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Date: April 30, 2024 Tue
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Results for prison health care
11 results foundAuthor: U.S. Department of Justice. Office of the Inspector General. Audit Division Title: Follow-up Audit of the Federal Bureau of Prisons' Efforts to Management Inmate Health Care Summary: The Federal Bureau of Prisons (BOP) is responsible for delivering medically necessary health care to inmates in accordance with proven standards of care. To accomplish this task, the BOP has established policy to hire appropriately trained, skilled, and credentialed staff. The policy identifies lines of authority and accountability to provide for appropriate supervision of health care practitioners. To verify and monitor its health care practitioners’ knowledge and skills in providing health care, the BOP implemented its policy for Health Care Provider Credential Verification, Privileges, and Practice Agreement Program. During fiscal year (FY) 2009, the BOP obligated about $865 million for inmate health care. In February 2008, the Office of the Inspector General (OIG) completed an audit of the BOP’s efforts to manage inmate health care. Among other issues, our 2008 audit found that the BOP allowed health care providers to practice medicine without valid authorizations such as privileges, practice agreements, or protocols. In addition, some providers had not had their medical practices evaluated by a peer as required by BOP policy. Allowing practitioners to provide medical care to inmates absent current privileges, practice agreements, or protocols increases the risk that the practitioners may provide medical services without having the qualifications, knowledge, skills, and experience necessary to correctly perform the services. Absent a current peer review, the BOP has a higher risk of providers giving inadequate professional care to inmates. Also, if inadequate professional care goes undetected, the providers may not receive the training or supervision needed to improve the delivery of medical care. We initiated this audit to follow up on the BOP’s corrective actions on the recommendations in our 2008 audit report related to maintaining current privileges, practice agreements, protocols, and peer reviews. While performing the follow-up audit, we also assessed the BOP’s use of National Practitioner Data Bank (NPDB) reports to ensure health care providers have not been involved in unethical or incompetent practices. The NPDB is maintained by the Department of Health and Human Services and is a central repository of information about: (1) malpractice payments made for the benefit of physicians, dentists, and other health care practitioners; (2) licensure actions taken by state medical boards and state boards of dentistry against physicians and dentists; (3) professional review actions primarily taken against physicians and dentists by hospitals and other health care entities, including health maintenance organizations, group practices, and professional societies; (4) actions taken by the Drug Enforcement Administration; and (5) Medicare and Medicaid Exclusions. The BOP requires its institutions to query the NPDB at the initial appointment of health care providers, and no less than once every 2 years thereafter to identify adverse actions by the providers. Details: Washington, DC: U.S. Department of Justice, Office of the Inspector General, 2010. 51p. Source: Internet Resource: Audit Report 10-30: Accessed october 29, 2010 at: http://www.justice.gov/oig/reports/BOP/a1030.pdf Year: 2010 Country: United States URL: http://www.justice.gov/oig/reports/BOP/a1030.pdf Shelf Number: 120123 Keywords: InmatesPrison Health CarePrisonersU.S. Federal Bureau of Prisons |
Author: Parkes, Tessa Title: Prison Health Needs Assessment for Alcohol Problems Summary: Alcohol problems are a major and growing public health problem in Scotland with the relationship between alcohol and crime, in particular violent crime, increasingly being recognised. The consequences affect individuals, their families, the health and emergency services, and wider society. The current policy context includes a strategic approach to enhancing the detection, early intervention, treatment and support for alcohol problems across Scotland, as well as efforts to reduce re-offending. This study is part of a wider Scottish Government funded alcohol research programme in criminal justice settings which also includes a pilot of the delivery of alcohol brief interventions and a scoping study of alcohol interventions in community justice settings. It is anticipated that the study findings will inform broader health service development such as the integration of prison health care into the NHS and the update of core alcohol treatment and support services. These developments are set within a policy and practice context which acknowledges alcohol problems in the population and increasingly so the alcohol problem in offenders, along with the importance of applying a person-centred, recovery orientated approach underpinned by the NHS commitment to quality of services. The aim of this study was to undertake a needs assessment of alcohol problems experienced by prisoners and provide recommendations for service improvement including a model of care. The central objectives were to: 1. Conduct a rapid review of the relevant literature on effective interventions for identifying and treating offenders with alcohol problems in prison. 