Ypsi-based program aims to restore dignity for women giving birth while incarcerated

Alabama’s Tutwiler Prison for women, once found to be one of the worst prisons for women in the country, has undergone major reforms to change its once-abusive culture. A key part of this has been a focus on pregnant women who are experiencing incarceration, focusing more on rehabilitation than punitive measures by offering peer support groups and substance abuse programming. Tutwiler has also brought in the Alabama Prison Birth Project, offering childbirth education and doula services if desired.

In response to the dangerous gap in health services that incarcerated people face upon release, California and 26 other states have implemented Medicaid waivers allowing coverage to begin up to 90 days before release and continue for up to a year afterward. The program connects inmates with case managers, medications, housing assistance, and mental health care before they walk out the door. California's program has already enrolled more than 50,000 incarcerated people in prerelease services since January 2023.

Chesterfield County, Virginia implemented a multi-faceted response to the opioid crisis, including a jail-based recovery program, Helping Addicts Recover Progressively (HARP), that brings people in recovery to the local jail to talk about addiction and treatment resources. Combined with other efforts, overdose deaths have dropped by half in a single year, and around 4,000 people have participated in HARP.

Research has found that providing medications for opioid use disorder can help prevent overdoses after release from prison. The state’s Department of Adult Correction recently launched a pilot program to test this theory. 229 of the 287 participants received treatment, several of whom said the access to the medications helped save their lives.

With the new statewide Medicaid expansion, the Department of Adult Correction is working to ensure fewer people reenter society after incarceration and enter a healthcare coverage gap by helping people apply for Medicaid before release. With the Medicaid expansion, 80% of the 15,000 people released from prison each year are now eligible for coverage, and prison staff submit about 100 Medicaid applications each week.

In Texas, legislators and advocates are working to address mental health concerns for individuals entering or in the criminal justice system. For those already in jail, telepsychiatry is being offered to help rehabilitate inmates. For those just entering the system, a mental health court in Travis County has been developed to connect people with needed mental health services so that they can stand trial and even have their cases dismissed.

Experts, advocates, and lawmakers are working within the Texas prison system to help individuals experiencing incarceration access mental health care. A promising practice has been the use of telepsychiatry, or virtual therapy, which has seen a nearly 50% success rate. While efforts are being made, it’s being done in pieces and without scaled, statewide support.

More women are being incarcerated around the United States and that has spurred more institutions to create prison nurseries, which allow women to be with their newborns. It's not a new idea, but it's finding support among prison advocates as well as budget hawks because research shows nurseries can lower recidivism rates among mothers. The idea of children in prison remains controversial however.

Miraclefeet is a U.S. based nonprofit that provides free clubfoot treatment in 29 countries, including 15 in Africa. Following Ponseti, a nonsurgical treatment plan, caregivers gently manipulate a child’s feet by stretching them into the correct position and using plaster of Paris to cast the foot in that position. After 5-8 weeks, children wear braces for 23 hours every day for the first three months, then only while sleeping for 3-5 years, in order to maintain the correction. The brace is made up of a special shoe that is clipped to a bar. The treatment is less expensive and 98% effective when done early.

Mobility for Africa provides electric tricycles, called Hambas, to take pregnant women to and from health appointments. Mobility is critical to reduce maternal and neonatal mortality and the three-wheel tricycles are easy to drive on rural roads. They run on a lithium battery that can be charged in about six hours using renewable energy and a single charge gets about three trips. The transportation allows women who live far from clinics and cannot afford transportation be able to access medical care. About 50 Hambas currently take women to and from doctor appointments during pregnancy until after delivery.