{"id":20022,"date":"2024-09-26T11:10:17","date_gmt":"2024-09-26T15:10:17","guid":{"rendered":"https:\/\/www.med.unc.edu\/fammed\/?p=20022"},"modified":"2024-10-03T12:10:43","modified_gmt":"2024-10-03T16:10:43","slug":"ncdhhs-fit-wellness-highlight-importance-of-healthcare-for-the-formerly-incarcerated","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/fammed\/2024\/09\/26\/ncdhhs-fit-wellness-highlight-importance-of-healthcare-for-the-formerly-incarcerated\/","title":{"rendered":"NCDHHS, FIT Wellness Highlight Importance of Healthcare for the Formerly Incarcerated"},"content":{"rendered":"
\"\"
Panel Members: FIT Wellness family physician Daniel Whitesides, MD; mother of patient Barbara Nagel; FIT Wellness Clinic Manager LaChrystal Williams; FIT Wellness Lead Psychiatrist Ted Zarzar, MD; NCHDHHS Director of DMH\/DD\/SUS Kelly Crosbie, MSW, LCSW; NC FIT Director Evan Ashkin, MD; NCDHHS Secretary Kody Kinsley, MPP; NCDHHS Chief Psychiatrist and Deputy Chief Medical Officer Carrie Brown, MD, MPH, DFAPA; NC FIT Community Health Worker Sean Baker, and FIT Wellness patient Anthony Ferrera.<\/i><\/span><\/figcaption><\/figure>\n

FIT Wellness, part of the North Carolina Formerly Incarcerated Transition (NC FIT) Program<\/a>, is dedicated to supporting justice-involved individuals by providing comprehensive behavioral health services and substance abuse treatment for patients with Severe Mental Illness (SMI). Recently, FIT Wellness and the North Carolina Department of Health and Human Services (NCDHHS), which supports the program, held a tour and panel discussion at UNC REACH Primary Enhanced Care<\/a> clinic in Raleigh, where FIT Wellness is based.\u00a0The event emphasized the importance of addressing the mental health and substance use disorders that affect a significant portion of the incarcerated population in North Carolina.<\/p>\n

The NCDHHS estimates that 50% of people in prisons and jails identify as having a mental health need, and 75% identify as having a substance use disorder. The services that FIT Wellness provides are crucial for their successful reentry upon release. \u201cWe are undertaking a national leading effort putting eyes on this,\u201d NCDHHS Secretary Kody Kinsley stated, noting the $99 million the NCDHHS budgeted to support people involved in the justice system by increasing services including 29 reentry programs like NC FIT. \u201cFar too often, people who leave jail or prison quickly find their way right back because they\u2019re not able to have those stabilizing forces in their lives, they\u2019re not able to manage those critical essentials that they need, and they\u2019re not able to get their healthcare under control and that often results in them back in jail which in turn runs up our costs for society,\u201d stated Kinsley.<\/p>\n

FIT Wellness client Anthony Ferrera shared the transformative impact FIT Wellness has had on his journey. Ferrera commented on how the inclusive, co-located mental health and primary care services at UNC REACH helped him overcome severe mental and physical health challenges, stating, \u201cWithout this place, I don\u2019t know where I would be\u2026I really wish I would have known (previously) that there is an option and that people care.\u201d His story underscores the vital role of these services in facilitating successful reentry and long-term recovery for formerly incarcerated individuals.<\/p>\n

Ferrera\u2019s mother, Barbara Nagel, joined him on the panel, noting how the unique co-located mental and physical health care model that UNC REACH operates is important. \u201cThe way this is designed is a game changer,\u201d she stated. \u201cThis collaboration is really what underlies better outcomes,\u201d UNC REACH family medicine doctor Daniel Whitesides, MD, added, noting that having a physical location where you can receive both mental and physical care significantly reduces barriers to patients showing up to and following up on appointments. Whitesides added, \u201cIt\u2019s been really beautiful to work in a space where all of these resources are co-located.\u201d<\/p>\n

