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Perceptions of collective and other unjust punishment in Swiss prisons: a qualitative exploration. 对瑞士监狱中集体惩罚和其他不公正惩罚的看法:定性研究。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-05-10 Epub Date: 2022-02-22 DOI: 10.1108/IJPH-06-2021-0059
David Shaw, Helene Seaward, Felix Pageau, Tenzin Wangmo, Bernice S Elger

Purpose: This paper aims to describe and analyse Swiss prisoners' and experts' views on collective punishment, the practice where a group is punished for one person's transgression.

Design/methodology/approach: A series of qualitative interviews with prisoners and stakeholders are reported following thematic analysis.

Findings: Despite being forbidden by the Geneva Convention and other international instruments, participants from this study expressed the view that collective punishment continues to be practiced in some form in prisons in Switzerland, violating the rights of prisoners via unjust and arbitrary decision-making, unjust rules, inequalities in prison structures and continuation of incarceration based on the behaviour of others. Families can also be both victims and vectors of collective punishment, and prolonging the detention of prisoners who would otherwise have been released because of rare high-profile cases of reoffending can also be considered a form of collective punishment.

Originality/value: These significant findings suggest that collective punishment in various forms continues to be used in Swiss prisons.

目的:本文旨在描述和分析瑞士囚犯和专家对集体惩罚的看法:对囚犯和利益相关者进行了一系列定性访谈,并进行了专题分析:尽管《日内瓦公约》和其他国际文书禁止集体惩罚,但本研究的参与者表示,瑞士的监狱仍在以某种形式实施集体惩罚,通过不公正和任意的决策、不公正的规则、监狱结构的不平等以及基于他人行为的持续监禁,侵犯了囚犯的权利。家庭既可能是集体惩罚的受害者,也可能是集体惩罚的载体,由于极少数引人注目的重犯案件而延长本应释放的囚犯的拘留时间,也可被视为一种集体惩罚:这些重要发现表明,瑞士监狱仍在使用各种形式的集体惩罚。
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引用次数: 0
Women's experiences of prison-based mental healthcare: a systematic review of qualitative literature. 女性在监狱中的心理保健经历:定性文献的系统回顾。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-05-10 Epub Date: 2022-02-24 DOI: 10.1108/IJPH-09-2021-0091
Ann-Marie Bright, Agnes Higgins, Annmarie Grealish

Purpose: The rate of female committals to prison has grown rapidly in recent years. Women in prison are likely to have trauma histories and difficulties with their mental health. This paper aims to synthesise the findings of qualitative literature to gain a deeper understanding of the experiences of women in the context of prison-based mental health care.

Design/methodology/approach: A systematic search of five academic databases, Cumulative Index to Nursing and Allied Health Literature, Applied Social Sciences Index and Abstracts, Psychological Information Database (PsycINFO), Excerpta Medica DataBASE (EMBASE) and Medline, was completed in December 2020. This study's search strategy identified 4,615 citations, and seven studies were included for review. Thomas and Harden's (2008) framework for thematic synthesis was used to analyse data. Quality appraisal was conducted using the Joanna Briggs Institute Checklist for Qualitative Research (Lockwood et al., 2015).

Findings: Four analytic themes were identified that detail women's experiences of prison-based mental health care: the type of services accessed and challenges encountered; a reduction in capacity to self-manage mental well-being; the erosion of privacy and dignity; and strained relationships with prison staff. There is a paucity of research conducted with women in the context of prison-based mental health care. The findings suggest there is a need for greater mental health support, including the need to enhance relationships between women and prison staff to promote positive mental health.

Originality/value: To the best of the authors' knowledge, this is the first systematic review conducted on the experiences of women in the context of prison-based mental health care.

