Search results

The purpose of this paper is to assess the level of perceived health and quality of life of elderly prisoners in France, and to see whether there is a link between aging, time spent in prison and level of education and scores for perceived health and quality of life.

The authors’ recruited 138 male prisoners aged 50 and over in seven French prisons. The research protocol comprised a semi-structured interview and two scales.

The results revealed low levels of perceived health and quality of life among the elderly inmates. They also showed that age was not statistically associated with most of the dimensions of perceived health on the Nottingham Health Profile (NHP), with the exception of poor mobility. By contrast, age was statistically associated with most of the dimensions of quality of life on the WHOQOL-Bref. Time spent in prison was only associated negatively with the “sleep” dimension of the NHP. Emotional reactions were perceived most positively by the inmates with the highest level of education.

It seems particularly important to assess the perceived health and quality of life of elderly prisoners in order to ensure their appropriate treatment and management.

Very few studies have examined the perceived health and quality of life of prisoners, even though this population is particularly vulnerable in terms of physical and mental health.

This chapter reviews a recent study that explores the perception of adult convicted prisoners and ex-prisoners in Sri Lanka regarding their use of prison libraries. How prison officials, particularly rehabilitation officers and counselors see the presence of a prison library in the rehabilitative process is also examined. This chapter focuses mainly on the perceptions, feelings and emotions associated with using the prison library by Sri Lankan prisoners and ex-prisoners during their incarceration.

Information poverty is often common among prisoners as most are illiterate and are deprived of freedom due to their imprisonment. The role of a prison library in the rehabilitative process is highly commendable. A review of related literature, semi-structured interviews, and life histories with inmates at four closed prisons in Sri Lanka and ex-prisoners and observation on Sri Lankan prison libraries found that prisoners and ex-prisoners see prison libraries as important in meeting their diverse information needs, assisting them to spend their time effectively during incarceration, and to overcome stress while enhancing their well-being by reading. This chapter also stresses the importance of a well-established prison library and the effective delivery of library services for desistance from crime. However, the majority of prison officials do not see the importance of a prison library in the rehabilitative process. Drawbacks and potential of prison libraries and several implications for practice are also elaborated in this chapter. Such implications will be of interest to prison administrators and library professionals.

This review integrates and builds linkages among existing theoretical and empirical literature from across disciplines to further broaden our understanding of the relationship between inequality, imprisonment, and health for black men. The review examines the health impact of prisons through an ecological theoretical perspective to understand how factors at multiple levels of the social ecology interact with prisons to potentially contribute to deleterious health effects and the exacerbation of race/ethnic health disparities.

This review finds that there are documented health disparities between inmates and non-inmates, but the casual mechanisms explaining this relationship are not well-understood. Prisons may interact with other societal systems – such as the family (microsystem), education, and healthcare systems (meso/exosystems), and systems of racial oppression (macrosystem) – to influence individual and population health.

The review also finds that research needs to move the discussion of the race effects in health and crime/justice disparities beyond the mere documentation of such differences toward a better understanding of their causes and effects at the level of individuals, communities, and other social ecologies.

The purpose of this paper is to develop and evaluate the Standards of Healthcare Facility for Thai Female Inmates (SHF-TFI) through healthcare service improvement.

This research and quality improvement project was comprised of three phases. Surveying healthcare facilities and in-depth interviews with female inmates as well as prison nurses were employed in Phase I. Expert reviews and public hearing meetings were used for developing the SHF-TFI in Phase II. Satisfaction questionnaires, focus group interviews of the female inmates, and in-depth interviews with nurses and prison wardens were utilized to evaluate feasibility and effectiveness of SHF-TFI implementation in Phase III.

The SHF-TFI was elaborated in order to be more specific to the context of the correctional institutes and correspond with healthcare as to the needs of female inmates. It was divided into three main aspects: administrative standards, health service standards and outcome standards. After implementation, nurses reflected on the feasibility and benefits of the SHF-TFI on the organizations, inmates and nurses. The female inmates perceived remarkable improvement in the healthcare services including physical activity promotion and screening programs for non-communicable diseases, the physical environment and sufficiency of medical equipment. Moreover, the pregnant inmates and incarcerated mothers with children shared their views on better antenatal and child developmental care, as well as availability of baby supplies.

