Search results

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.

Sub-Saharan African prisons have seen a substantial increase in women prisoners, including those incarcerated with children. There is very little strategic literature available on the health situation and needs of women prisoners and their circumstantial children in Malawi. The study aims to explore this issue.

A qualitative exploratory study using in-depth key informant interviews with senior correctional stakeholders (commissioner of prison farms, senior correctional management staff, senior health officials and senior officers in charge) (n = 5) and focus group discussions (FGD) with women in prison of age between 18 and 45 years (n = 23) and two FGD with correctional staff (n = 21) was conducted in two prisons in Malawi, Chichiri and Zomba. Narratives were transcribed and analysed using thematic analysis.

Three key themes emerged and are as follows: “hygiene and sanitary situation across multiple prison levels and subsequent health implications for women”; “nutritional provision and diets of women and children in prison”; and “women’s access to prison-based and external health services”. Divergence or agreement across perspectives around sanitation and disease prevention, adequacy of nutrition for pregnant or breast-feeding women, health status and access to prison-based health care are presented.

Garnering a contemporary understanding of women’s situation and their health-care needs in Malawian prisons can inform policy and correctional health practice change, the adaptation of technical guidance and improve standards for women and their children incarcerated in Malawi.

There is a strong need for continued research to garner insight into the experiences of women prisoners and their children, with a particular emphasis on health situation.

Incarcerated transgender women often require healthcare to meet their physical-, mental-, and gender transition-related health needs; however, their healthcare experiences in prisons and jails and interactions with correctional healthcare providers are understudied. The paper aims to discuss these issues.

In 2015, 20 transgender women who had been incarcerated in the USA within the past five years participated in semi-structured interviews about their healthcare experiences while incarcerated.

Participants described an institutional culture in which their feminine identity was not recognized and the ways in which institutional policies acted as a form of structural stigma that created and reinforced the gender binary and restricted access to healthcare. While some participants attributed healthcare barriers to providers’ transgender bias, others attributed barriers to providers’ limited knowledge or inexperience caring for transgender patients. Whether due to institutional (e.g. sex-segregated prisons, biased culture) or interpersonal factors (e.g. biased or inexperienced providers), insufficient access to physical-, mental-, and gender transition-related healthcare negatively impacted participants’ health while incarcerated.

Findings highlight the need for interventions that target multi-level barriers to care in order to improve incarcerated transgender women’s access to quality, gender-affirmative healthcare.

This study provides first-hand accounts of how multi-level forces serve to reinforce the gender binary and negatively impact the health of incarcerated transgender women. Findings also describe incarcerated transgender women’s acts of resistance against institutional and interpersonal efforts to maintain the gender binary and present participant-derived recommendations to improve access to gender affirmative healthcare for incarcerated transgender women.

The purpose of this chapter is to discuss the impact of COVID-19 on the invisible incarcerated women population who are convicted of a crime and serving a sentence in a residential correctional facility in the United States (US). Even though correctional populations have been declining in the past years, the extent of mass incarceration has been a significant public health concern even before the pandemic. Moreover, the global spread of COVID-19 continues to have devastating effects in all the world's societies, and it has exacerbated existing social inequalities within the US carceral complex.

We base our findings on data collection from two comparative clinical sociological garden interventions in a large Southeastern women's prison and a Midwestern residential community correctional facility for women. Both are residential correctional facilities for residents convicted of a crime. In contrast, in prison, women are serving longer-term sentences, and in the community corrections facility, women typically are housed for six months. We have developed and carried out educational garden programming and related research on both sites over the past two years and observe more closely the impact of COVID-19 on incarcerated women and their communities, which has aggravated the invisibility and marginalization of incarcerated women who suffered a lack of programming and insufficient research attention already before the pandemic.

We argue that prison gardens' educational programming has provided some respite from the hardships of the pandemic and is a promising avenue of correctional rehabilitation and programming that fosters sustainability, healthier nutrition, and mental health among participants.

Residential correctional facilities are distinctively sited to advance health equity and community health within a framework of sustainability, especially during a pandemic. We focus on two residential settings for convicted women serving a sentence in a prison or a residential community corrections facility that offers rehabilitation and educational programming. Women are an underserved population within the US carceral system, and it is thus essential to develop more programming and research for their benefit.

The Universal Declaration of Human Rights outlines fundamental protections for all human beings. Critically, such rights and protections are particularly applicable to those imprisoned throughout all carceral spaces: the right to physical security; freedom from torture and other cruel and unusual punishments; equal protection under the law; and a right to a community standard of living, including food, clothing, medical care, and social services. The need for special vigilance in applying these principles to justice settings for children and women entwined in these spaces has been met with the development and implementation of the United Nations Rules for the Treatment of Women Prisoners and Non-Custodial Measures for Women Offenders (2010) or the Bangkok Rules. These Rules provide for a women-centered approach to human rights within correctional environments. The Bangkok Rules are based on several dominant themes relevant to women in prison and additionally emphasize the importance of alternatives to custody. Since their adoption over 10 years ago, there has been clear progress in implementing and promoting the Bangkok Rules throughout Southeast Asia, as we will describe in this chapter. While we applaud these efforts, there is still much work to do within the region. We argue that attention is needed both within and outside of women’s prisons to expand the promise of the Bangkok Rules beyond current efforts. In our view, the attention inside prison walls must now turn to addressing intersections between gender and other marginalized statuses, ensuring all forms of safety, dignity, and respect. Outside prison, reform of egregious and punitive drug laws is essential. Equally important, is the critical need to develop a more robust response in terms of non-custodial measures and other non-prison-based responses to women in conflict with the law.

