On a related note, the Urban Institute has just released a new report in its excellent Returning Home series that speaks to the extent of the problem among inmates reentering society. In Health and Prisoner Reentry: How Physical, Mental, and Substance Abuse Conditions Shape the Process of Reintegration, authors Kamala Mallik-Kane and Christy A. Visher examine health issues of a representative sample of 1,100 inmates returning from Ohio and Texas state prisons. Among the report's findings are that nearly all returning prisoners had chronic health conditions (often in multiples) requiring treatment or management, many did not receive treatment while incarcerated, and treatment rates decreased further upon release. The authors note that "policymakers and practitioners would be well served to adopt a new paradigm that recognizes health as a universal rather than a special needs concern among returning prisoners." Such findings further fuel interest in Michael Connelly's question regarding state efforts to address management of health issues in the justice system.