Care and Custody in a Pennsylvania Prison
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Medical Care Provided in State Prisons – Study of the Costs
Medical Care Provided in State Prisons – Study of the Costs Joint Commission on Health Care October 5, 2016 Meeting Stephen Weiss Senior Health Policy Analyst 2 Study Background • By letter to the JCHC Chair, Delegate Kory requested that the Commission: ▫ Study medical care provided in State prisons Specifically, study or evaluate the costs to the state for prisoner medical care provided by the Commonwealth while inmates are incarcerated, especially costs for pharmaceutical products • The Study was approved by the JCHC members during the May 26, 2016 work plan meeting 3 Virginia Department of Corrections (VADOC) Legal Obligation to Provide Health Care to Offenders By law VADOC is required to provide adequate health care to incarcerated offenders (U.S. Const. Amend. VIII; §53.1-32, Code of Virginia). Adequate health care was defined by the United States Supreme Court beginning in 1976 (Estelle v. Gamble, 429 U.S. 97, 97 S.Ct. 285). The definition encompasses the idea of providing incarcerated offenders with a “community standard” of care that includes a full range of services. The courts identified three rights to health care for incarcerated offenders: • The right to have access to care; • The right to have care that is ordered by a health care professional • The right to professional medical judgment* On July 12, 2012 a class action lawsuit was filed in federal court against VADOC over medical care at Fluvanna Correctional Center for Women. The lawsuit was settled through a Memorandum of Understanding on November 25, 2014. The settlement agreement was approved by the court in February 2016. The agreement includes the hiring of a compliance monitor and continued court supervision of the agreement. -
Healthcare in Prison Fact Sheet
Healthcare in Prison Prisoners should have the same access to healthcare as everyone else. This factsheet looks at what healthcare you should get if you are in prison. And at what to do if you are not getting the help you need. • You might go into prison because you have been given a prison sentence by a court. Or because you are waiting for a court hearing. This is sometimes called being ‘on remand'. • There are services that can help you while you are in prison, if you think you might need help for your mental health. • You have the same right to healthcare services as everyone else. Some prisons have a healthcare wing. You might go there if your health is very bad. • If you are too unwell to stay in prison, you could be transferred to hospital for specialist care under the Mental Health Act 1983. • Most prisons have 'Listeners'. You can talk to them if you need support. Or you can talk to the Samaritans. • There are services that can help you if you have problems with drugs or alcohol. • It is important that you get support when you are released from prison. The prison should help with this. This factsheet covers: 1. How common is mental illness in prisons? 2. What happens when I go into prison for the first time? 3. What help can I get? 4. Does the Care Programme Approach (CPA) apply in prison? 5. What other support is there for mental illness? 6. What support might I get if I use drugs or alcohol? 7. -
Financial Barriers and Utilization of Medical Services in Prison: an Examination of Co- Payments, Personal Assets, and Individual Characteristics Brian R
Journal for Evidence-based Practice in Correctional Health Volume 2 | Issue 1 Article 4 November 2018 Financial Barriers and Utilization of Medical Services in Prison: An Examination of Co- payments, Personal Assets, and Individual Characteristics Brian R. Wyant PhD La Salle University, [email protected] HFoolllolyw M thi. Hs aarndne radditional works at: https://opencommons.uconn.edu/jepch La SaPllear tU ofniv theersityC, hraiminorner@lloasgalyle C.eduommons, Health Services Research Commons, Inequality and Stratification Commons, and the Social Control, Law, Crime, and Deviance Commons Dr. Brian Wyant is an Associate Professor in the Department of Sociology and Criminal Justice at the La Salle University. He earned his PhD in criminal justice from Temple University in 2010. His publications have appeared in the Journal of Research in Crime and Delinquency, Justice Quarterly, Criminology, Qualitative Health Research and Social Science Research. Current and recent work has examined