Health education before release.
Non-clinical chronic disease education and structured self-monitoring before release. Participants learn to track symptoms, use validated control tools, record objective measures, and prepare useful information for their facility clinicians.
Transition coordination
Transition coordination around release, including coverage enrollment and documentation support, medication bridge planning, a concise transition packet, and a warm handoff to a named community provider.
Community continuity
Follow-up after release through provider connections, appointment and prescription navigation, and re-referral when care linkage fails during the months when continuity is most vulnerable.
Midwest Prohealth is a Minnesota 501(c)(3) public charity headquartered in Rochester, Minnesota. We are developing an evidence-anchored, non-clinical chronic disease education, self-monitoring, and care continuity model for people in correctional custody and those returning to their communities. Our work begins with respiratory disease in Minnesota and is designed for wider adoption across the Midwest and comparable underserved communities nationally.
" To ensure that leaving incarceration never means leaving chronic health care"
We achieve this by delivering evidence-anchored, non-clinical health education, self-monitoring support, and seamless care continuity navigation.
A future where people leaving incarceration can maintain continuity of care and return to their communities with the knowledge, connections, and support needed to manage their health.
Midwest Prohealth is built on a commitment to health equity, dignity, evidence-based practice, and community-centered care. We develop our work through research, partnership, independent review, and measurable outcomes.
A structured, non-clinical health education and self-monitoring program delivered before release, beginning with respiratory disease. Participants build practical skills to understand their condition, track changes between clinical visits, prepare for healthcare encounters, and plan for continuity after release.
Coverage enrollment and documentation support, medication bridge planning, transition information for the receiving clinician, and warm handoffs to appropriate community healthcare providers in the days surrounding release.
Ongoing navigation after release through provider connections, appointment and prescription support, and re-referral when care linkage fails during the months when people are most at risk of falling out of care.