Most people leaving prison have at least one chronic health problem, including substance use, mental illness, and medical conditions. This brief describes how 30 men returning from incarceration in Connecticut with identified health care needs decide whether and how to access community-based care. The qualitative study finds that respondents perceive less need for drug and alcohol treatment services than correctional system assessments indicate; that parole supervision plays a significant role in connecting them with care; and that a small but meaningful share of respondents expresses a preference for accessing care in emergency rooms for non-emergency situations.