financial stressors for incarcerated individuals and an evaluation of the Inside-Out Prison Exchange Program. Dr. Holly Harner, Ph.D., MBA, MPH, CRNP, WHCNP-BC, is currently the Associate Provost for Faculty and Academic Affairs and an Associate Professor of Public Health at La Salle University. She is a former Postdoctoral Research Fellow at the Center for Health Equity Research at the University of Pennsylvania School of Nursing. Her research interests include gender-related health disparities with a specific mpe hasis on incarcerated women. Recommended Citation Wyant, Brian R. PhD and Harner, Holly M. (2018) "Financial Barriers and Utilization of Medical Services in Prison: An Examination of Co-payments, Personal Assets, and Individual Characteristics," Journal for Evidence-based Practice in Correctional Health: Vol. -
A Comparative Analysis of the Treatment of Transgender Prisoners: What the United States Can Learn from Canada and the United Kingdom
Emory International Law Review Volume 35 Issue 1 2021 A Comparative Analysis of the Treatment of Transgender Prisoners: What the United States Can Learn from Canada and the United Kingdom Stephanie Saran Rudolph Follow this and additional works at: https://scholarlycommons.law.emory.edu/eilr Recommended Citation Stephanie S. Rudolph, A Comparative Analysis of the Treatment of Transgender Prisoners: What the United States Can Learn from Canada and the United Kingdom, 35 Emory Int'l L. Rev. 95 (2021). Available at: https://scholarlycommons.law.emory.edu/eilr/vol35/iss1/4 This Comment is brought to you for free and open access by the Journals at Emory Law Scholarly Commons. It has been accepted for inclusion in Emory International Law Review by an authorized editor of Emory Law Scholarly Commons. For more information, please contact [email protected]. SARAN_1.7.21 1/7/2021 3:29 PM A COMPARATIVE ANALYSIS OF THE TREATMENT OF TRANSGENDER PRISONERS: WHAT THE UNITED STATES CAN LEARN FROM CANADA AND THE UNITED KINGDOM INTRODUCTION On September 29, 2015, in the early evening, 27-year-old transgender inmate Adree Edmo composes a note.1 “I do not want to die, but I am a woman and women do not have these.”2 She wants to be clear that she is not attempting suicide and leaves the note in her prison cell.3 She opens a disposable razor and boils it to disinfect it; she scrubs her hands.4 Then, “she takes the razor and slices into her right testicle with the blade.”5 This is only the first of Adree’s self- castration attempts, and while there -
Telemedicine in Corrections Cost-Effective, Safer Way to Provide Timely Healthcare to Prison Inmates
Telemedicine in Corrections Cost-effective, Safer Way to Provide Timely Healthcare to Prison Inmates Transforming Healthcare Globally™ Telemedicine in Corrections The Challenge Healthcare for inmates of federal and states prisons in the United States is costly. Healthcare and corrections are growth areas in spending and compete for stagnant 7.7 Billion state revenues. According to Bureau of Justice Statistics, $7.7 billion of an overall $38.6 billion spent on for inmate healthcare corrections in 2011 (the latest year figures are available) went for inmate healthcare. In the state of Texas, known for its “wide-open spaces,” there are 31 state prison facilities, operated by the Texas Department of Criminal Justice (TDCJ). Although the TDCJ mission statement does not mention healthcare, a 1976 U.S. Supreme Court ruling (Estelle v. Gamble1) affirmed that all inmates are guaranteed access to basic healthcare services. The high court has long recognized that prisoners have a constitutional right to adequate health care through the Eighth Amendment’s ban on “cruel and unusual” punishment. In the wake of that decision, Texas set up a unique collaboration coordinated by the Correctional Managed Health Care Committee (CMHCC). This includes the TDCJ and two of the state’s leading health sciences centers: Texas Tech University Health Sciences Center (TTUHSC) and the University of Texas Medical Branch (UTMB). The primary purpose of this partnership is ensure that inmates at Texas prisons have access to quality healthcare while managing costs. Texas has one of the highest incarceration rates in the United States. Nearly 150,000 inmates are serving time in Texas prisons which – for the most part - are in outlying areas. -
PROVIDING HEALTHCARE in the PRISON ENVIRONMENT What Services Belong Behind Bars and What Services Belong in the Community Setting?
