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In a large sample of ex-prisoners in Queensland, Australia, the aims of the current study were to (1) estimate the prevalence of PCP contact within 1 month of release, and (2) determine the association between PCP contact in the first month postrelease and utilisation of mental health, AOD, hospital and subsequent PCP services in the first 6 months postrelease.
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Overall, 394 participants (46.5%) reported PCP contact prior to the 1-month follow-up interview.
It is possible that the increased service utilisation rates we observed may reflect increased morbidity or a general propensity to access healthcare services in the PCP-contact group, such that PCP contact had no causal effect on subsequent healthcare utilisation.
There was a non-significant trend for decreased 1-month PCP contact for Indigenous ex-prisoners and conversely, increased 1-month PCP contact for ex-prisoners reporting participation in transitional programmes.
The association between 1-month PCP contact and other health service utilisation held for both first-time and repeat offenders, except that among first-time offenders the 1-month PCP contact did not predict increased AOD service utilisation.
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Compared to the no-PCP-contact group, the PCP-contact group exhibited higher rates of utilisation of mental health, AOD, hospital and subsequent PCP services well beyond 180 days of follow-up, where the number of participants 'at-risk' was still substantial.
Independent samples t tests and χ analyses were performed, comparing differences between PCP-contact and no-PCP-contact groups for continuous and categorical outcomes, respectively.
Unadjusted Kaplan-Meier survival curves comparing type-specific service utilisation rates between the PCP-contact and no-PCP-contact groups are displayed in figure 1.
Compared to the no-PCP-contact group, the PCP-contact group had more chronic conditions, medication use and a greater risk of severe mental illness (ie, K10 distress).
The PCP-contact group were significantly older (37.4±12.9 years) than the no-PCP-contact group (31.5±9.6 years, p<0.001) at baseline.
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