目的:近年来,女性入狱率迅速增长。监狱中的女性很可能有心理创伤史,并且在心理健康方面存在困难。本文旨在综合定性文献的研究结果,以深入了解女性在监狱心理健康护理方面的经历:我们于 2020 年 12 月完成了对五个学术数据库的系统性检索,这五个数据库是:《护理与相关健康文献累积索引》、《应用社会科学索引与文摘》、《心理学信息数据库》(PsycINFO)、《Excerpta Medica DataBASE》(EMBASE)和《Medline》。本研究的检索策略共发现了 4,615 条引文,并纳入了 7 项研究进行审查。采用托马斯和哈登(2008 年)的专题综合框架分析数据。采用乔安娜-布里格斯研究所的定性研究核对表(Lockwood et al:研究确定了四个分析主题,详细描述了女性在监狱中的心理健康护理经历:获得的服务类型和遇到的挑战;自我管理心理健康的能力下降;隐私和尊严受到侵蚀;以及与监狱工作人员的关系紧张。在监狱心理健康护理方面,针对女性的研究还很少。研究结果表明,需要提供更多的心理健康支持,包括需要加强女性与监狱工作人员之间的关系,以促进积极的心理健康:据作者所知,这是首次对女性在监狱心理健康护理方面的经历进行的系统性综述。
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引用次数: 0
A stepwise guide for healthcare professionals requesting compassionate release for patients who are incarcerated. 医护专业人员为被监禁病人申请抚恤性释放的分步指南。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2022-07-14 DOI: 10.1108/IJPH-09-2021-0095
Alexa Kanbergs, Ilana Garcia-Grossman, Cyrus Ahalt, Michele DiTomas, Rachael Bedard, Brie Williams

Purpose: Compassionate release is a process that allows for the early release or parole of some incarcerated people of advanced age, with life-limiting illness, complex medical care needs or significant functional decline. Despite the expansion of State and Federal compassionate release programs, this mechanism for release remains underutilized. Health-care professionals are central to the process of recommending compassionate release, but few resources exist to support these efforts. The purpose of this paper is to provide a guide for health-care professionals requesting compassionate release for patients who are incarcerated.

Design/methodology/approach: This study is stepwise guide for health-care professionals requesting compassionate release for patients who are incarcerated.

Findings: This study describes the role of the health-care professional in requesting compassionate release and offers guidance to help them navigate the process of preparing a medical declaration or request for compassionate release.

Originality/value: No prior publications have created a step-wise guide of this nature to aid health-care professionals through the compassionate release process.

目的:体恤释放是允许一些高龄、患有危及生命的疾病、需要复杂的医疗护理或功能严重衰退的被监禁者提前释放或假释的程序。尽管州和联邦的体恤释放计划不断扩大,但这一释放机制仍未得到充分利用。医护专业人员在建议体恤释放的过程中发挥着核心作用,但支持这些工作的资源却寥寥无几。本文旨在为医护人员提供一份指南,帮助他们为被监禁的病人申请抚恤释放:本研究为医护专业人员申请对被监禁的病人进行抚恤释放提供了循序渐进的指导:研究结果:本研究描述了医护人员在申请抚恤释放中的角色,并为他们提供指导,帮助他们顺利完成准备医疗声明或申请抚恤释放的过程:独创性/价值:以前的出版物从未编写过这种性质的分步指南,以帮助医护人员完成体恤释放程序。
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引用次数: 0
The case for transitional services and programs for older adults reentering society: a narrative review of US departments of correction and recommendations. 为重返社会的老年人提供过渡性服务和计划的案例:对美国惩教部门的回顾和建议。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2023-02-13 DOI: 10.1108/IJPH-08-2021-0073
Rose Onyeali, Benjamin A Howell, D Keith McInnes, Amanda Emerson, Monica E Williams

Purpose: Older adults who are or have been incarcerated constitute a growing population in the USA. The complex health needs of this group are often inadequately addressed during incarceration and equally so when transitioning back to the community. The purpose of this paper is to discuss the literature on challenges older adults (age 50 and over) face in maintaining health and accessing social services to support health after an incarceration and to outline recommendations to address the most urgent of these needs.

Design/methodology/approach: This study conducted a narrative literature review to identify the complex health conditions and health services needs of incarcerated older adults in the USA and outline three primary barriers they face in accessing health care and social services during reentry.