2. Report on the epidemiology of alcohol problems experienced by prisoners in Scotland compared to the general population and other offenders. 3. Undertake an assessment of alcohol problems among offenders within an individual prison. 4. Map current models of care in the Scottish Prison Service (SPS) and how they interface with community care models, including assessing aspects of treatment continuity and finding examples of best practice. 5. In a case study setting, explore and report on attitudes towards the delivery and effectiveness of current alcohol interventions. 6. Conduct a gap analysis between current service provision, best practice, effective interventions and national care standards for substance misuse. Details: Edinburgh: NHS Health Scotland, 2011. 199p. Source: Internet Resource: Accessed March 18, 2011 at: http://www.healthscotland.com/uploads/documents/15105-Prison%20Health%20Needs%20Assessment%20for%20Alcohol%20Problems.pdf Year: 2011 Country: United Kingdom URL: http://www.healthscotland.com/uploads/documents/15105-Prison%20Health%20Needs%20Assessment%20for%20Alcohol%20Problems.pdf Shelf Number: 121076 Keywords: Alcohol Abuse (Scotland)Alcohol Related Crime, DisorderOffender TreatmentPrison Health Care |
Author: Australian Institute of Health and Welfare Title: The Health of Ausstralia's Prisoners 2010 Summary: The health of Australia’s prisoners 2010 is the second report relating to the National Prisoner Health Indicators, which were developed to help monitor the health of prisoners, and to inform and evaluate the planning, delivery and quality of prisoner health services. The indicators presented in this report are aligned to the National Health Performance Framework. The results in this second report build on the baseline information from the first National Prisoner Health Census, and this time include some state and territory comparisons. Prisoners in Australia have high rates of mental health related issues. In 2010, 31% of prison entrants reported having ever been told that they had a mental health illness and 16% of prison entrants reported that they were currently taking mental health related medication. On entry to prison, almost one-fifth of prison entrants were referred to the prison mental health services for observation and further assessment following the reception assessment. Almost 1 in 10 prisoners in custody visited the clinic for a psychological or mental health issue, and 1 in 5 prisoners in custody was taking mental health related medication. When looking at the type of medication, 18% of all repeat medication was for depression/mood stabilisers, 9% for antipsychotics, 2% for anti-anxiety medication and 1% for sleep disturbance. Prison entrants in Australia reported previously engaging in various risky health behaviours, such as smoking tobacco, drinking alcohol at extreme levels and using illicit drugs. Four in five prison entrants reported being a current smoker, and three in four reported being a daily smoker. More than half of prison entrants reported drinking alcohol at levels that placed them at risk of alcohol-related harm, while less than twenty per cent reported that they did not drink. Further, two-thirds of prison entrants reported illicit drug use in the previous 12 months. These rates are all substantially higher than in the general community. Aboriginal and Torres Strait Islander prison entrants were significantly over-represented in the entrant’s sample, with 43% being Indigenous, compared with 2.5% of the general population. Indigenous prison entrants reported poorer health behaviours than non-Indigenous prison entrants, and were more likely to be current smokers (89% compared with 79%) and to have consumed alcohol at levels considered to place them at risk of alcohol-related harm (73% compared with 48%) in the previous 12 months. However, Indigenous prison entrants reported lower level of mental health related issues (23% compared with 38%), use of mental health medication upon entry to prison (12% compared with 19%), and chronic conditions. Details: Canberra: AIHW, 2011. 206p. Source: Internet Resource: Accessed October 7, 2011 at: http://www.aihw.gov.au/publication-detail/?id=10737420111&tab=2 Year: 2011 Country: Australia URL: http://www.aihw.gov.au/publication-detail/?id=10737420111&tab=2 Shelf Number: 123007 Keywords: Medical CareMental Health ServicesMentally Ill OffendersPrison Health CarePrisoners (Australia) |
