New York City Health Justice Network Recidivism Evaluation Study Final Report

by Terry Huang, Katarzyna Wyka, Maria Khan,

The US incarcerates more people than any country in the world. Driven by racial bias in policing policies, practices and sentencing, as well as biases toward individuals of lower socio-economic background, minority groups are disproportionately exposed to police contact and incarceration. People who have a history of incarceration face elevated risk of adverse health outcomes prior to incarceration, and incarceration is likely a determinant of the racial/ethnicity disparity in health. There is strong evidence showing that criminal legal system involvement (CLI) plays a role in cardiovascular disease (CVD) and STI/HIV exposure. CLI also appears to be associated with other chronic conditions such as diabetes22, and adverse pregnancy outcomes such as miscarriage. In addition, there is evidence CLI increases exposure to violence, including homicide and suicide. Given the intersection of incarceration and a myriad of health risks, there is a critical need to develop public health programs for people released from incarceration focused on client-centered goals to best protect health and wellbeing, and promote social integration, upon return to the community. The New York City Health Justice Network (NYC HJN), an innovative health service delivery program for individuals returning from incarceration, was developed and implemented by the NYC Department of Health and Mental Hygiene (DOHMH), with criminal justice reform funding from the Manhattan District Attorney’s Office (DANY) Criminal Justice Investment Initiative (CJII). NYC HJN sought to provide individuals recently released from incarceration with peer support from community health workers (CHW) with lived experience of successful reentry from the criminal legal system and access to integrated primary care and social services. As an intersectoral strategy to improve community health and well-being, NYC HJN aimed to reduce the likelihood of further contact with the criminal legal system. NYC HJN addressed a wide range of client health needs, including support with health insurance, primary care, dental care, mental and behavioral health, and social service needs such as assistance with employment, housing, food security, obtaining vital documents (e.g., identification), and legal support. CHWs provided social and emotional support and served as critical advocates to help clients navigate the healthcare system as well as a wide range of social service organizations deemed critical to successful community reentry. The NYC HJN program served people released from both prison and jail. Those served generally represented the incarcerated population in NYC. This final evaluation report aims to examine the association of NYC HJN program participation with criminal legal system re-involvement outcomes, including re-arrests, conviction/reconviction and reincarceration at 6- and 12- months post program start. For the purpose of this evaluation, a sample of HJN clients who enrolled in the program between 2020-2022 were recruited and consented into the study. Using administrative data from criminal justice agencies in New York, HJN clients were compared to a sample of controls matched on age, sex, time spent incarcerated during the last jail or prison stay, top charge for the last incarceration, and frequency of incarceration in the past 5 years. For the final analysis, 203 HJN clients were matched against 339 individuals serving as controls. Bivariate results showed that HJN clients had a lower average number of re-arrests at 6-months compared to controls, as shown in Figure 1 below. This trend was present up to 12 months after program start. Other outcomes such as rates of conviction/reconviction and reincarceration were lower among HJN program participation relative to controls but were not statistically significantly different between the two groups. After adjusting for covariates, there were no significant differences in any of the outcomes at 6- or 12-months between HJN clients and controls, except for the lower mean number of re-arrests in the HJN group. The lack of statistical significance among other variables should be interpreted with caution, as the results may have been affected by the small sample size and relative short duration of the study.

New York: NYU-CUNY Prevention Research Center , 2025. 45p.