Findings: Challenges to healthy reentry of older adults include continuity of health care; housing availability; and access to health insurance, disability and other support. The authors recommend policy changes to improve uniformity of care, development of support networks and increased funding to ensure that older adults reentering communities have access to resources necessary to safeguard their health and safety.

Originality/value: This review presents a broad perspective of the current literature on barriers to healthy reentry for older adults in the USA and offers valuable system, program and policy recommendations to address those barriers.

目的:在美国,被监禁或曾经被监禁的老年人口日益增多。这一群体复杂的健康需求在监禁期间往往得不到充分满足,而在重返社区后也同样如此。本文旨在讨论有关老年人(50 岁及以上)在入狱后保持健康和获得社会服务以支持健康方面所面临挑战的文献,并概述解决这些需求中最迫切问题的建议:本研究进行了叙述性文献回顾,以确定美国被监禁老年人的复杂健康状况和健康服务需求,并概述了他们在重返社会期间获得医疗保健和社会服务时面临的三个主要障碍:研究结果:老年人健康重返社会所面临的挑战包括医疗保健的连续性、住房的可用性以及获得医疗保险、残疾和其他支持的机会。作者建议改变政策,改善护理的统一性,发展支持网络,增加资金投入,以确保重返社区的老年人能够获得必要的资源,保障他们的健康和安全:这篇综述从一个广阔的视角介绍了当前有关美国老年人健康重返社会的障碍的文献,并针对这些障碍提出了宝贵的系统、计划和政策建议。
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引用次数: 0
Increasing availability of COVID-19 vaccine to older adults under community supervision. 为接受社区监管的老年人提供更多的 COVID-19 疫苗。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2022-11-15 DOI: 10.1108/IJPH-06-2022-0035
Emily Dauria, Angelo Clemenzi-Allen, Kathryn Nowotny, Lauren Brinkley-Rubinstein, Brie Williams, Alysse Wurcel

Purpose: Vaccinating adults who are involved with the carceral system, particularly those aged 55 or older, is crucial to containing the COVID-19 pandemic in the USA, particularly as variants continue to emerge and spread. In this Viewpoint, the authors discuss the reasons why improving access to COVID-19 vaccine and boosters among community supervised adults, especially the aging population, is critical to mitigating the public health consequences of the COVID-19 pandemic. This study concludes by providing recommendations to enhance vaccine and booster uptake in this population, as the pandemic continues.

Design/methodology/approach: This is a Viewpoint paper regarding mitigating the spread of COVID-19 by improving access to vaccine and boosters among community supervised adults, especially the aging population.

Findings: A key population that has been overlooked in vaccination efforts are older adults involved in the carceral system who are living in the community (i.e. "community supervised" or people on probation or parole). Older adults on probation and parole are at high risk for SARS-CoV-2 transmission and severe disease due to numerous factors at the individual, community, social and structural levels.

Originality/value: Implementation of recommendations presented in this Viewpoint will mitigate COVID-19 risk among a population that has been marginalized and overlooked, yet has been the epicenter of the COVID-19 pandemic.

目的:在美国,尤其是在变种不断出现和传播的情况下,为参与殡葬系统的成年人,特别是 55 岁或以上的成年人接种疫苗对于遏制 COVID-19 的流行至关重要。在本视点中,作者讨论了为什么改善社区监管成年人(尤其是老龄人口)获得 COVID-19 疫苗和强化剂的途径对于减轻 COVID-19 大流行的公共卫生后果至关重要。本研究最后提出建议,随着大流行的持续,应提高该人群的疫苗和加强剂接种率:这是一篇观点论文,内容涉及通过改善受社区监督的成年人(尤其是老龄人口)接种疫苗和加强剂的机会来缓解 COVID-19 的传播:研究结果:在疫苗接种工作中被忽视的一个关键人群是生活在社区(即 "社区监管 "或缓刑或假释人员)中涉及监禁系统的老年人。由于个人、社区、社会和结构层面的诸多因素,缓刑和假释中的老年人是 SARS-CoV-2 传播和严重疾病的高危人群:实施本观点中提出的建议将降低 COVID-19 在被边缘化和被忽视的人群中的风险,而这些人群正是 COVID-19 大流行的中心。
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引用次数: 0
COVID-19 and the reimaging of compassionate release. COVID-19 和重新定位同情释放。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2022-06-24 DOI: 10.1108/IJPH-08-2021-0072
Jennifer E James, Meghan Foe, Riya Desai, Apoorva Rangan, Mary Price