Author: Varrette, Steven Title: A Review of Use of Force in Three Types of Correctional Facilities Summary: The study provides a descriptive analysis of a sample of 185 randomly selected use of force incidents investigated by the Correctional Service of Canada’s Incident Investigations Branch (CSC) between 2003 and 2007. The reports were stratified to equally represent each of the four years in the study and categorised into three groups based on types of institutions where the event occurred: treatment centres, non-treatment centre institutions, and institutions for women. The study examined how use of force was carried out within CSC, the circumstances that triggered the use of force, the type of offenders involved in the incidents, and how well staff complied with policies related to use of force. Data collection was completed from two sources: (1) file reviews of the use of force incidents from records management at National Headquarters; and (2) background information on the offenders involved in the incidents from the Offender Management System. Of the 185 cases reviewed, 64% of incidents were from treatment centres, 26% were from men’s institutions, and 9% were from women’s institutions. Results from this research indicate that the most common reasons for CSC staff to use force were due to offenders refusing direct orders or becoming aggressive or threatening. It was more common in the women’s institutions that use of force occurred due to an offender initiating self-injurious behaviour. Overall, it appears that use of force is applied when offenders become non-compliant towards correctional staff orders or when they behave violently towards staff or themselves. The most frequent types of force applied were verbal orders, followed by physical handling/escort, and the use of restraint equipment (soft restraints, handcuffs, leg irons, or body belts). Other common types of force used were Institutional Emergency Response Team presence and chemical agents/inflammatory sprays. In the course of the use of force incidents reviewed, the majority of inmates and staff received no injuries. When injuries occurred, they were minor including scratches, bruises and eye irritation. Fourteen offenders from the sample made allegations of excessive use of force. Upon review, however, all these allegations were ruled unfounded. Once use of force has been administered, the incident must undergo an institutional, regional, and national review related to Health Care involvement in the incident and post incident. These reviews indicated that the majority of violations of health care guidelines were technical or administrative in nature. Although a significant proportion of the incidents involved procedural violations, most of these were related to issues of problematic documentation or video recording. The most common violation was related to documentation not being appropriately completed or signed. Details: Ottawa: Correctional Service of Canada, 2011. 86p. Source: Internet Resource: Research Report 2011 Nº R-236; Accessed April 16, 2012 at: http://www.csc-scc.gc.ca/text/rsrch/reports/r236/r236-eng.pdf Year: 2011 Country: Canada URL: http://www.csc-scc.gc.ca/text/rsrch/reports/r236/r236-eng.pdf Shelf Number: 124979 Keywords: Correctional Institutions (Canada)Correctional OfficersCorrectional Treatment CentersPrison DisciplinePrison Guards, Use of ForcePrison Health CarePrisons |
Author: Stover, H., Weilandt, C. Title: Final Report on Prevention, Treatment, and Harm Reduction Services in Prison, on Reintegration Services on Release from Prison and Methods to Monitor/Analyse Drug use among Prisoners Summary: The main objective of this work package was to analyse the status-quo of prevention, treatment and harm reduction services for people in prisons and in reintegration services for persons on release from prisons. The report is based on data on health interventions targeting imprisoned drug users as well as on relevant information included in the national action plans on social inclusion prepared by the Member States within the context of the open method of coordination on social protection and social inclusion. A key result of this work package is that there is a need for more systematic research on the effectiveness of treatment for drug users in prison, as there is hardly any high-quality research in this field, especially in the EU. Although there exist a range of interventions for drug using inmates, the implementation is often sporadic and not sufficient to meet the needs. To promote and secure health in prison, testing for infectious diseases and vaccination is a major opportunity, and does have an impact on the health of the incarcerated, the correctional employees and the communities to which the inmates return. Vaccination for Hepatitis B and A is highly recommended for prisoners. Drug testing on the other hand, in particular mandatory drug testing in prison can have adverse effects, e.g. encourage people to switch from smoking drugs like Cannabis to injecting drugs like heroin, in order to avoid detection. It has been observed that mandatory drug testing is rather expensive and can be counterproductive, due to an increasing tension in the prison. Treatment for prisoners involves the treatment for drug dependency and infectious diseases. Upon entering the prison, prisoners with AIDS should be offered treatment with highly active anti-retroviral therapy (HAART), which is an effective treatment. Hence existing HAART should not be discontinued and prisoners not yet receiving HAART should be encouraged to start HAART. Similar to AIDS, treatment for HCV is safe and feasible. Although the establishment of prison-based substitution treatment proved to be as effective in reducing mortality, crime and re-incarceration rates and HCV as in the community, the implementation of prison-based substitution treatment is still not equally well accepted and realized. Concerning