The findings support the feasibility and effectiveness of the SHF-TFI for quality care improvement and applicability of the Bangkok Rules in women’s correctional institutes.

Despite the volumes that have been written on America's correctional crisis – the peerless incarceration rate, disproportionate confinement of minority group members and democratically untenable policies of disenfranchisement of people with felony convictions – criminal justice policy has changed little within the past decade or more. An important voice has been left out of these correctional policy formulations – that of prisoners. This paper proposes convict labor unions as one way to address this issue. It utilizes the United States Supreme Court majority's arguments in Jones v. North Carolina to assess the feasibility of inmate labor unions in light of current federal, state and local institutional operations; and provides a very tentative outline of how a prisoners’ labor union could be structured and function – exploring the potential democratic ramifications of such unions for corrections and in broader social policy.

This study aims to determine the association between prison circumstances, perceived family support and sleep quality among male inmates at the Ibara prison, Ogun State.

It was a cross-sectional study of 300 male inmates interviewed with socio-demographic proforma and Pittsburgh sleep quality index.

While all respondents described the prison as being overcrowded, half of them used inappropriate sleeping materials daily and 41.4% decried a very noisy environment at night. Twenty-seven percent of the respondents described poor family support while 47.3% experienced poor sleep quality. Though nature of sleeping material and self-awareness of sleep problem were associated with poor sleep quality, no predictor of the latter was identified.

The study was conducted among males only because of the relative dominance of the male gender in the prison population. This makes analysis of gender difference impossible. Furthermore, sleep studies may be preferred over reports by some sleep experts.

Findings from this study may culminate in taking steps to improve the Nigerian prison conditions as well as the prisoner’s welfare.

Developing support group for relatives of inmates may be a focus of social intervention for these inmates. Also, inmates with good sleep quality are likely to partake effectively in the prison reformation programmes and may not self-medicate with sedatives.

This study provides a scholarly documentation of the state of Nigerian prisons; inmates’ perception of family support; prevalence and correlates of poor sleep quality among a group of male inmates.

The growing numbers of terminally ill and dying in prison has high economic and moral costs as global correctional systems and the society at large. However, to date little is known about the extent to which palliative and end-of-life care is infused within global prison health care systems. The purpose of this paper is to fill a gap in the literature by reviewing and critically appraising the methods and major findings of the international peer-reviewed literature on palliative and end-of-life care in prison, identify the common elements of promising palliative and end-of-life services in prison, and what factors facilitate or create barrier to implementation.

A content analysis was conducted of the existing peer-reviewed literature on palliative and end-of-life care in prison. English-language articles were located through a comprehensive search of peer-reviewed journals, such as Academic Search Premier Literature databases using differing combinations of key word search terms, “prison,” “palliative care,” and “end-of-life care.” A total of 49 studies published between 1991 and 2013 met criteria for sample inclusion. Deductive and inductive analysis techniques were used to generate frequency counts and common themes related to the methods and major findings.

The majority (n=39) of studies were published between 2001-2013 in the USA (n=40) and the UK (n=7). Most were about US prison hospice programs (n=16) or barriers to providing palliative and end of life care in prisons (n=10). The results of the inductive analysis identified common elements of promising practices, which included the use of peer volunteers, multi-disciplinary teams, staff training, and partnerships with community hospices. Obstacles identified for infusing palliative and end-of-life care in prison included ethical dilemmas based on custody vs care, mistrust between staff and prisoners, safety concerns, concern over prisoners’ potential misuse of pain medication, and institutional, staff, and public apathy toward terminally ill prisoners and their human rights to health in the form of compassionate and palliative care, including the use of compassionate release laws.

