Browsing by Author "Shlafer, Rebecca"
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Item Analyzing Trust in Carceral Healthcare Settings: COVID-19 and Vaccination(2023) Balma, Brandon, W; Shlafer, Rebecca; Osman, Ingie; Muentner, LukeSince March 2020, there have been over 630,000 cases of COVID-19 in correctional facilities in the United States. During the pandemic, policies set by the Department of Corrections mitigated the effect of COVID-19 among incarcerated populations through decarceration and limiting interaction inside the correctional facility. Correctional facilities during the COVID-19 pandemic were unable to fully shut down due to political and practical challenges, which created inequities among who can and cannot quarantine and isolate in the United States. Dealing with the reality of these challenges, prison policies legitimized suspensions of prison programming, treatment, and family and legal visitation through promises of a facility free of COVID-19 in the future. In addition, incarcerated people were isolated and often sent to solitary confinement if they tested positive for COVID-19. To emphasize the importance of trusted sources of COVID-19 vaccine information among incarcerated populations, I conducted a quantitative analysis and literature review about the criminal justice system’s role in healthcare delivery during the COVID-19 pandemic and its implications for strengthening trust among incarcerated populations. The University of Minnesota Center for Preventative Research conducted a survey among 1,372 incarcerated people in Minnesota Correctional Facilities. The study was funded by the Centers for Disease Control and Prevention, and aimed to capture the perspectives of incarcerated people regarding COVID-19 vaccination. My results demonstrate that increased trust in correctional healthcare, community healthcare, and peer-support models significantly increases the probability of receiving the COVID-19 vaccine, with trust in correctional healthcare having the most significant impact. Women and Native Americans were significantly more likely to report trusting health information from healthcare on the outside, while Non-Hispanic Blacks and Latinos were significantly more likely to report trusting health information from healthcare on the inside. The results of this study are essential to strengthen the correctional healthcare system and guide future pandemic policy and practice.Item Children with Incarcerated Parents - Considering Children's Outcomes in the Context of Family Experiences(St. Paul, MN: University of Minnesota Extension, Children, Youth and Family Consortium, 2013-06) Shlafer, Rebecca; Gerrity, Erica; Ruhland, Ebony; Wheeler, Marc; Michaels, CariIn this issue, learn about children of incarcerated parents, who are often overlooked in our schools, clinics and social service settings. You'll also learn about some new programs focused on improving the lives of children of incarcerated parents and their families.Item Community Supervision and Health: A Scoping Review(2018) Shaver, Elizabeth; Rosenow, Katherine; Winkelman, Tyler; Shlafer, RebeccaItem Early Childhood Development and Child Welfare Episode 13: Empowering Parents Who Are Separated and/or Incarcerated as Child Welfare Workers(2023-01-27) Moses, Amanda; Shlafer, RebeccaIn this episode, Amanda Moses interviews Rebecca Shlafer, PhD, MPH, to discuss parental separation, including incarceration, and how it impacts families. It includes an exploration of research and advocacy work around current practices in Minnesota for incarcerated parents, and a discussion for how to work with prison systems around advocating for families. Strategies are discussed for how child welfare workers can help parents maintain involvement in their children’s lives.Item Health and Care Utilization among Youth with a History of Parental Incarceration and Homelessness(Families, Systems, & Health, 2023-07-28) So, Marvin; Davis, Laurel; Barnes, Andrew; Freese, Rebecca; Atella, Julie; Shlafer, RebeccaIntroduction. Despite widespread recognition of the health and social risks posed by parental incarceration and homelessness, these challenges are rarely considered in unison. We sought to (1) assess the experiences of homelessness among youth with and without a history of parental incarceration (PI), and (2) compare the health and health care utilization among youth with a combined history of PI and homelessness. Methods. Examining data from eighth, ninth, and eleventh grade public school participants in the 2019 Minnesota Student Survey (N=110,904), we calculated univariate and multivariate analyses to characterize the health status and care utilization of youth who have experienced PI, past-year homelessness, or both. Results. We observed higher prevalence of homelessness among youth with a history of PI compared to those without. The group with dual PI-homelessness experience had a higher proportion of youth that were younger, male, and non-white; and living in poverty or urban areas compared to youth with PI history only. Even after accounting for demographic factors, the dual PI-homelessness group evidenced higher expected odds for several physical health conditions (e.g., asthma, diabetes), and differences in care utilization indicators relative to individual PI and homelessness groups. Discussion. Findings suggest that PI may be over-represented among recently homeless youth and that youth with such dual experience possess distinct, and often elevated, health service needs. Health, education, housing, and other systems may need intersectoral strategies to better identify and support this at-risk subset of youth through clinical and policy approaches.Item Parental Incarceration and Child Development: Considerations for Physicians(Twin Cities Medical Society, 2021-06) So, Marvin; Shlafer, Rebecca