harm reduction measures in prison the implementation is fragmentary and often problematic, despite existing research on the topic. Evidence for the effectiveness of prison needle exchange programmes (PNEP) has been gathered in a number of very different prison settings: PNEP reduces needle sharing very effectively, can increase uptake of drug treatment as well as the safety in the prison, and can reduce abscesses and fatal overdoses. It does not increase injecting drug use, nor has it shown any other negative effects. No research was found explicitly evaluating the distribution of sterile tattooing equipment. Still this measure should be recommended to reduce the risk of transmitting diseases, as tattooing often occurs in prison. Condoms are likely to be the most effective method for preventing sexually transmitted diseases (STDs). No serious negative effects of condom distribution in prisons have been found, and the free availability of condoms seems feasible in a wide range of prison settings. Details: Bonn, Germany: WIAD Wissenschaftliches Institut der Ärzte Deutschlands gem. e.V., 2008. 281p. Source: Internet Resource: Accessed May 14, 2012 at: http://ec.europa.eu/health/ph_determinants/life_style/drug/documents/drug_frep1.pdf Year: 2008 Country: Europe URL: http://ec.europa.eu/health/ph_determinants/life_style/drug/documents/drug_frep1.pdf Shelf Number: 113425 Keywords: Drug Abuse and AddictionHarm Reduction ProgramsInfectious Diseases, PrisonersPrison Health CarePrisoner Reentry, Health ServicesPrisoners |
Author: Davis, Ashly Nikkole Title: The Effect of Realignment on Mentally Ill Offenders Summary: With the recent Supreme Court decision in Brown v. Plata, "realignment" seems to be California's new criminal justice buzzword. Underlying the Court's decision in Brown, however, lay two important class action suits - Coleman v. Brown and Plata v. Brown - that served as the driving forces behind the Court's decision. These cases alleged Eighth Amendment violations in California's prison system based on deficiencies in mental health care and medical care, respectively. With the Court crediting the Constitutional violations and lack of adequate care alleged in Coleman and Plata to an oversized prison population, overcrowding emerged as the issue of the day. State legislators responded to the Court's directive to rapidly decrease California's prison population with AB 109, public safety realignment legislation geared toward ameliorating prison overcrowding. Ironically, though they were the impetus behind this legislation, the mentally ill have largely been left out of the realignment conversation. Little mention - if any - has been made of how AB 109 improves or even addresses the treatment of the mentally ill. This paper will analyze AB 109 to determine how closely it rings true to the spirit behind the Brown v. Plata litigation - namely, providing mentally ill offenders with adequate medical and psychiatric care - and what impact the bill will have on the mentally ill. More specifically, this paper will assess whether AB 109 marks yet another in a long series of failed attempts by the state to appropriately address the treatment of mentally ill individuals in state custody. One of the basic themes behind this paper is a recognition of the importance of mentally ill offenders in California, not only in terms of the litigation that sparked realignment, but also from a general corrections standpoint. Research shows that mentally ill offenders recidivate at a much higher rate than non-mentally ill offenders. Therefore, it is crucial from a public safety perspective to determine where realignment is going to place these individuals. Further, AB 109 is not the first alignment of state and local fiscal and administrative responsibility in California that implicates the treatment of the mentally ill. It is necessary to attempt to determine what effects realignment will have on California's mental health resources, which have been scarce for much of the state's history. While not the focus of this paper, underlying much of the discussion will be the disturbing, yet generally accepted fact that prisons and jails in the United States largely operate as de facto mental hospitals. In California in particular, well-intentioned efforts to deinstitutionalize the mentally ill from state hospitals have had disastrous consequences, with the result being that many mentally ill individuals have ended up in the one place that accepts almost everyone: the criminal justice system. If there is one thing that most people seem to agree on, it is that many of the state's previous attempts to address this population have been ineffective. Mentally ill offenders are likely to struggle in the correctional system, whether at the state or local level. This paper explores, but does not intend to answer important questions such as: How do you hold mentally ill offenders accountable? Is this a population that we should even be seeking to imprison? Details: Stanford, CA: Stanford Law School, Criminal Justice Center, 2012. 37p. Source: Internet Resource: Accessed November 25, 2014 at: https://www.law.stanford.edu/sites/default/files/child-page/183091/doc/slspublic/Davis_AB109_And_Mentally_Ill_Offenders.pdf Year: 2012 Country: United States URL: https://www.law.stanford.edu/sites/default/files/child-page/183091/doc/slspublic/Davis_AB109_And_Mentally_Ill_Offenders.pdf Shelf Number: 134245 Keywords: Correctional ReformMental Health TreatmentMentally Ill Offenders (California)Prison Health CarePrison OvercrowdingPrisonersPublic Safety Realignment |
