- Poor health in the general population – look at social influences.
- W-H-O –Create a whole climate – look at personal safety, dignity – include
- Prisons in England and Whale is the most overcrowded and rarely take care of
- Denying them their basic needs
- Deprive prisoners of their liberty – cause psychological distress.
- Many prisoners come in with mental and physical illnesses
o More likely resort to drug misuses and self-harm and disorderly conduct.
- Imprisonment can bring harm to prisoners whether a direct physical assault and
injuries or more insidious (spreading harm in a subtle way) impacts on mental
and social well-being. (affects u physically mentally and socially).
- Overcrowded conditions with poor facilities, few opportunities, high levels of
stress and increased surveillance and control their health is likely to suffer.
- We put them in prison and pile all this other shit on top of it (cloes words :P )
How long is to long
- Sentence crimes not criminals
- Some sentences too harsh.
- Rob the person who makes the sentence of their discretion.
- Mandatory sentences hit minorities harder than white people.
o Ex. Crack only found in poorest communities.
- Keeping drug offenders longer than violent offenders in jail.
- Minimum sentences are bad, affect minorities, minor criminals and make drug offenders
in jail longer
Crisis in Corrections - America has the highest rate in incarceration
- Doubled since 1980
- 40 states are under court order.
- ¼ black males between 20-29 the correctional system
- Mandatory minimum sends first time offenders to prison and gives them longer
- Decline in rehab so recidivism on the rise.
- We don’t do anything to prevent crime – we aren’t dealing with the problem
- We face a future where prisons will have to be reserved for the worst criminals
- We need to find a solution for addicted inmates.
- Prison rates are increasing, prisoners have more problems and the correctional facilities
aren’t doing anything about it.
TB management in prisons revisited
- Contracting tb should not be part of the prisoners punishment.
- TB is high in prison and can lead to death
- Major health issue in the prison world – way higher than in the community.
- Get it in jail and spread it to the community – through visitors to families.
- Tb is a disease of poverty – belong to minority groups.
o Enter prison with a higher risk of disease.
- Overcrowded prison facilitate the spread of TB – no ventilation
- Environment affects their immune system.
- Prisons should be able to be provided for in separate quarters – but this won’t happen
due to overcrowding.
- You never know where you got the TB due to being around so many people all the time.
- Prisoners are allowed visitors at anytime even if they are contagious.
- Prisoners don’t seek medical help and don’t know they have it so they spread it.
- Sometimes they need to pay for treatment and cant afford it o Leads to a very late diagnoses
- They self-medicate and may develop resistant strains.
- Some people fake the symptoms
- After they get out of prisons its hard for them to continue treatment.
o They need to continue but sometimes they cant
- Sometimes the prison systems are reluctant to start treatment if ur going to be out soon.
- Drugs have many side effects making some prisoners not want to take it.
- If your punished (in the hole) you cant get treatment
- Cant get transportation to get treatment in another facility.
- Sometimes they sell their drugs (treatment drugs)
- Need high energy food while on the drugs which they don’t get in the prison.
- There should be a health education program in the prisons to teach them what they have
and how to treat it.
- Prison staff don’t use medical masks properly or don’t use one at all – can spread to
- You can get TB with HIV
Its really easy to get TB, hard to get treatment or you cant continue treatment. Spreads easily
within the prison.
Criminal justice policies
- To improve prison health is to reduce prison population
- One prison was so packed showered counted be use.
- Not crime that changing but the politics.
- Prisons have grown to bring in more poor people
- Since prisons are so unhealthy we should have other solutions such as restorative
- Giving the poor something to lose if they commit crime.
- No prisons are free of illegal drugs. - Needles are scarce.
- Should have a program for drug dependent prisoners.
- Needle exchange programs and way to clean needles.
- Commit crimes in order to buy drugs.
- DRUGS RUIN OUR LIVES (cloes words ;) )
Overcrowding affects our health, causes tension when social differences come up. Prison is a
dumping groups for the poor. A way to fix this is to have alternative and to give the poor
something to lose. Drugs cause many problems with the health in prison
Prisons as public health - New public health era
- Same diseases as community but higher proportions
- Nurses both health professionals and security – conflict of interests.
- Prisons make expensive use of health care.
- Less eligibility principle.
- Harm reduction programs – condoms and safe tattooing.
- Wider parole access to prisoners terminally ill (dying).
- Target to prison to be consumers of health.
- Healthisazion of actuarial justice = the goal is not to rehabilitate but to manage the risks.
o Indicate security level and conditions of parole.
o Not formally in use in the correctional system.
- Same issues as the community – hard to find specialist, hard to continue treatment.
- Inmates but put into isolation for rejection medication.
- Even if you want to take advantage of the health services you cant in the prison due to
lack of availabili