Purpose: The purpose of this paper is to provide a historical overview of compassionate release policies in the USA and describe how these policies have been used during the COVID-19 pandemic. The authors then describe how these programs have been shaped by COVID-19 and could be reimagined to address the structural conditions that make prisons potentially life limiting for older adults and those with chronic illness.

Design/methodology/approach: This paper is primarily descriptive, offering an overview of the history of compassionate release policies before and during the COVID-19 pandemic. The authors augmented this description by surveying state Departments of Corrections about their utilization of compassionate release during 2019 and 2020. The findings from this survey were combined with data collected via Freedom of Information Act Requests sent to state Departments of Corrections about the same topic.

Findings: The findings demonstrate that while the US federal prison system saw a multifold increase in the number of individuals released under compassionate release policies in 2020 compared to 2019, most US states had modest change, with many states maintaining the same number, or even fewer, releases in 2020 compared with 2019.

Originality/value: This paper provides both new data and new insight into compassionate release utilization during the COVID-19 pandemic and offers new possibilities for how compassionate release might be considered in the future.

目的:本文旨在对美国的体恤释放政策进行历史回顾,并描述这些政策在 COVID-19 大流行期间的使用情况。然后,作者描述了这些计划是如何由 COVID-19 演变而来,又是如何被重新构想,以解决使监狱对老年人和慢性病患者的生活造成潜在限制的结构性问题:本文主要是描述性的,概述了在 COVID-19 大流行之前和期间同情释放政策的历史。作者通过调查各州惩教署在 2019 年和 2020 年期间对抚恤性释放的使用情况,对这一描述进行了补充。调查结果与通过《信息自由法》向各州惩教署发出的同一主题请求所收集的数据相结合:研究结果表明,与 2019 年相比,2020 年美国联邦监狱系统根据体恤释放政策释放的人数增加了数倍,但美国大多数州的变化不大,许多州在 2020 年释放的人数与 2019 年持平,甚至更少:本文就 COVID-19 大流行期间的抚恤性释放利用情况提供了新数据和新见解,并为今后如何考虑抚恤性释放提供了新的可能性。
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引用次数: 0
Dementia in the incarcerated population: a retrospective study using the South Carolina Alzheimer's disease registry, USA. 被监禁人群中的痴呆症:利用美国南卡罗来纳州阿尔茨海默病登记处进行的回顾性研究。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2023-02-27 DOI: 10.1108/IJPH-08-2021-0071
Margaret Chandlee Miller, Glaucia Salgado, Nicole Nasrallah, Jennifer Bronson, Charles P Sabatino, Jacobo Mintzer
<p><strong>Purpose: </strong>Research about the prevalence of dementia among older adults in the incarceration system is currently lacking, and further investigation is warranted. Considering the high level of healthcare needs, unique behavioural issues and difficulty to rehabilitate within the system due to its punitive approach and lack of effective rehabilitation programs, further investigation is warranted to characterize and determine the number of incarcerated older adults with dementia. The purpose of this study is to estimate the prevalence of individuals with dementia in the prison system while also describing the incarceration, demographic and offence-related characteristics of this unique population.