Author: Halacas, C. Title: Keeping our mob healthy in and out of prison: Exploring Prison Health in Victoria to Improve Quality, Culturally Appropriate Health Care for Aboriginal People Summary: The prison health system presents an opportunity to improve Aboriginal prisoners' health and wellbeing, diagnose and treat health and mental health problems, and mitigate the effects of harmful behaviours. Improving prison health systems for Aboriginal people can also reduce high rates of postrelease hospitalisation and mortality experienced by Aboriginal prisoners and improve quality of life. Aboriginal prisoners experience higher rates of health and mental health problems than non-Aboriginal prisoners. The impact on prison health care is foreshadowed by consistent increases in the number of Aboriginal people imprisoned in Victoria each year. One in 33 Aboriginal males is imprisoned in Victoria at any one time, and the rate of overrepresentation is increasing for both Aboriginal men and women. More than 50% of Aboriginal people released from Victorian prisons return within two years, which places increasing importance on continuity of care. With large numbers of Aboriginal people moving in and out of the prison system, a strong relationship should exist between prison health services and prisoners' community health and mental health provider. The 28 Aboriginal Community Controlled health Organisations (ACCHOs) and their auspiced organisations across Victoria are located within 55km of all Victorian prisons. ACCHOs are a critical extension of prison health care given Aboriginal prisoners access ACCHOs more frequently than mainstream services in the community. ACCHOs' comprehensive support and engagement of Aboriginal people plays a big part in improving quality of life and improving poor health and mental health outcomes by providing a holistic, healing health service. The Victorian Aboriginal Community Controlled Health Organisation (VACCHO), with support from the Victorian Government Department of Justice, explored ways to improve continuity of care for Aboriginal people in Victorian prisons and identify ways to improve relationships and partnerships between ACCHOs and prison health services. ACCHOs, prison health services, and Koori support staff members from the Department of Justice were interviewed and their responses analysed for common themes. We found no relationship or partnership between ACCHOs and prison health services interviewed despite policy references requiring it within the Justice Health Policy and Quality Framework (attached to the prison health services contracts). Responses also indicated that prison health service systems were not meeting cultural safety policy standards. ACCHOs identified several areas in need of improvement to assist Aboriginal prisoner health including prisoner release planning and the transfer of health information. Given the low level of contact between ACCHOs and prison health services there were few working examples that could be shared. A list of recommendations based on interview responses, a literature review and exploration of non-Victorian models is presented as a first step in improving health and mental health outcomes for Aboriginal prisoners. Details: Collingwood, VIC: Victorian Aboriginal Community Controlled Health Organisation, 2015. 50p. Source: Internet Resource: Accessed May 9, 2015 at: http://www.vaccho.org.au/assets/01-RESOURCES/TOPIC-AREA/RESEARCH/KEEPING-OUR-MOB-HEALTHY.pdf Year: 2015 Country: Australia URL: http://www.vaccho.org.au/assets/01-RESOURCES/TOPIC-AREA/RESEARCH/KEEPING-OUR-MOB-HEALTHY.pdf Shelf Number: 135546 Keywords: AboriginalsIndigenous PeoplesInmate HealthMental Health ServicesPrison Health Care |
Author: Chari, Karishma A. Title: National Survey of Prison Health Care: Selected Findings Summary: Objectives - This report presents selected findings on the provision of health care services in U.S. state prisons. Findings on admissions testing for infectious disease, cardiovascular risk factors, and mental health conditions, as well as the location of the provision of care and utilization of telemedicine are all included. Methods - Data are from the National Survey of Prison Health Care (NSPHC). The survey aimed to conduct semi-structured telephone interviews with respondents from all 50 state Departments of Corrections and the Federal Bureau of Prisons. Interviews were conducted in 2012 for calendar year 2011. The level of participation varied by state and questionnaire item. Results - Overall, 45 states participated in NSPHC. In 2011, the percentages of prison admissions occurring in states that tested at least some prisoners for the following conditions during the admissions process were: 76.9% for hepatitis A, 82.0% for hepatitis B, 87.3% for hepatitis C, 100.0% for tuberculosis, 100.0% for mental health conditions and suicide risk, 40.3% for traumatic brain injury , 82.5% for cardiovascular conditions and risk factors using electrocardiogram, 70.0% for elevated lipids, and 99.8% for high blood pressure. Of the 45 states that participated in the survey, most states delivered several services on-site, including inpatient and outpatient mental health care (27 and 44 states, respectively), care for chronic diseases (31 states), long-term or nursing home care (35 states), and hospice care (35 states). For inpatient and outpatient medical, dental, and emergency care, most states delivered services using a combination of on-site and off-site care locations. Most states delivered selected diagnostic procedures and radiologic tests off-site. Telemedicine was most commonly used for psychiatry (28 states). Details: Atlanta, GA: Centers for Disease Control and Prevention, 2016. 