Randomised controlled trial of a service brokerage intervention for ex-prisoners in Australia

Kinner, Stuart A., Lennox, Nicholas, Williams, Gail M., Carroll, Megan, Quinn, Brendan, Boyle, Frances M. and Alati, Rosa (2013) Randomised controlled trial of a service brokerage intervention for ex-prisoners in Australia. Contemporary Clinical Trials, 36 1: 198-206. doi:10.1016/j.cct.2013.07.001

Author Kinner, Stuart A.
Lennox, Nicholas
Williams, Gail M.
Carroll, Megan
Quinn, Brendan
Boyle, Frances M.
Alati, Rosa
Title Randomised controlled trial of a service brokerage intervention for ex-prisoners in Australia
Journal name Contemporary Clinical Trials   Check publisher's open access policy
ISSN 1551-7144
Publication date 2013-09-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.cct.2013.07.001
Open Access Status DOI
Volume 36
Issue 1
Start page 198
End page 206
Total pages 9
Place of publication Philadelphia, PA United States
Publisher Elsevier Inc
Language eng
Abstract To describe the association between ex-prisoner primary care physician contact within 1 month of prison release and health service utilisation in the 6 months following release.
Formatted abstract
Background: Health outcomes after release from prison are typically poor with elevated rates of morbidity and mortality widely documented. Under-utilisation of health services contributes to these outcomes, but interventions to increase health service utilisation in ex-prisoners are in their infancy and few have been rigorously evaluated.

Single-blinded randomised controlled trial of a service brokerage intervention (the 'Passports study') for N=1325 adult ex-prisoners in Queensland, Australia. Participants in the intervention group received a personalised booklet summarising their health status and identifying appropriate community health services; trained workers made weekly telephone contact in the first 4. weeks post-release to identify health needs and facilitate health service utilisation. Participants in the control arm received usual care. Baseline data were collected within 6. weeks of expected release from custody with follow-up telephone interviews 1, 3 and 6. months post-release. Participant identities were linked with federal health service utilisation records, a national death register and corrective services records, two years post-release. The primary outcome was self-reported health service utilisation in the first 6. months post-release.

Between 2008 and 2010 1976 prisoners were screened for eligibility, 1665 met eligibility criteria and 1325 were recruited; 665 were randomised to the intervention and 660 to the control condition. Participants were broadly representative of adults being released from prison in Queensland except that women were intentionally oversampled (21% vs. 11%).

Outcomes from this large RCT will provide the first robust evidence of the effect of service brokerage on health service utilisation and health outcomes for ex-prisoners
Keyword Prisoners
Re entry
Health service utilisation
Primary care
Randomised controlled trial
Health Services
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID MR/K006525/1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 20 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 21 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sun, 27 Oct 2013, 10:06:06 EST by System User on behalf of School of Medicine