Ferrera and Nagel noted the importance of the services coordinated by NC FIT Community Health Worker (CHW) Shawn Baker. NC FIT\u2019s employs CHWs at each of the program\u2019s eight locations across the state. These employees are people with lived experience of incarceration \u2013 another unique model of care that helps build trust with patients who, in many cases, have not had positive interactions with the healthcare system. CHWs work with patients to help them with all basic services upon reentry \u2013 coordinating mental and physical health care and helping find housing, clothing, food, and more. Baker states, \u201cI\u2019ve been there \u2013 I\u2019ve had to overcome those barriers.\u201d Evan Ashkin, MD, founder and Director of NC FIT, states, \u201cTo have a person come into the room that has lived experience of what they are going through is key to this program\u2019s success. You can see the patient immediately start to open up.\u201d<\/p>\n

Panelists also discussed what else is needed to care for people reentering. \u201cHousing is our number one problem we have with patients. Some people don\u2019t have the same family support. When that housing piece is missing, it\u2019s a great challenge,\u201d stated Ted Zarzar, MD, the Lead Psychiatrist for FIT Wellness. More support was suggested for emergency and transitional housing, and helping people find a permanent home. \u00a0\u201cAnother challenge is, especially in more rural areas, is lack of consistent mental health services. More infrastructure is needed,\u201d added Ashkin. \u201cMental health directly effects physical health outcomes \u2013 for instance, patients with SMI who have diabetes live twenty to twenty-five years earlier than those without.\u201d<\/p>\n

Earlier this year, NCDHHS announced a $5.5 million investment in FIT Wellness<\/a> to expand its services to additional counties and improve resources.\u00a0This investment will allow the program to serve an estimated 100 additional patients per site annually through new FIT Wellness locations.<\/p>\n

\"\"
FIT Wellness UNC REACH team – Ted Zarzar, MD; Evan Ashkin, MD; LaChrystal Williams; CHW Sean Baker; Michael Baca-Atlas, MD; and Daniel Whitesides, MD<\/em><\/span><\/figcaption><\/figure>\n

FIT Wellness is a collaboration between the UNC Departments of Family Medicine and Psychiatry. The program\u2019s success is evident, with 75% of patients reporting no emergency department visits and 81% reporting no hospitalizations after release.\u00a0By working closely with peer support specialists and other care team members, the program ensures that participants receive the necessary support to rebuild their lives and reintegrate into their communities.<\/p>\n

UNC REACH Enhanced Primary Care, formerly UNC Wakebrook Primary Care, has been dedicated to meeting the primary care healthcare needs of North Carolinians with severe mental illness since 2015. REACH is an enhanced primary care clinic, meaning established patients receive services above and beyond typical primary care. Nearly 100% of clients served through the clinic have lived experience of severe mental illness, substance use disorder, incarceration, homelessness, and\/or disability.<\/p>\n

 <\/p>\n

Local coverage:<\/p>\n

Cooper administration initiative to aid the formerly incarcerated touted at DHHS event<\/a><\/p>\n

NC Department Health and Human Services working to expand mental health services for inmates<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

FIT Wellness, part of the North Carolina Formerly Incarcerated Transition (NC FIT) Program, is dedicated to supporting justice-involved individuals by providing comprehensive behavioral health services and substance abuse treatment for patients with Severe Mental Illness (SMI). Recently, FIT Wellness and the North Carolina Department of Health and Human Services (NCDHHS), which supports the program, held … Read more<\/a><\/p>\n","protected":false},"author":58241,"featured_media":20023,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[27,72,1],"tags":[],"class_list":["post-20022","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community-health","category-community-health-news","category-news","odd"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"\nNCDHHS, FIT Wellness Highlight Importance of Healthcare for the Formerly Incarcerated - Department of Family Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/fammed\/2024\/09\/26\/ncdhhs-fit-wellness-highlight-importance-of-healthcare-for-the-formerly-incarcerated\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCDHHS, FIT Wellness Highlight Importance of Healthcare for the Formerly Incarcerated - Department of Family Medicine\" \/>\n<meta property=\"og:description\" content=\"FIT Wellness, part of the North Carolina Formerly Incarcerated Transition (NC FIT) Program, is dedicated to supporting justice-involved individuals by providing comprehensive behavioral health services and substance abuse treatment for patients with Severe Mental Illness (SMI). 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