23p. Source: Internet Resource: national Health Statistics Reports No. 96: https://www.cdc.gov/nchs/data/nhsr/nhsr096.pdf Year: 2016 Country: United States URL: https://www.cdc.gov/nchs/data/nhsr/nhsr096.pdf Shelf Number: 140152 Keywords: Correctional Health ServicesMental Health ServicesPrison Health CarePrison Medical CarePrisoners |
Author: California State Auditor, Bureau of State Audits Title: Sterilization of Female Inmates: Some Inmates Were Sterilized Unlawfully, and Safeguards Designed to Limit Occurrences of the Procedure Failed Summary: The California Department of Corrections and Rehabilitation (Corrections) oversees the inmate population of the State's 33 adult prisons. During our eight-year audit period-which we defined as fiscal years 2005-06 through 2012-13-four of these prisons housed substantially all of the female inmates: California Institution for Women, Central California Women's Facility, Folsom Women's Facility, and Valley State Prison for Women (Valley). Valley no longer houses women since its conversion to a men's prison in January 2013. For much of our audit period, Corrections' role in providing inmates with medical care was not significant; the more substantial role was played by California Correctional Health Care Services (Receiver's Office) under the direction of a federal court-appointed receiver. A receiver took control of prison medical care in 2006 and will retain control until the court finds that Corrections can maintain a constitutionally adequate prison medical care system. From fiscal years 2005-06 through 2012-13, 144 female inmates were sterilized by a procedure known as a bilateral tubal ligation. The last of these female inmate sterilizations occurred in 2011. Although various surgical procedures may result in a female's sterilization, bilateral tubal ligations are generally surgical procedures that are performed for the sole purpose of sterilization, and state regulations impose certain requirements that must be met before such a procedure is performed. However, the state entities responsible for providing medical care to these inmates- Corrections1 and the Receiver's Office-sometimes failed to ensure that inmates' consent for sterilization was lawfully obtained. Audit Highlights . . . Our audit of female inmate sterilizations occurring over an eight-year period revealed the following: - 144 female inmates were sterilized through a surgery known as bilateral tubal ligation. - 39 inmates were sterilized following deficiencies in the informed consent process. - We saw no evidence that the inmate's physician signed the required consent form in 27 cases. - In 18 cases, we noted potential violations of the required waiting period between when the inmate consented to the procedure and when the sterilization procedure actually took place. - Among these 39 inmates there were six cases where we noted violations of both consent form and waiting period. - Neither the California Department of Corrections and Rehabilitation nor the California Correctional Health Care Services ensured that the informed consent requirements were followed in 19 instances in which their employees obtained inmates' consent. Details: Sacramento: California State Auditor, 2014. 49p. Source: Internet Resource: Report 2013-120: Accessed September 28, 2016 at: https://www.auditor.ca.gov/pdfs/reports/2013-120.pdf Year: 2014 Country: United States URL: https://www.auditor.ca.gov/pdfs/reports/2013-120.pdf Shelf Number: 140484 Keywords: Female InmatesFemale PrisonersPrison Health CareSterilization |
Author: SPARK Reproductive Justice Now Title: Giving Birth Behind Bars: A Guide to Achieving Reproductive Justice for Incarcerated Women Summary: Giving Birth Behind Bars: A Guide to Achieving Reproductive Justice for Incarcerated Women is composed of three sections, each highlighting the tools and materials that we have employed over the last three years for our popular education and organizing campaign to end shackling of incarcerated pregnant women in jails and prisons. While this resource is not exhaustive, it provides our allies, members, communities and elected officials with the most thorough assessment, to date, of the practice of shackling pregnant women in Georgia prisons and jails. Section One provides a broad overview of the intersection between reproductive justice and prisons. This section includes a reproductive justice analysis of the prison industrial complex, information on women in Georgia prisons, a powerful story from a formerly incarcerated woman empowered through her experience and information