PROVIDING HEALTHCARE IN THE PRISON ENVIRONMENT What services belong behind bars and what services belong in the community setting? DAVID REDEMSKE, ASHE, CCHP Principal, Health Planning ACKNOWLEDGMENTS This project would not have been possible without the support of HDR leadership, the HDR Fellowship Committee and the Fellowship Committee Chairman, Michael Schneider. I am especially indebted to Jeri Brittin for her support and suggestions when I was applying for the Fellowship; to Hank Adams and Roger Stewart for being my sponsors for this Fellowship; and to Scott Foral, Erik Carlson, and Jim Atkinson for allowing me to pursue this Fellowship as a full-time project. I am grateful to all of those who I have had the pleasure to work with throughout this project. To Troy Parks for being a sounding board and copy editor for some of my early studies and drafts; to Carol O’Donnell for copy editing of the full document; and to Matthew Delaney for his amazing graphics and document assembly. Nobody has been more important to me throughout this Fellowship than Francesqca Jimenez. She has been my teacher, my advisor, and my main sounding board during this study. Without her guidance and support, this document would not be as complete and comprehensive as it is. ABSTRACT ABSTRACT BACKGROUND METHODS CONCLUSION While there are numerous built environmental A systematic literature review including key There is no “one-size-fits-all” answer to the models for prisoner health care, little has word searches of multiple relevant databases, question of where the best location is to been done to assess the models to see if a title and abstract reviews, and the full text provide care for prison inmates. -
A Complete Guide to Correctional Telemedicine
A Complete Guide to Correctional Telemedicine Providing Smarter Care and Controlling Costs n the United States, one group of citizens has a Iconstitutional right to healthcare: prisoners. In Estelle v. Gamble in 1976, the U.S. Supreme Court ruled that inmates have the right to adequate medical care while incarcerated. The Court reasoned that deliberate indifference to an inmate’s illness violates the Eighth Amendment, which bans “the unnecessary and wanton infliction of pain” as punishment for crimes. Ever since, the billion-dollar corrections healthcare field has tried to provide inmate care through several models. Some prisons provide only basic outpatient services while others have specialized units for inmates requiring recurring care like kidney dialysis. While some facilities hire their own on-site clinicians, many contract with private companies or academic medical centers to provide Medical services. But regardless of which care model prisons adopt, most are embroiled in ongoing struggles. The American Civil Liberties Union and prisoner rights groups have filed lawsuits over the lack of timely medical and behavioral healthcare for inmates. Media stories about inmate deaths or neglect spark public outrage. What isn’t as public are the complex challenges that can make providing inmate care difficult, expensive and dangerous. Correctional Healthcare Challenges Inmates need more extensive Prisons are ground zero for the But prisons are designed with care than the general population. opioid epidemic and mental health captivity in mind – not care. Many prisoners already have chronic crisis. People having a psychotic Unintentionally, jails and prisons have conditions and infectious diseases on break or behavioral health crisis become the central healthcare hub for the first day of their sentences, thanks often encounter police before doctors the disadvantaged, the addicted and to inadequate preventive and primary – which means many end up in jail the mentally ill. -
Acres of Skin
