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Taking Control of Your Health
in the
New Jersey Prison System
Presented by
Margaret Conrad, DNP Maria Delgado, RN
The Facts
Chronic disease is the principal cause of disability Is a major reason for seeking healthcare
Accounts for 70% of all health care expenditures in this country.
Chronic disease self-management programs can
The Issue
State Prisons release most inmates to the community, and about half of the population return primarily into our urban centers.
This fluid relationship between the prison system and the broader community situates correctional health care at the forefront of many of our most pressing public health challenges.
The Problem
People with chronic diseases should receive care that meets national standards, both in the community and during incarceration.
Recently evidence based practice models have become available to guide the routine management of chronic
disease by achieving specific patient oriented outcomes.
Currently, there are few evidence-based models delivered to prison populations.
The Solution
The Stanford University Chronic Disease
Self-Management Program (CDSMP) is a cost effective self-management education program that allows
organizations to provide self-management support across multiple diseases and conditions.
Assumptions about the CDSMP
Program
Patients with different chronic diseases have similar self-management problems and disease-related tasks.
Patients can learn to take day-to-day responsibility for their diseases.
Confident, knowledgeable patients practicing
self-management will experience improved health status and use fewer health resources.
Implementing a CDSMP in the
Correctional Setting
A grant was awarded to University Correctional
Healthcare (UCHC) by the New Jersey Department of Health and Senior Services (NJDHSS) in October of 2009 to implement the Stanford University Chronic Disease Self-Management Program within the prison system.
UCHC initiated the six-week evidence based Chronic Disease Self-Management Program (CDSMP) in
January, 2010
The Answer is Yes!
The success of the program depends on the mutual
support of the participants, facilitators, providers and the site administration.
The New Jersey Department of Corrections (NJDOC) were instrumental in the success of the program.
The UMDNJ Medical and Mental Health Providers
supported the program and referred inmates from the chronic disease clinics.
We have three Master Trainers, over 35 Staff Peer Leaders and hold the six-week groups at 15 different locations across the state.
We also have waiting lists for both group and peer leader trainings.
Can it Work in the Correctional
Setting?
Obstacles
Education of our staff, DOC administration/officers Security Levels
Inmate movements and counts Finding appropriate rooms
Inmate Feedback
“It is really helpful for people to come in and give us insight into our illnesses”
“I’ve learned new ideas on how to manage my asthma and how to set weekly goals”
“Thank You for teaching us how to deal with our Chronic issues without giving up!”
“Each week we learned something different about ourselves , and family members too!”
Inmate Feedback
“ This was a great motivator for me to get back into my exercise routine, and this class has been a good
influence for others”.
“ The workshops provide me with a lot of insightful
information and different ways to manage my illness. I now feel confident in my approach to life.”
“ I hope you can do more of these groups for others because it does provide a new prospective.”
Inmate Feedback
“I can now go out in the court yard and ask how someone is feeling and really mean it!”
“This let me know that I am not alone and other inmates have the same problems”
“This group is great! I feel the leaders are talking with us not at us!”
“This group will help me take care of myself when I finally get out of here. Thank You!”
The NJ prison program “Take Control of Your Health”, will be presented at the upcoming National Commission on
Correctional Health Care Annual Conference in Las Vegas on October 13, 2010.
If interested in learning more about implementing this
CDSMP program in your state prisons, please register in advance at:
http://www.ncchc.org/education/national/index.html for
program title “Chronic Disease Self Management Promotion Groups in the New Jersey Prison System”
Unable to attend? Feel free to contact Dr. Conrad by e-mail at [email protected] or by phone (609) 633-6573
Living Longer Living Stronger
in Oklahoma Prisons
Melanie Spector, Ed.D, LPC, LADC
Pastor H. David Lee, CDSMP/LLLS
Master Trainer
LLLS A Collaborative Process
LLLS DOC Offender Trainers LLLS Master Trainers Volunteer Trainers and DOC Staff trainersHIGHLIGHTS
In August 2009, Oklahoma Department
of Corrections (DOC) and the
Oklahoma State Department of Health
(OSDH) collaborated to implement the
Stanford University Chronic Disease
Self Management Program (referred to
in Oklahoma as the Living Longer,
Living Stronger (LLLS) with Chronic
Conditions) into the prison system.
PROGRAM OBJECTIVES
DOC staff, offenders and
community volunteers will be trained by LLLS-OSDH (on going).
Program evaluation and fidelity will be monitored by OSDH (on going).
LLLS-OSDH will collect and evaluate
lessons learned by workshop leaders.
PROGRESS
Objectives #1 & #2 At each site,
coordinators were identified and
instructed on workshop promotion,
handouts, data collection, and reporting.
Each initial workshop was
monitored
by an LLLS-OSDH Master Trainer.
Objective #3 LLLS Master Trainers
encourage leaders to identify the use
of positive interventions by
participants at each session.
DOC Significant Highlights
DOC has utilized an established
18 year old peer education
program to enforce the ideology
of each one, reach one, teach
one. DOC peer educators
evolved from teaching about
infectious to chronic diseases.
DOC Significant Highlights
With help from Deputy Director
Kenny Holloway DOC has
recognized LLLS as an official
DOC program. Ten days of
„good time‟ is provided for
offenders who complete all
classes.
DOC Significant Highlights
Chief Medical Officer Don
Sutmiller, DO designed a
LLLS protocol to track pre
and posttest measures for
offender‟s cholesterol, weight,
blood pressure and HGB A1c
to assess differences before
and after the LLS intervention.
WORKSHOPS OSDH
At this time ODOC has conducted 23 workshops: 1. Clara Waters CCC (4) Workshops (41) Participants 2. Eddie Warrior CCC (3) Workshop (44) Participants 3. Hillside CCC (2) Workshops (18) Participants 4. Jess Dunn CC (9) Workshops (105) Participants 5. Kate Barnard (1) Workshop (8) Participants 6. Oklahoma City CCC (2) Workshop (15) Participants 7. Union City CCC (2) Workshop (18) Participants
