The Michigan Department of Corrections (DOC) has implemented a number of programs to meet the health care needs of its 1,500 adult female inmates. The DOC contracted with a regional neonatal center to obtain prenatal services of a board-certified obstetrics/gynecology physician and certified nurse midwife on site at one of the women¦s prisons. The Women and Infants at Risk Program focuses on female inmates, specifically pregnant addicted inmates, who are at extremely high risk for adverse health and social outcomes. The program coordinates and provides substance abuse treatment and education, medical services and family counseling and parenting information. The Njideka Program is a Detroit Health Department Substance Abuse Services program that focuses on HIV intervention and is designed for women engaged in high-risk behaviors. Female inmates with chronic disease or disorders receive continuity of care through a systemwide program of chronic care clinics, held every four months, where each enrolled inmate is assigned to a primary nurse. The inmates receive education and counseling as well as medical treatment. References