Implications for future research that foster human rights and public awareness of the economic and moral costs of housing the sick and dying in prisons. More research is needed to document human rights violations as well as best practices and evidence-based practices in palliative and end-of-life care in prisons. Future studies should incorporate data from the terminally ill in prison, peer supports, and family members. Future studies also should employ more rigorous research designs to evaluate human rights violations, staff and public attitudes, laws and policies, and best practices. Quantitative studies that use experimental designs, longitudinal data, and multiple informants are needed. Qualitative data would allow for thick descriptions of key stakeholders experiences, especially of the facilitators and barriers for implementing policy reform efforts and palliative care in prisons.

This review provides a foundation on which to build on about what is known thus far about the human right to health, especially parole policy reform and infusing palliative and end-of-life care for the terminally ill and dying in prisons. This information can be used to develop or improve a new generation research, practice, policy, and advocacy efforts for that target terminally ill and dying in prison and their families and communities.

There are significant social implications to this review. From a human rights perspective, the right to freedom from torture and cruel and unusual punishment is a fundamental human right along with prisoners’ rights for an appropriate level of health care. These rights should be guaranteed regardless of the nature of their crime or whether they are in a prison placement. The information provided in this review can be used to educate and possible transform individual's and society's views toward the terminally ill and dying who are involved in the criminal justice system.

This paper extends the extant literature by using both quantitative and qualitative analysis methods to organize, summarize, and critically analyze the international literature on palliative care and end of life care in prison. This review is designed to increase awareness among the international community of the pain and suffering of the terminally ill in prison and the facilitators and barriers to providing them compassionate care while in custody.

Developing interventions in challenging contexts should imply proper discussion from its theoretical framework to implementation details. The purpose of this paper is to examine health promotion in prison settings as a mean of improving inmates’ rights concerning physical/emotional well-being, empowering inmates both to reclusion and re-entry challenges.

The development of a health promotion program, implemented in a prison setting with an initial group of 11 inmates, is described. The program design followed professionals’ and inmates’ inputs and previous similar interventions taking a peer education, community-based and participative approach.

Although some prison settings present major constraints to interventions’ development, the authors were able to perform the program and reinforced the idea that prisons can and should be health-promoting contexts. The authors found several specific needs that must be addressed when people are under custody, if we want imprisonment to be developmental instead of detrimental experiences.

As a single-year-funded program, its replication and valid evaluation were enabled. Being external to the system also complicated the process agility, and conditioned inmates’ selection and compliance.

This paper promotes a best-practices forum in this issue; it addresses prison health agents’ training, who may assume an institutional essential role; it concerns inmates’ rehabilitation and ultimately, community health and safety.

The use of a peer education approach in these contexts is an innovative feature, since it has been developed in other institutional contexts and social groups. Nevertheless, the authors maintain the strong adequacy of this methodology to work with inmates and inside prison settings.

Background. High and variable rates of attendance at GP consultations in prisons are observed. The aim of the study is to have a clearer understanding of social factors influencing inmates’ help‐seeking behaviour and demand for primary health care. Methods. A qualitative study was carried out in five Belgian prisons (three Dutch‐speaking and two French‐speaking). Twenty‐five male inmates were interviewed face‐to‐face and 18 caregivers (7 nurses and 11 GPs) in focus groups. Results. Five main social factors explain inmates’ help‐seeking behaviour and demand for primary health care: (1) inmates’ negative perception of imprisonment increases help‐seeking behaviour; (2) inmates use their rights to health care as strategies to maintain some form of control over their lives; (3) the doctor’s role distorts expression of need and demand; (4) health professionals’ control over inmates’ lives creates mistrust and a controlling therapeutic relationship; and (5) lack of alternatives to health care. These factors are mutually dependent and cause a confrontation in the inmates’ and clinicians’ agendas. Conclusion. The most important recommendation is to understand what the inmates are really seeking in their demands. This information can be used to develop appropriate alternatives in terms of human support and well‐being facilities. The therapeutic and security roles of health care workers should be separated, in order to increase the trust that is central to the therapeutic relationship between them and inmates.