</p><p><strong>Design/methodology/approach: </strong>South Carolina (SC) Alzheimer's Disease and Related Dementias Registry (1992-2016) and South Carolina Department of Corrections (SCDC) data (Fiscal years 1992-2019) were cross-referenced. The prevalence of Alzheimer's disease and related dementias (ADRD) cases in the corrections system was calculated using South Carolina Alzheimer's Disease (SC AD) SC ADRD Registry and SCDC data. Pearson's correlation coefficients were calculated to determine strength and direction of relationships between year of incarceration and frequency of ADRD cases both prior to and after incarcerations, respectively. Significant differences by age group, race, gender and dementia type were determined using a two-tailed pooled <i>t</i>-test and Bonferroni approach where appropriate. Count data for types of crimes committed are also presented.</p><p><strong>Findings: </strong>The linkage showed that there were 2,171 individuals within the SC AD Registry who have been in the corrections system, about 1% of those in the Registry. Of these individuals, 1,930 cases were diagnosed with ADRD after incarceration and 241 prior to incarceration. In 2016, 317 individuals with ADRD were incarcerated. For ages 55 and above in South Carolina, the prevalence of ADRD is 6.7% in the general, non-incarcerated population compared to 14.4% in the incarcerated population. Additional results showed that those diagnosed with ADRD between 55 and 65 years of age had a significantly lower mean age at first incarceration (34.6 years of age) than those diagnosed between 66 and 74 years of age (55.9 years of age), indicating that those incarcerated earlier in life had an earlier dementia diagnosis. Additionally, African Americans had a significantly lower mean age at first incarceration (43.4 years of age) than Whites (46.2 years of age) and females had significantly lower mean age at first incarceration (42.9 years of age) than males (45 years of age). When investigating trends, results showed a significant positive linear association between year and frequency of ADRD diagnoses (<i>p</i>-value < 0.05) for those with ADRD diagnosis prior to incarceration and a significant decreasing linear association (<i>p</i>-value < 0.0001) in the number o
目的:目前还缺乏关于监禁系统中老年人痴呆症患病率的研究,因此有必要开展进一步调查。考虑到监狱系统中的高水平医疗保健需求、独特的行为问题以及因其惩罚性方法和缺乏有效的康复计划而导致的康复困难,有必要进行进一步调查,以确定患有痴呆症的被监禁老年人的特征和数量。本研究旨在估算监狱系统中痴呆症患者的患病率,同时描述这一特殊人群的监禁、人口统计和犯罪相关特征:对南卡罗来纳州(SC)阿尔茨海默病及相关痴呆症登记处(1992-2016 年)和南卡罗来纳州惩教署(SCDC)的数据(1992-2019 财政年度)进行了交叉比对。利用南卡罗来纳州阿尔茨海默病(South Carolina Alzheimer's Disease,SC AD)SC ADRD Registry 和 SCDC 数据计算了惩教系统中阿尔茨海默病和相关痴呆症(ADRD)病例的患病率。通过计算皮尔逊相关系数,分别确定了监禁前和监禁后监禁年份与 ADRD 病例频率之间关系的强度和方向。根据年龄组、种族、性别和痴呆症类型的显著差异,酌情使用双尾集合 t 检验和 Bonferroni 方法进行判定。此外,还提供了犯罪类型的计数数据:连接结果显示,南卡罗来纳州注意力缺失症登记处有 2,171 人曾在惩教系统中接受过教育,约占登记处人数的 1%。在这些人中,有 1,930 例在入狱后被诊断出患有 ADRD,241 例在入狱前被诊断出患有 ADRD。2016 年,有 317 名 ADRD 患者被监禁。在南卡罗来纳州 55 岁及以上的人群中,非监禁人口的 ADRD 患病率为 6.7%,而监禁人口的患病率为 14.4%。其他结果显示,55 至 65 岁之间被诊断出患有 ADRD 的人首次入狱的平均年龄(34.6 岁)明显低于 66 至 74 岁之间被诊断出患有 ADRD 的人的平均年龄(55.9 岁),这表明早年入狱的人更早被诊断出患有痴呆症。此外,非裔美国人首次入狱的平均年龄(43.4 岁)明显低于白人(46.2 岁),女性首次入狱的平均年龄(42.9 岁)明显低于男性(45 岁)。在对趋势进行调查时,结果显示,在入狱前被诊断出患有 ADRD 的人员中,入狱年份与 ADRD 诊断频率之间存在显著的正线性关系(p 值小于 0.05),而在入狱后被诊断出患有 ADRD 的人员中,入狱年份与 ADRD 诊断频率之间存在显著的负线性关系(p 值小于 0.0001)。研究结果还显示,监狱中很大一部分患有 ADRD 的老年人并未实施暴力犯罪:这项研究将基于人群的阿尔茨海默病登记和全州范围内的教养数据联系起来,以估算监狱系统中痴呆症患者的患病率。这种联系提供了一个填补重大空白的机会,并为有关美国监狱中痴呆症患者的文献做出了贡献。
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引用次数: 0
"Prison life is very hard and it's made harder if you're isolated": COVID-19 risk mitigation strategies and the mental health of incarcerated women in California. "监狱生活非常艰苦,如果你与世隔绝,生活会更加艰难:COVID-19 风险缓解策略与加利福尼亚州被监禁妇女的心理健康。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2022-11-21 DOI: 10.1108/IJPH-09-2021-0093
Jennifer E James, Leslie Riddle, Giselle Perez-Aguilar

