Gallagher, CA (2009) Orientation The Network for Justice Health Orlando, FL Gallagher, CA MAY 6, 2009

Gallagher, CA (2009) What is ‘Justice Health’ Unique population High risk Supervised by justice system Adolescents and Adults Families of justice-involved persons Unique setting Residential Jails Prisons Juvenile facilities Other institutions Community Probation Half-way houses Group homes Parole

Gallagher, CA (2009) ‘Justice Health’ Disproportionately racial and ethnic minorities lower socio-economic classes under-resourced undereducated suffer from constellations of social, physical and mental health problems Common theme of human rights concerns and issues of health care equity

Gallagher, CA (2009) Health Physical Mental Health Substance use

Gallagher, CA (2009) Outcomes of interest Mortality Health-related quality of life Improved functioning Access to care Justice-system contact

Gallagher, CA (2009) Prison Jail and pretrial detention Residential supervision in community Probation/parole Other direct justice system contact (eg, arrest) Justice system populations

Gallagher, CA (2009) Importance for public health Jail Community Prison

Gallagher, CA (2009) ‘Parallel’ populations Medicaid eligible No medical home Children in need of services Foster care system Substance abuse Homeless Unemployed Underserved

Gallagher, CA (2009) Use systematic methods to drive primary research and establish EBP Primary research areas Prevalence Relative risks Costs Measurement Interventions Service provision disparities meeting standards systems modeling Systematic summary Rapid evidence Exhaustive searches Knowledge mapping Quantitative descriptive summaries Meta-analysis Umbrella review

Gallagher, CA (2009) Some observations Justice-involved persons have higher rates of unresolved disorders are at risk for premature death and injury account for a disproportionate volume of all infectious disease carriers The potential of existing evidence has not been fully realized The justice system does not provide adequate care Service providers do not have adequate evidence-based guidelines A more purposeful method will advance the field Open-access products are preferable

Gallagher, CA (2009) Ultimate goal Evidence-based guidelines and practices Primary research (interventions, descriptions) Exhaustive searching, mapping, grading Prioritization for subsequent research Prevalence, opportunity, impact, etc. Systematic reviews Rapid evidence, meta-analysis, etc. RCT, primary research, guideline development Steering

Gallagher, CA (2009) Network for Justice Health Continue individual primary research Consolidate existing knowledge Join together to direct field and participate as able Pool resources Foster collaboration, inspire volunteerism Disseminate information Prioritize research Form working groups Coordinate with existing bodies Affiliate with international organizations

Gallagher, CA (2009) Objectives Establish the state of knowledge surrounding effective practices Use this as the basis for decision-making to identify high priority areas Coordinate research in priority areas to improve our knowledge about evidence-based practices and treatments Develop open-access dissemination and training tools for decision-makers and care providers

Gallagher, CA (2009) Meeting objectives Take a tour of what we know and how we know it Bring together existing resources Weigh merit of objectives Explore different methodologies Develop partnerships Gauge interest and commitment

Gallagher, CA (2009) Recent Activities Protocols for exhaustive searches Knowledge mapping initiative Cochrane paper Systematic reviews AHRQ grant proposal Support meetings and dissemination Products Campbell updates

Gallagher, CA (2009) Expertise At the table Around the world How to better link