"...and that's what prison teaches you... you don't tell people when you're hurting, because that exposure is a weakness, and people prey on those weaknesses."

Timeline of Project Development and Implementation

  • Received Funding

    April 2022

    Received funding from UI OVPR Community Engaged Scholars Award Mechanism

  • D.O.C. Policy Review

    October 2022

    Began in-depth review of DOC Policies related to health led by Daria Fisher-Page, J.D. 

  • Initial Interview Protocol Development

    February 2023

    Drafting of initial semi-structured interview protocol led by Heather Erwin, Ed.D., J.D. in collaboration with student researchers across Colleges of Education, Law, and Public Health 

  • Project Team Expansion

    June 2024

    Hired Project Coordinator Amber Hawkins, MPH and staffed Community Advisory Board

  • Strategic Planning

    Summer 2024

    In-depth planning with board during summer meetings including consultation and capacity building

  • Presented at UI CBH 25th Anniversary Poster Session

    September 24, 2024

    Experiencing Healthcare Systems in Iowa Prisons 

    Eboneé T. Johnson, Ph.D.; Amber M. Hawkins, MPH; Makayla Morales, MPH; Dell Pippins; Heather Erwin, JD; Daria Fisher-Page, JD, Jason Lewis Albaugh, Randall Grandstaff, Joshua Gillette, Ken Greene, Victor Hall, Sr., ​Gregory Lovett, Christopher Martin, Helen Neumann, Zachary Palmer, Josie Pursley, Joshua Wages and Thaddeous Wood

     
  • CCAN-CON Tabling Event and Panel Discussion

    October 19, 2024

    The PIPER project tabled for seven hours at the CCAN-CON event. Informational flyers about the project were shared as well as interview recruitment materials and mental health resources. Four advisory board members participated in a panel discussion educating the community about their healthcare experiences while incarcerated.  

  • Team Presented at the American Public Health Association Conference

    October 28, 2024

    Experiencing healthcare in Iowa prisons: Mobilizing formerly incarcerated persons to understand and advocate for improvement in healthcare delivery and outcomes

    Ebonee Johnson, Ph.D.1, Amber Hawkins, M.P.H.1, Heather Erwin, Ph.D., J.D.2, Daria Fisher Page, J.D.1, Johnny Pippins, M.S.1, Makayla Morales, M.P.H.1, Joshua Gillette3, Ryan Mckelvey3, Ken Greene3, VIctor Hall Sr.3, Thaddeus Wood3, Joshua Wages3, Helen Neumann, MA, LMHC3, Zachary Palmer3, Josie Pursley4, Gregory Lovett3, Randall Grandstaff3, Christopher Martin3 and Jason Allbaugh3
    (1)University of Iowa, Iowa City, IA, (2)American Institutes for Research, Iowa City, IA, (3)Iowa City, IA, (4)Iowa State University, Ames, IA

    Utilizing a community engaged, action-oriented approach, our workcenters the experiences and expertise of formerly incarcerated individuals. Working in collaboration with a newly convened community advisory board (CAB), consisting primarily of formerly incarcerated individuals, we co-developed a programmatic line of research, beginning with an initial qualitative study to understand the healthcare experiences of persons who were formerly incarcerated in Iowa. Multimodal qualitative data collection included artifacts from advisory board meetings (e.g., meeting minutes, mindmaps, etc.) and transcribed data from semi-structured interviews (protocol created by CAB members). Preliminary thematic analysis reveals patterns of substandard dental care (e.g., My teeth were bad because of drug use... When I saw the dentist, he said, ˜pick one tooth ,because they weren't going to treat all of them), perceived medication mismanagement (e.g., they give you a pill to make you quiet and go away”; "the 'pill line' is everyone in the prison....because of overpopulation, they want to sedate as many people as possible"), medical negligence (e.g., you have a problem and get sent to [external hospital], where they prescribe you one thing, but then they give you something else when you get back to prison) and the overall impact incarceration has on health and wellbeing (e.g., quality of life takes a dive). Themes underscore the urgent need for carceral healthcare reform. Thus, this session includes a description of this project's community-engaged research framework, a discussion of emerging themes (e.g., including triangulation of data from various qualitative research methods), and recommendations for research, practice, and policy.

  • Participant Recruitment and Data Collection

    Spring 2025

    Additional participant recruitment and data collection efforts led by doctoral student- Johnny "Dell" Pippins, M.S. 

  • Data Collection, Data Analysis, Monthly Board Meetings to Collectively Interpret Data

    Summer 2025

    Qualitative data analysis led by UI CPH undergrduate research practicum student- Aphraditie Hancock.