for men in Sydney, Australia, on criminal justice and emergency health outcomes. Our retrospective cohort study using linked administrative data includes 415 individuals referred to RL between January 2015 and October 2020. Outcomes of interest were rates of criminal charges, emergency department (ED) presentations and ambulance attendance; and time to first reincarceration, criminal charge, ED presentation and ambulance attendance. The exposure of interest was attending RL; covariates included demographic characteristics, release year and prior criminal justice and emergency health contact. Those who attended RL (n = 170, 41%) more commonly identified as Aboriginal or Torres Strait Islander (52% vs 41%; p = 0.025). There was strong evidence that attending RL reduced the incidence criminal charges (adjusted rate ratio [ARR] = 0.56; 95% confidence interval [CI] 0.340.86; p = 0.009). Absolute rates indicate a weak protective effect of RL attendance on ED presentation and ambulance attendance; however, adjusted analyses indicated no evidence of an association between attending RL and rates of ED presentations (ARR = 0.88; 95% CI = 0.65-1.21), or ambulance attendance (ARR = 0.82; 95% CI = 0.57-1.18). There was no evidence of an association between attending RL and time to first reincarceration, charge, ED presentation or ambulance attendance. Greater detail about reasons for emergency health service contact and other self-report outcome measures may better inform how supported accommodation is meeting its intended aims.
Details
- Title
- Associations Between Supported Accommodation and Health and Re-offending Outcomes: a Retrospective Data Linkage Study
- Authors
- Daisy Gibbs (Corresponding Author) - UNSW SydneySamantha Colledge-Frisby - Curtin UniversitySara Farnbach - UNSW SydneyMichael Doyle - The University of SydneyAnthony Shakeshaft - The University of QueenslandSarah Larney - Centre Hospitalier de l’Université de Montréal
- Publication details
- Journal of Urban Health, Vol.101, pp.80-91
- Publisher
- Springer New York LLC
- Date published
- 2024
- DOI
- 10.1007/s11524-023-00824-w
- ISSN
- 1468-2869
- PMID
- 38349583
- Copyright note
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
- Grant note
- D.G. is supported by PhD scholarship funding from the Rainbow Lodge PhD Scholarship. S.L. is supported by a Research Scholar award from Fonds de recherche du Québec.
- Organisation Unit
- School of Health - Psychology
- Language
- English
- Record Identifier
- 991242159902621
- Output Type
- Journal article
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