J7ournal ofMedical Ethics 1999;25:353-358 J Med Ethics: first published as 10.1136/jme.25.4.353 on 1 August 1999. Downloaded from Book reviews Acres of Skin Nazi reference is convenient but slip- be judged inadequate. In general the shod. At the centre of Nazi transgres- prisoners were so attracted by the sion was a public policy-enforced by compensation that, after twenty years Allen M Hornblum, New York and a ruthless dictator-which declared of experimentation the participants London, Routledge, 1998, 297 pages, whole subgroups within human soci- were angry when two of their col- £19.99. ety to have "lives not worth living". leagues testified against the experi- The willing complicity of many Ger- ments before congress (page 198). Acres of Skin presents an angry, mans and German physicians with However imperfect the consent might distressing and provoking description these policies remains a huge warning have been, we must conclude that of human experimentation within the to all of us. Nevertheless, it was in the consent was obtained for these experi- American prison system. Specifically, context of the totalitarian govern- ments. it focuses upon experiments con- ments that the great transgressions Hornblum suggests that many pris- ducted by investigators from the Uni- against human dignity occurred in the oners were injured by their participa- versity of Pennsylvania at the nearby Holmesburg Prison, from 1951 until twentieth century. In Nazi Germany tion, but does not objectively docu- experiments designed to involve severe ment the extent and seriousness of 1974. The research was halted follow- ing congressional hearings in 1973 suffering, often to end in the death of such injuries. -
Naturalnews.Com Printable Article Vaccines and Medical Experiments
Vaccines and Medical Experiments on Children, Minorities, Woman and Inmates (1845 - ... Page 1 of 17 NaturalNews.com printable article Originally published December 14 2007 Chronic Back Pain Relief Are you HIV Positive? HCV and HIV Positive? New Breakthrough FDA Cleared Non Take a quick survey, compare yours to Learn About What's New in Liver Disease Surgical Pain Relief, no Down Time people just like you. Join Free! Research by Contacting NIH www.SeattleBackPain.com www.patientslikeme.com www.niaid.nih.gov/ Vaccines and Medical Experiments on Children, Minorities, Woman and Inmates (1845 - 2007) by Mike Adams, NaturalNews Editor Think U.S. health authorities have never conducted outrageous medical experiments on children, women, minorities, homosexuals and inmates? Think again: This timeline, originally put together by Dani Veracity (a NaturalNews reporter), has been edited and updated with recent vaccination experimentation programs in Maryland and New Jersey. Here's what's really happening in the United States when it comes to exploiting the public for medical experimentation: (1845 - 1849) J. Marion Sims, later hailed as the "father of gynecology," performs medical experiments on enslaved African women without anesthesia . These women would usually die of infection soon after surgery. Based on his belief that the movement of newborns' skull bones during protracted births causes trismus, he also uses a shoemaker's awl, a pointed tool shoemakers use to make holes in leather, to practice moving the skull bones of babies born to enslaved mothers ( Brinker ). (1895) New York pediatrician Henry Heiman infects a 4-year-old boy whom he calls "an idiot with chronic epilepsy" with gonorrhea as part of a medical experiment ( "Human Experimentation: Before the Nazi Era and After" ). -
IN Support of Prisoner Participation in Clinical Trials
.. Beneficial and Unusual Punishment: An Argument IN Support of Prisoner Participation IN Clinical Trials Sharona Hoffman* Introduction Until the last few decades of the Twentieth Century, prisoners were widely used in biomedical experimentation in the United States.' Prisoners served as test subjects for substances ranging from perfume, soap, and cosmetics, to dioxin, psychological warfare agents, and radioactive isotopes.^ By 1 969, eighty-five percent of new drugs were tested on incarcerated persons in forty-two prisons,^ and prisoners in the United States were even utilized to test drugs for researchers in other countries."* In the following decade investigations revealed that prisoners who were the subjects of clinical research often suffered serious adverse consequences and severe abuses. Allen Homblum, who, in his book Acres ofSkin, wrote a moving expose of medical research that was conducted in one prison, stated in an early chapter: For two decades—from the early 1950s to the early 1970s—Philadelphia's Holmesburg Prison played host to one of the largest and most varied medical experimentation centers in the country. Only the inmates, and the doctors who experimented on them, know just exactly what took place, but whereas the latter choose not to discuss their earlier medical exploits, the prisoners are not asked. In that respect, Holmesburg is little different from the dozens of other institutions that contained vulnerable populations and [sic] were exploited in the name of scientific advancement. This sad but wide-spread twentieth-century phenomenon has much to teach us about our ethical standards and our capacity for human compassion.^ In light ofthe discovery of severe research abuses, several entities, including the Federal Bureau of Prisons, the American Correctional Association, and the * Assistant Professor of Law, Case Western Reserve University School of Law. -