Purpose: This study aims to describe the COVID-19 risk mitigation strategies implemented in California prisons and the impact of these policies on the mental health of incarcerated women.

Design/methodology/approach: The authors conducted semi-structured qualitative interviews with ten women who were over the age of 50 and/or had a chronic illness and had been incarcerated in California prisons during the COVID-19 pandemic. The authors also interviewed ten health-care providers working in California jails or prisons during the pandemic. Interviews were analyzed using a grounded theory coding framework and triangulated with fieldnotes from ethnographic observations of medical and legal advocacy efforts during the pandemic.

Findings: Participants described being locked in their cells for 23 hours per day or more, often for days, weeks or even months at a time in an effort to reduce the spread of COVID-19. For many participants, these lockdowns and the resulting isolation from loved ones both inside and outside of the prison were detrimental to both their physical and mental health. Participants reported that access to mental health care for those in the general population was limited prior to the pandemic, and that COVID-19 risk mitigation strategies, including the cessation of group programs and shift to cell-front mental health services, created further barriers.

Originality/value: There has been little qualitative research on the mental health effects of the COVID-19 pandemic on incarcerated populations. This paper provides insight into the mental health effects of both the COVID-19 pandemic and COVID-19 risk mitigation strategies for the structurally vulnerable older women incarcerated in California prisons.

