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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Nursing home availability for incarcerated persons granted compassionate release.

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Prisoner release policies face nursing home admission barriers. Incarceration status significantly reduces nursing home access, even for medically eligible individuals seeking compassionate release. Policy changes are needed.

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Area of Science:

  • Gerontology
  • Public Health
  • Criminology

Background:

  • Aging incarcerated populations present long-term care challenges.
  • Compassionate release policies aim to transition ill or aging individuals to community care.
  • Nursing homes often exhibit reluctance in admitting individuals with a history of incarceration.

Purpose of the Study:

  • To investigate the impact of incarceration status on nursing home admission decisions.
  • To quantify the effect of disclosing a patient's recent incarceration on admission likelihood.

Main Methods:

  • A statewide secret shopper methodology was employed in Rhode Island.
  • Researchers contacted 74 licensed nursing homes, inquiring about bed availability for a standardized patient.
  • Patient status was progressively disclosed, moving from general inquiry to specific compassionate release from prison.

Main Results:

  • Bed availability decreased from 52.5% to 26.2% after mentioning incarceration.
  • Complete rejections rose from 9.8% to 44.3%, with facilities 3.41 times more likely to downgrade admission.
  • For individuals with serious offenses, rejection rates reached 70.5%, with significantly increased odds of rejection.

Conclusions:

  • Incarceration and criminal history demonstrably reduce nursing home access, irrespective of medical need or payment capacity.
  • Significant stigma associated with incarceration creates barriers to essential long-term care.
  • Policy and systemic interventions are crucial to mitigate stigma and improve care access for individuals eligible for compassionate release.