Jailed and Homeless
Homeless and Jailed: Jailed and Homeless The John Howard Society of Toronto August 2010 Acknowledgements We are indebted to the many inmates who answered our questions for no recompense than to contribute to this report. We also wish to express our appreciation to the following people for their kind assistance in this study: Gregory Brown and Lina Guzzo, Correctional Services Research Committee Kathy Underhill, Supervisor, Statistics, Community Safety and Correctional Services John Howard Society of Ontario staff Lori Shank and Records Department staff, Toronto East Detention Centre Aldene Buchanan, Toronto West Detention Centre Mariann Taylor-Baptiste, Sheri Murphy, and Jim Aspiotis, Toronto Jail Rhonda Frank, Janette Gauthier, and Glen Maitland, Maplehurst Correctional Centre Gary Reist, Executive Director, John Howard Society of Peel-Halton-Dufferin Kathryn Lynch, John Howard Society of Peel-Halton-Dufferin Harvey Low, Acting Manager, Social Research & Analysis Unit, City of Toronto Tony Doob, Professor, University of Toronto Paula McLellan, Program Manager, Toronto Bail Program Cameron Brown, Program Director, Toronto Bail Program Advisory Committee The following members of the Advisory Committee were selected for their various forms of expertise and provided critical assistance with research design, interpretation of results, and development of recommendations: Greg Rogers, Executive Director, John Howard Society of Toronto Pat Larson, Nurse Practitioner, Sherbourne Health Centre Victor Willis, Executive Director, Parkdale Activity and Recreation Centre Stephen Gaetz, Professor, York University John Sewell, Co-ordinator, Toronto Police Accountability Coalition Frances Sanderson, Executive Director, Nishnawbe Homes Boris Rosolak, Toronto Shelter, Support and Housing Administration, City of Toronto Funders and Contributors This research was made possible with funding from the Homelessness Partnering Secretariat of Human Resources and Development Canada under the Homelessness Knowledge Development Program (HKDP). -
Cultural Landscape Report for Fort Mchenry National Monument and Historic Shrine
National Park Service U.S. Department of the Interior CULTURAL LANDSCAPE REPORT FOR FORT MCHENRY NATIONAL MONUMENT AND HISTORIC SHRINE SITE HISTORY, EXISTING CONDITIONS AND ANALYSIS CULTURAL LANDSCAPE REPORT FOR FORT MCHENRY FORT M C H ENRY N ATIONAL M ONUMENT AND HISTORIC S HRINE Prepared by: Mark Davison, Historical Landscape Architect, Olmsted Center for Landscape Preservation Eliot Foulds, Historical Landscape Architect, Olmsted Center for Landscape Preservation August 2004 CULTURAL LANDSCAPE REPORT FOR FORT MCHENRY NATIONAL MONUMENT AND HISTORIC SHRINE The Olmsted Center for Landscape Preservation promotes the preservation of significant landscapes through research, planning, stewardship, and education. The Center accomplishes its mission in collaboration with a network of partners including national parks, universities, government agencies and private nonprofit organizations. Olmsted Center for Landscape Preservation 99 Warren Street Brookline, Massachusetts 02445 617.566.1689 www.nps.gov/frla/oclp.htm Publication Credits: Information in this report may be copied and used with the condition that credit be given to the authors, and the Olmsted Center for Landscape Preservation. This report has been prepared for in-house use, and will not be made available for sale. Photographs and graphics may not be reproduced for re-use without the permission of the owners or repositories noted in the captions. Cover Photo: Fort McHenry and Patapsco River, looking east, by the authors, July 2003. NPS / FOMC - D62 August. 2004 ii CONTENTS LIST OF