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A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration

BACKGROUND: Between 12,000 and 16,000 veterans leave incarceration every year, yet resources are limited for reentry support that helps veterans remain connected to VA and community health care and services after leaving incarceration. Homelessness and criminal justice recidivism may result when suc...

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Autores principales: Kim, Bo, McCullough, Megan B., Simmons, Molly M., Bolton, Rendelle E., Hyde, Justeen, Drainoni, Mari-Lynn, Fincke, B. Graeme, McInnes, D. Keith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718000/
https://www.ncbi.nlm.nih.gov/pubmed/30915620
http://dx.doi.org/10.1186/s40352-019-0085-x
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author Kim, Bo
McCullough, Megan B.
Simmons, Molly M.
Bolton, Rendelle E.
Hyde, Justeen
Drainoni, Mari-Lynn
Fincke, B. Graeme
McInnes, D. Keith
author_facet Kim, Bo
McCullough, Megan B.
Simmons, Molly M.
Bolton, Rendelle E.
Hyde, Justeen
Drainoni, Mari-Lynn
Fincke, B. Graeme
McInnes, D. Keith
author_sort Kim, Bo
collection PubMed
description BACKGROUND: Between 12,000 and 16,000 veterans leave incarceration every year, yet resources are limited for reentry support that helps veterans remain connected to VA and community health care and services after leaving incarceration. Homelessness and criminal justice recidivism may result when such follow-up and support are lacking. In order to determine where gaps exist in current reentry support efforts, we developed a novel methodological adaptation of process mapping (a visualization technique being increasingly used in health care to identify gaps in services and linkages) in the context of a larger implementation study of a peer-support intervention to link veterans to health-related services after incarceration (https://clinicaltrials.gov/, NCT02964897, registered November 4, 2016) to support their reentry into the community. METHODS: We employed process mapping to analyze qualitative interviews with staff from organizations providing reentry support. Interview data were used to generate process maps specifying the sequence of events and the multiple parties that connect veterans to post-incarceration services. Process maps were then analyzed for uncertainties, gaps, and bottlenecks. RESULTS: We found that reentry programs lack systematic means of identifying soon-to-be released veterans who may become their clients; veterans in prisons/jails, and recently released, lack information about reentry supports and how to access them; and veterans’ whereabouts between their release and their health care appointments are often unknown to reentry and health care teams. These system-level shortcomings informed our intervention development and implementation planning of peer-support services for veterans’ reentry. CONCLUSIONS: Systematic information sharing that is inherent to process mapping makes more transparent the research needed, helping to engage participants and operational partners who are critical for successful implementation of interventions to improve reentry support for veterans leaving incarceration. Even beyond our immediate study, process mapping based on qualitative interview data enables visualization of data that is useful for 1) verifying the research team’s interpretation of interviewee’s accounts, 2) specifying the events that occur within processes that the implementation is targeting (identifying knowledge gaps and inefficiencies), and 3) articulating and tracking the pre- to post-implementation changes clearly to support dissemination of evidence-based health care practices for justice-involved populations. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40352-019-0085-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-67180002019-09-06 A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration Kim, Bo McCullough, Megan B. Simmons, Molly M. Bolton, Rendelle E. Hyde, Justeen Drainoni, Mari-Lynn Fincke, B. Graeme McInnes, D. Keith Health Justice Short Report BACKGROUND: Between 12,000 and 16,000 veterans leave incarceration every year, yet resources are limited for reentry support that helps veterans remain connected to VA and community health care and services after leaving incarceration. Homelessness and criminal justice recidivism may result when such follow-up and support are lacking. In order to determine where gaps exist in current reentry support efforts, we developed a novel methodological adaptation of process mapping (a visualization technique being increasingly used in health care to identify gaps in services and linkages) in the context of a larger implementation study of a peer-support intervention to link veterans to health-related services after incarceration (https://clinicaltrials.gov/, NCT02964897, registered November 4, 2016) to support their reentry into the community. METHODS: We employed process mapping to analyze qualitative interviews with staff from organizations providing reentry support. Interview data were used to generate process maps specifying the sequence of events and the multiple parties that connect veterans to post-incarceration services. Process maps were then analyzed for uncertainties, gaps, and bottlenecks. RESULTS: We found that reentry programs lack systematic means of identifying soon-to-be released veterans who may become their clients; veterans in prisons/jails, and recently released, lack information about reentry supports and how to access them; and veterans’ whereabouts between their release and their health care appointments are often unknown to reentry and health care teams. These system-level shortcomings informed our intervention development and implementation planning of peer-support services for veterans’ reentry. CONCLUSIONS: Systematic information sharing that is inherent to process mapping makes more transparent the research needed, helping to engage participants and operational partners who are critical for successful implementation of interventions to improve reentry support for veterans leaving incarceration. Even beyond our immediate study, process mapping based on qualitative interview data enables visualization of data that is useful for 1) verifying the research team’s interpretation of interviewee’s accounts, 2) specifying the events that occur within processes that the implementation is targeting (identifying knowledge gaps and inefficiencies), and 3) articulating and tracking the pre- to post-implementation changes clearly to support dissemination of evidence-based health care practices for justice-involved populations. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40352-019-0085-x) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2019-03-26 /pmc/articles/PMC6718000/ /pubmed/30915620 http://dx.doi.org/10.1186/s40352-019-0085-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Short Report
Kim, Bo
McCullough, Megan B.
Simmons, Molly M.
Bolton, Rendelle E.
Hyde, Justeen
Drainoni, Mari-Lynn
Fincke, B. Graeme
McInnes, D. Keith
A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
title A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
title_full A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
title_fullStr A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
title_full_unstemmed A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
title_short A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
title_sort novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718000/
https://www.ncbi.nlm.nih.gov/pubmed/30915620
http://dx.doi.org/10.1186/s40352-019-0085-x
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