Following release from prison, housing and health issues form a complex and mutually reinforcing dynamic, increasing reincarceration risk. Supported accommodation aims to mitigate these post-release challenges. We describe the impact of attending Rainbow Lodge (RL), a post-release supported accommodation service for men in Sydney, Australia, on criminal justice and emergency health outcomes. Our retrospective cohort study using linked administrative data includes 415 individuals referred to RL between January 2015 and October 2020. Outcomes of interest were rates of criminal charges, emergency department (ED) presentations and ambulance attendance; and time to first reincarceration, criminal charge, ED presentation and ambulance attendance. The exposure of interest was attending RL; covariates included demographic characteristics, release year and prior criminal justice and emergency health contact. Those who attended RL (n = 170, 41%) more commonly identified as Aboriginal or Torres Strait Islander (52% vs 41%; p = 0.025). There was strong evidence that attending RL reduced the incidence criminal charges (adjusted rate ratio [ARR] = 0.56; 95% confidence interval [CI] 0.340.86; p = 0.009). Absolute rates indicate a weak protective effect of RL attendance on ED presentation and ambulance attendance; however, adjusted analyses indicated no evidence of an association between attending RL and rates of ED presentations (ARR = 0.88; 95% CI = 0.65–1.21), or ambulance attendance (ARR = 0.82; 95% CI = 0.57–1.18). There was no evidence of an association between attending RL and time to first reincarceration, charge, ED presentation or ambulance attendance. Greater detail about reasons for emergency health service contact and other self-report outcome measures may better inform how supported accommodation is meeting its intended aims.

出狱后，住房和健康问题形成复杂且相辅相成的动态，增加了重新监禁的风险。支持的住宿旨在缓解这些发布后的挑战。我们描述了参加 Rainbow Lodge (RL) 对刑事司法和紧急健康结果的影响，Rainbow Lodge 是澳大利亚悉尼为男性提供的释放后支持住宿服务。我们使用关联的管理数据进行回顾性队列研究，包括 2015 年 1 月至 2020 年 10 月期间转介至 RL 的 415 名个人。感兴趣的结果是刑事指控率、急诊室 (ED) 就诊率和救护车出勤率；以及首次重新监禁、刑事指控、急诊室就诊和救护车出勤的时间。感兴趣的曝光是参加 RL；协变量包括人口特征、释放年份以及之前的刑事司法和紧急健康联系。参加 RL 的人 ( n = 170, 41%) 通常被认为是原住民或托雷斯海峡岛民 (52% vs 41%; p = 0.025)。有强有力的证据表明，参加 RL 减少了刑事指控的发生率（调整后比率 [ARR] = 0.56；95% 置信区间 [CI] 0.340.86；p = 0.009）。绝对率表明 RL 出勤对急诊就诊和救护车出勤的保护作用较弱；然而，调整后的分析表明，没有证据表明参加 RL 与急诊就诊率（ARR = 0.88；95% CI = 0.65–1.21）或救护车出勤率（ARR = 0.82；95% CI = 0.57–1.18）之间存在关联。没有证据表明参加 RL 与首次再监禁、指控、急诊室就诊或救护车出勤时间之间存在关联。更详细地说明紧急卫生服务联系的原因和其他自我报告结果措施可以更好地了解支持的住宿如何实现其预期目标。