目的:本研究旨在描述加利福尼亚州监狱实施的 COVID-19 风险缓解策略,以及这些政策对被监禁妇女心理健康的影响:作者对 COVID-19 大流行期间被关押在加州监狱的 10 名 50 岁以上和/或患有慢性疾病的女性进行了半结构化定性访谈。作者还采访了大流行期间在加利福尼亚监狱工作的十名医疗保健提供者。作者采用基础理论编码框架对访谈内容进行了分析,并与大流行期间对医疗和法律宣传工作的人种学观察记录进行了三角测量:参与者描述了为了减少 COVID-19 的传播,他们每天被关在牢房里长达 23 个小时或更长的时间,往往一关就是几天、几周甚至几个月。对许多参与者来说,这些禁闭以及由此造成的与监狱内外亲人的隔离对他们的身心健康都是有害的。参与者报告说,在大流行之前,普通人群获得心理健康护理的机会有限,而 COVID-19 风险缓解策略,包括停止团体项目和转向牢房前心理健康服务,则造成了更多的障碍:有关 COVID-19 大流行对被监禁人群心理健康影响的定性研究很少。本文深入探讨了 COVID-19 大流行和 COVID-19 风险缓解策略对加利福尼亚州监狱中结构脆弱的老年女性囚犯的心理健康影响。
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引用次数: 0
Dying for a change: a systematic review of compassionate release policies. 为改变而死:对抚恤性释放政策的系统性审查。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2022-06-28 DOI: 10.1108/IJPH-11-2021-0110
Shivani Kaushik, Jen Currin-McCulloch
<p><strong>Purpose: </strong>The purpose of this study was to systematically review literature to investigate trends in compassionate release policies, facility implementation, barriers at both the incarcerated individual and institutional levels, as well as gaps in the literature. The absence of uniform and appropriate policies to address suitable interventions at the end-of-life has aggravated the challenges and issues facing health-care systems within a correctional facility. A response to address and alleviate these barriers is policies related to compassionate release, a complex route that grants eligible inmates the opportunity to die in their community. Despite the existence of compassionate release policies, only 4% of requests to the Federal Bureau of Prisons are granted, with evidence demonstrating similarly low rates among numerous state prison systems, signifying the underuse of these procedures as a vital approach to decarceration.</p><p><strong>Design/methodology/approach: </strong>A systematic review was completed using preferred reporting items for systematic reviews and meta-analyses guidelines. Centre for Agriculture and Biosciences International Abstracts, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Education Resources Information Center, Google Scholar, MEDLINE, PsycINFO, PubMed, Social Services Abstracts and Social Work Abstracts were searched from inception to March 2021. Inclusion criteria included: the compassionate release policy (or related policy) is implemented in the USA; reported qualitative and/or quantitative outcomes; and reported original data.</p><p><strong>Findings: </strong>Twenty studies formed the final data set. Data analysis revealed four main themes: language barriers, complexities of eligibility criteria, over-reliance on prognostication and social stigma. Barriers to inmates' access to compassionate release policies include unclear or technical language used in policy documents. Eligibility criteria appear to vary across the country, including disease prognoses and the ability to predict terminal declines in health, creating confusion amongst inmates, lawyers and review boards. Stigmas surrounding the rights of incarcerated individuals frequently influence policymakers who experience pressure to maintain a punitive stance to appease constituents, thus discouraging policies and interventions that promote the release of incarcerated individuals.</p><p><strong>Research limitations/implications: </strong>Further research is vital to strengthen the understanding of compassionate release policies and related barriers associated with accessing various types of early parole. To promote social justice for this marginalized population, end-of-life interventions in corrections need to be consistently evaluated with outcomes that improve care for dying inmates.</p><p><strong>Practical implications: </strong>Within correctional facilities, correctional health-care workers should play
目的:本研究的目的是系统回顾文献,调查体恤释放政策的趋势、设施的实施情况、被监禁者和机构层面的障碍以及文献中的空白。由于缺乏统一、适当的政策来解决生命末期的适当干预问题,这加剧了惩教机构内医疗保健系统所面临的挑战和问题。解决和缓解这些障碍的对策之一是与抚恤性释放相关的政策,这是一种给予符合条件的囚犯在其社区内死亡的机会的复杂途径。尽管存在抚恤性释放政策,但向联邦监狱局提出的申请中只有 4% 获得批准,有证据表明许多州的监狱系统也存在类似的低批准率,这表明这些程序作为一种重要的解救方法并未得到充分利用:采用系统综述和荟萃分析指南的首选报告项目完成了一项系统综述。从开始到 2021 年 3 月,检索了《国际农业和生物科学中心文摘》、《护理和联合健康文献累积索引》、Cochrane 图书馆、教育资源信息中心、谷歌学术、MEDLINE、PsycINFO、PubMed、《社会服务文摘》和《社会工作文摘》。纳入标准包括:体恤释放政策(或相关政策)在美国实施;报告了定性和/或定量结果;报告了原始数据:20 项研究形成了最终数据集。数据分析揭示了四大主题:语言障碍、资格标准的复杂性、对预后的过度依赖以及社会耻辱感。囚犯获得抚恤性释放政策的障碍包括政策文件中使用的不明确或技术性语言。全国各地的资格标准似乎各不相同,包括疾病预后和预测健康状况最终恶化的能力,这给囚犯、律师和审查委员会造成了困惑。围绕被监禁者权利的污名经常影响到政策制定者,他们迫于压力,不得不保持惩罚性立场以安抚选民,从而阻碍了促进被监禁者获释的政策和干预措施:进一步的研究对于加强了解体恤释放政策以及与获得各类提前假释相关的障碍至关重要。为了促进这一边缘化人群的社会公正,需要对惩教机构中的临终干预措施进行持续评估,以改善对临终囚犯的护理:在惩教机构中,惩教医护人员应发挥不可或缺的作用,通过让监狱和医务人员了解如何有效支持这一弱势群体,影响他们对临终囚犯的态度。社会工作者应参与研究,重点关注惩教机构为囚犯提供富有同情心的临终关怀的有效指导方针:美国刑事司法系统中的种族差异非常普遍,而且有据可查,因为有色人种被逮捕的比例远远低于他们在美国所有人中所占的比例。因此,这一特殊人群在监狱中难以获得高质量的医疗保健服务。通过了解如何有效地为这一弱势群体提供支持,惩教保健工作者可以在影响政策制定者以及监狱和医务人员对濒死囚犯的态度方面发挥不可或缺的作用:目前,还没有公开发表的研究文章对美国的抚恤性释放政策进行系统回顾。
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引用次数: 0
Age and COVID-19 mortality in the United States: a comparison of the prison and general population. 美国的年龄与 COVID-19 死亡率:监狱与普通人群的比较。
IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-16 Epub Date: 2022-06-23 DOI: 10.1108/IJPH-08-2021-0069
Kathryn Nowotny, Hannah Metheny, Katherine LeMasters, Lauren Brinkley-Rubinstein

