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The CO-SHARE study demonstrated successes, adaptations, and limitations

• The study facilitated participants' ability to work together in a respectful and collaborative environment toward a common objective, and the time invested helped build familiarity and trust between returning citizens and service providers.
• Adaptations included scoping the study and sampling participants for a community-wide context, additional facilitation techniques to empower returning individuals, and abridging the extent of the co-design workgroups.
• The process could have been improved by reducing the time between study activities and increasing the time spent in activities.
• Perspectives of women and other reentry groups, such as LGBTQ and younger returning individuals, were relatively underrepresented in the project.
• The study was limited in its ability to implement concrete improvements across such a spatially and organizationally diffuse set of service systems for returning individuals.

Returning citizens and service providers jointly identified four high-priority service topics for improvement of the health and reentry system in Los Angeles

• The first is the prerelease process, which prepares individuals for key reentry needs before leaving jail.
• The second is one-stop service hubs, which offer a range of reentry services in one location or nearby locations.
• The third is housing opportunities that are affordable, safe, long term, and located near work and family obligations.
• The fourth is long-term support to sustain reentry and integration into community.

Study participants also generated recommendations concerning promising solutions and key design principles for each priority topic

Individuals returning to the community from jail often face difficulties accessing the varied health, social, and other services required to improve reentry and reduce recidivism. This report describes a pilot study, the Co-Design of Services for Health and Reentry (CO-SHARE), that used an innovative, evidence-based method known as Experience-Based Co-Design (EBCD) for returning individuals and service providers to collaboratively identify priority needs and recommendations for improving health and reentry services in Los Angeles County.

CO-SHARE is the first pilot study of EBCD in the United States. Results of the project focused on both the feasibility of applying EBCD in a community-wide service system in the United States and the recommendations concerning promising solutions and key design principles generated by study participants for improving services for the reentry population in Los Angeles County.

The findings should be of value to policymakers, funding organizations, service providers, and community advocates interested in new methods for meaningfully engaging reentry and other vulnerable populations in improving the safety net systems they rely on.

• Chapter One

  Introduction

• Chapter Two

  Study Design

• Chapter Three

  Results on Needs and High-Priority Topics Identified by Participants for Health and Reentry Services in Los Angeles

• Chapter Four

  Participant Recommendations for Improving Four High-Priority Health and Reentry Service Topics in Los Angeles

• Chapter Five

  CO-SHARE Results on the EBCD Process: Participant Experience and Implementation Lessons

• Chapter Six

  Conclusions and Next Steps