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The Role of Parent Engagement in Overcoming Barriers to Care for Youth Returning Home After Incarceration

  • Elizabeth S. BarnertEmail author
  • Nathalie Lopez
  • Bria Pettway
  • Nivedita Keshav
  • Laura S. Abrams
  • Bonnie Zima
  • Paul J. Chung
Original Paper

Abstract

We sought to understand the role of parent engagement in overcoming barriers to care for youth re-entering the community following incarceration. For this mixed methods study, we conducted quantitative surveys on healthcare needs and access with youth (n = 50) at 1-month post-incarceration, and semi-structured interviews with a subset of these youth (n = 27) and their parents (n = 34) at 1, 3, and 6-months post-incarceration (total 94 interviews). Differences by race/ethnicity and gender were assessed using Chi square test of proportions. We performed thematic analysis of interview transcripts to examine the role of parent engagement in influencing youths’ access to healthcare during reentry. Most youth were from racial/ethnic minority groups and reported multiple ACEs. Girls, compared to boys, had higher ACE scores (p = 0.03), lower family connectedness (p = 0.03), and worse general health (p = 0.02). Youth-identified barriers to care were often parent-dependent and included lack of: affordable care (22%), transportation (16%), and accompaniment to health visits (14%). Two major themes emerged from the qualitative interviews: (1) parents motivate youth to seek healthcare during reentry and (2) parents facilitate the process of youth seeking healthcare during reentry. Parents are instrumental in linking youth to healthcare during reentry, dispelling prevailing myths that parents of incarcerated youth are inattentive and that youth do not want their help. Efforts that support and enhance parent engagement in access to care during reentry, such as by actively involving parents in pre-release healthcare planning, may create stronger linkages to care.

Keywords

Incarceration Reentry Aftercare Parent engagement Access to care 

Notes

Acknowledgements

The authors would like to thank participating families and community partners at the probation and health department. Dr. Barnert’s time was supported by a KL2 Grant from the UCLA CTSI (NIH KL2U000124), by a NIDA Career Development Award (K23 DA045747-01), and by the California Community Foundation. UCLA/Drew medical student Bria Pettway received a UCLA CTSI TL1 Summer Fellowship and UCLA medical student Nivedita Keshav participated in the UCLA David Geffen School of Medicine STTP.

Compliance with Ethical Standards

Conflict of interest

The authors report no conflict of interest.

Supplementary material

10900_2019_747_MOESM1_ESM.docx (85 kb)
Supplementary material 1 (DOCX 85 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Pediatrics, David Geffen School of MedicineUCLALos AngelesUSA
  2. 2.Children’s Discovery & Innovation InstituteMattel Children’s HospitalLos AngelesUSA
  3. 3.Department of Social Welfare, UCLA Luskin School of Public AffairsUCLALos AngelesUSA
  4. 4.Department of Psychiatry and Bio-behavioral Sciences, David Geffen School of MedicineUCLALos AngelesUSA
  5. 5.Department of Health Policy & Management, UCLA Fielding School of Public HealthUCLALos AngelesUSA
  6. 6.RAND HealthRAND CorporationSanta MonicaUSA
  7. 7.Department of Health Systems ScienceKaiser Permanente School of MedicinePasadenaUSA

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