Purpose: The USA has a rapidly aging prison population that, combined with their poorer health and living conditions, is at extreme risk for COVID-19. The purpose of this paper is to compare COVID-19 mortality trends in the US prison population and the general population to see how mortality risk changed over the course of the pandemic. The authors first provide a national overview of trends in COVID-19 mortality; then, the authors assess COVID-19 deaths among older populations using more detailed data from one US state.

Design/methodology/approach: The authors used multiple publicly available data sets (e.g. Centers for Disease Control and prevention, COVID Prison Project) and indirect and direct standardization to estimate standardized mortality rates covering the period from April 2020 to June 2021 for the US and for the State of Texas.

Findings: While 921 COVID-19-related deaths among people in US prisons were expected as of June 5, 2021, 2,664 were observed, corresponding to a standardized mortality ratio of 2.89 (95%CI 2.78, 3.00). The observed number of COVID-19-related deaths exceeded the expected number of COVID-19-related deaths among people in prison for most of the pandemic, with a substantially widening gap leading to a plateau about four weeks after the COVID-19 vaccine was introduced in the USA. In the state population, the older population in prison is dying at younger ages compared with the general population, with the highest percentage of deaths among people aged 50-64 years.

Research limitations/implications: People who are incarcerated are dying of COVID-19 at a rate that far outpaces the general population and are dying at younger ages.

Originality/value: This descriptive analysis serves as a first step in understanding the dynamic trends in COVID-19 mortality and the association between age and COVID-19 death in US prisons.

目的:美国监狱人口迅速老龄化,加之他们的健康和生活条件较差,感染 COVID-19 的风险极高。本文旨在比较美国监狱人口和普通人口的 COVID-19 死亡率趋势,以了解死亡率风险在大流行期间的变化情况。作者首先概述了 COVID-19 死亡率的全国趋势;然后,作者利用美国一个州的更详细数据评估了老年人群中 COVID-19 的死亡情况:作者利用多个公开数据集(如美国疾病控制和预防中心、COVID 监狱项目)以及间接和直接标准化方法,估算了 2020 年 4 月至 2021 年 6 月期间美国和德克萨斯州的标准化死亡率:截至 2021 年 6 月 5 日,预计美国监狱中与 COVID-19 相关的死亡人数为 921 人,但观察到的死亡人数为 2,664 人,标准化死亡率为 2.89(95%CI 2.78,3.00)。在大流行的大部分时间里,观察到的COVID-19相关死亡人数超过了预期的COVID-19相关死亡人数,在美国引入COVID-19疫苗约四周后,两者之间的差距大幅拉大,最终达到一个高点。在州人口中,与普通人口相比,监狱中老年人的死亡年龄更小,其中 50-64 岁人群的死亡比例最高:被监禁者死于 COVID-19 的比例远高于普通人群,而且死亡年龄更小:这项描述性分析为了解美国监狱中 COVID-19 死亡率的动态趋势以及年龄与 COVID-19 死亡之间的关联迈出了第一步。
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引用次数: 0
期刊
International Journal of Prisoner Health
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