about our community centered public policy analysis program, Legislate THIS! Section Two consists of information designed to offer healthcare providers with a broad overview of what they can do to ensure that women are able to labor, birth and recover without the burden of restraints. In addition, this section provides a list of medical organizations that oppose the practice of shackling pregnant inmates during labor, delivery and recovery and additional relevant materials. Section Three provides a collection of material about the national anti-shackling movement. The publication includes information on states with anti-shackling laws and some of the practical popular education resources SPARK has developed including anti-shackling talking points, a petition, a sample letter to legislators, resource list, and other organizing materials and relevant information. Details: Atlanta: SPARK, 2011. 64p. Source: Internet Resource: Accessed May 7, 2018 at: http://www.sparkrj.org/website/wp-content/uploads/2016/07/Giving-Birth-Behind-Bars-Guide.pdf Year: 2011 Country: United States URL: http://www.sparkrj.org/website/wp-content/uploads/2016/07/Giving-Birth-Behind-Bars-Guide.pdf Shelf Number: 150092 Keywords: Female Inmates Female Prisoners Inmate Health Care Pregnant Inmates Prison Health Care |
Author: Pew Charitable Trusts Title: State Prisons and the Delivery of Hospital Care: How states set up and finance off-site care for incarcerated individuals Summary: Delivering adequate medical care to the more than 1 million adults in state prisons is a growing challenge for states, in part because of the high costs and complex logistics required to hospitalize people who are incarcerated. While most care for incarcerated individuals is delivered on-site, some of them periodically need to be hospitalized for acute or specialized care. As is true generally, this treatment is expensive because of the labor-intensive and sophisticated services provided. And hospitalizing someone who is in prison brings added expenses, such as providing secure transportation to and from the hospital and guarding the patient round-the-clock. State officials nationwide are under increasing pressure to contain hospitalization costs while also ensuring the constitutional right to "reasonably adequate" care. Hospitalization expenses are already a significant portion of correctional health care spending and are likely to grow if prison trends continue. The average age of those behind bars is rising, and the health needs of these individuals-like older people outside of prison-are more extensive than those of younger cohorts, including more hospitalizations. State officials are also noting an increase in the amount of care required for all adults entering correctional facilities. Looming over these considerations is the future direction of national health care policy, especially the role of Medicaid, the federal-state program for low-income individuals. With these challenges in mind, The Pew Charitable Trusts explored hospital care for people incarcerated in state prisons, tapping data from two nationwide surveys conducted by Pew and the Vera Institute of Justice and from interviews with more than 75 state officials. This first-of-its-kind analysis of hospital care for this patient population is part of a broader examination by Pew of correctional health care in the United States. This report will discuss the ways states arrange and pay for hospital care for their incarcerated population and how such care supplements on-site prison health services. Its findings include: - Off-site care costs are a significant part of correctional health budgets. For example, Virginia spent 27 percent of its prison health care budget on off-site hospital care in 2015, while New York spent 23 percent. - The health care delivery model that state prisons use to provide on-site services informs decisions they must make regarding hospitalization arrangements, including who holds authority to send someone off-site, how the care is coordinated and reviewed, and which entity pays the bill. - The federal Affordable Care Act (ACA) offers state policymakers who elect to expand their Medicaid programs' eligibility a way to reduce inpatient hospital spending. - Though incarcerated individuals always will need to be treated at hospitals for certain conditions or tests, some states have promising practices to avert some off-site care, saving money and mitigating public safety risks. The report's discussion of state approaches to providing care to incarcerated individuals is designed to help the officials involved in setting hospitalization policy-lawmakers, prison and hospital medical staff and administrators, correctional officers, and sometimes private contractors-better manage costs while working toward or maintaining a high-performing prison health care system. Details: Philadelphia: Pew Charitable Trusts, 2018. 22p. Source: Internet Resource: Accessed August 24, 2018 at: http://www.pewtrusts.org/-/media/assets/2018/07/prisons-and-hospital-care_report.pdf Year: 2018 Country: United States URL: http://www.pewtrusts.org/-/media/assets/2018/07/prisons-and-hospital-care_report.pdf Shelf Number: 151260 Keywords: Correctional Health CareHospitalsMedicare CarePrison Health CarePrison Hospitals |