The Health and Health Needs of People under Community Supervision

IF 2.8 2区社会学 Q1 Social Sciences Annals of the American Academy of Political and Social Science Pub Date : 2022-05-01 DOI:10.1177/00027162221119661

L. Hawks, Nadine Horton, Emily A Wang

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引用次数: 2

Abstract

Americans under community supervision experience high rates of chronic disease, mental illness, and substance use disorders but have poor access to high-quality preventive care and treatment. Pervasive barriers to healthcare and health insurance reinforce poor health, as do restrictions to evidence-based addiction treatment. We propose that community supervision agencies transfer management of the health of supervised individuals to an expanded community-based healthcare system and that they abandon practices at odds with the science of addiction medicine (e.g. prohibitions on medications to treat addiction, and revocation of community release for addiction relapse). Further, we argue that correctional systems should prioritize health of those under supervision by standardizing health-related protocols, including basic needs resources in discharge planning, and leveraging the skills of individuals with lived experiences in the correctional system. If implemented, the success of our recommendations would require expansion of community-based primary care, mental health, and addiction treatment centers.

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社区监督下人们的健康与健康需求

在社区监督下的美国人患慢性病、精神疾病和药物使用障碍的几率很高，但难以获得高质量的预防性护理和治疗。普遍存在的医疗保健和健康保险障碍加剧了健康状况不佳，对循证成瘾治疗的限制也是如此。我们建议社区监督机构将受监督个人的健康管理移交给扩大的社区医疗系统，并放弃与成瘾医学不一致的做法（例如，禁止治疗成瘾的药物，以及撤销成瘾复发的社区释放）。此外，我们认为，惩教系统应通过标准化与健康相关的协议，包括出院规划中的基本需求资源，并利用有惩教系统生活经验的个人的技能，优先考虑受监管人员的健康。如果实施，我们的建议的成功将需要扩大以社区为基础的初级保健、心理健康和成瘾治疗中心。

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Annals of the American Academy of Political and Social Science Multiple-

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5.20

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0.00%

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期刊介绍： The AAPSS seeks to promote the progress of the social sciences and the use of social science knowledge in the enrichment of public understanding and in the development of public policy. It does so by fostering multidisciplinary understanding of important questions among those who create, disseminate, and apply the social sciences, and by encouraging and celebrating talented people who produce and use research to enhance public understanding of important social problems.