Purpose: This chapter illuminates the ways in which the coherent arrangements of prisons contribute to variation in implementation, functioning, and consequences of a purportedly gender neutral policy, the Prison Rape Elimination Act (PREA), between women’s and men’s prisons.

Methodology/Approach: Guided by grounded theory, two waves of qualitative interviews with inmates, staff, and volunteers at two Midwest women’s prisons were conducted for a total of 61 interviews. Interviews were supplemented with archival data obtained from state historical archives, news outlets, and the Iowa Department of Corrections, as well as participant observation of prisoner advocacy group meetings and the Iowa Board of Corrections’ meetings, and a content analysis of an online discussion forum for correctional officers.

Findings: We find that the gender subtext of prisons shapes the way the PREA is perceived and implemented. Overall, we argue that due to founding logics that differentially shaped the coherent arrangements of men’s and women’s prisons, blanket policies operate differently in these institutions. The gender subtext of prisons, specifically the structural arrangements and cultural processes within women’s and men’s prisons form different landscapes in which the PREA is perceived, enforced, and responded to.

Practical Implications: Given these findings, we call for gender-informed policy that takes gender subtext into account but that also avoids the trap of statistical discrimination present in some gender responsive policies.

Violence continues to escalate globally, despite efforts that are being made to curb it. Even though men constitute the majority of the perpetrators of violence, it is indisputable that some of the violence is also perpetrated by women. Qualitative in nature, this chapter is located within the interpretive research approach. Arguments made in this chapter are grounded in a socialist feminism approach, which foregrounds the importance of class and gender. Thus, this chapter drew from desk review and an empirical study conducted in Lesotho, utilising the Female Correctional Institution in Lesotho as the study site. The chapter explores women's perpetration of varied forms of violence. It aims at shedding more light on the drivers of violence perpetrated by women. The study unearthed that women's violence is mainly driven by poverty, gender inequalities, lack of social capital and self-defence. The author argues that future theoretical engagements and policy responses to women's violence could benefit from empirical evidence, which critically engages feminist approaches. The chapter is envisaged to contribute to the current debates on feminist approaches to women's violence.

The chapter “Books Open Worlds for People Behind Bars” by Gerhard Peschers gives an insight into library services in correctional facilities in Germany on different levels, ranging from local best practice examples (e.g., Berlin, Bremen, Dortmund, and Würzburg) via regional experiences – focusing on longstanding experiences in North Rhine-Westphalia, in particular the outstanding former Münster prison library which was awarded the German national Library Prize “Library of the Year 2007” – and nationwide subjects to grown internationality based on long-term integration into the library community. Fundamental issues include history and the legal basis of prison libraries as well as practical experiences on various levels of responsibility and its diverse scope of tasks, such as collection development, data processing, interior design, events, and cooperation with city libraries.

The outlook provides the state of play and the challenges regarding digitalization for the development of prison libraries.

Finally, the author’s dream of the book tree on the prison wall, which found international resonance, invites you to share the vision of dialog and tolerance across dividing walls.

The purpose of this paper is to apply a feminist perspective to the crisis in prison higher education in the US by exploring whether gender shapes access to on‐site, non‐occupational college programs in state prisons differently for women than for men.

The paper utilized a content analysis of official US state departments of correction websites and an email survey of state directors of education.

Findings show that while both women and men had little access to on‐site, non‐occupational college programming in the 2005‐2006 academic year, women in state prison had slightly greater access than men.

Theoretical implications of the findings include the importance of focusing a gender lens on correctional education programming, as well as the importance of extending analysis beyond gender alone towards an analysis of the intersections of gender, race, and class inequalities on access to prison higher education.

Practical implications include the identification of an emergent educational justice movement in the USA, and the presentation of exploratory data on the current college‐in‐prison programs useful for progressive activists, policymakers, correctional education administrators, equity scholars, and others interested in organizing around democratic access to postsecondary correctional education.

As there is little current research on college‐in‐prison programs in the US, and less on the gendered dimensions of program access, the paper makes an original valuable contribution to several literatures.

The purpose of this paper is to investigate changes in, and associations between, sense of coherence (SOC) and emotional distress in women who participated in an accredited motivational program (VINN) in correctional institutions in five countries.

A prospective study with a pre- and post-test design included 316 participants from Sweden, Estonia, Denmark, Russia and Norway. Global emotional distress was measured by the Hospital Anxiety and Depression Scale. SOC was measured using the 13-item Orientation to Life Questionnaire. One-way analysis of variance and multilevel regression models were used in the statistical analyses.

An increase in SOC was associated with a decrease in emotional distress. Emotional distress decreased significantly −3.80 points (95 percent CI (−4.61, −2.97)), and SOC significantly improved from pre- to post-measurement by 1.82 points (95 percent CI (0.72, 2.92)), regardless of country and correctional institution.

The results add new knowledge regarding a coherent theoretical foundation of a motivational program for women. The ability of a program promoting health is important for researchers, health-care workers and facilitators delivering programs for women in correctional facilities. An increase in SOC can act as a protective factor in order to manage stressors and risk factors among women serving in correctional facilities.

The present study indicates that enhancing women’s coping resources and providing income alternatives to crime is fundamental to their capacity to desist from criminal behavior.