A useful research resource and handy reference, this book discusses the many important ethical and legal issues that arise in the delivery of health care to prisoners at correctional facilities. It references national standards of professional practice as well as the advice of recognized experts. The mission of corrections is the care and custody of prisoners with a view to public safety within a place dedicated to punishment, while the mission of the medical and mental health professionals in a corrections facility is to care for the health and well-being of the prisoners. Both have a duty to provide care, but their differing roles and objectives give rise to ethical role conflict and disagreement regarding appropriate care strategies. Humane Health Care for Prisoners considers important ethical and legal issues that arise in the delivery of health care to prisoners, covering topics such as privacy, confidentiality, informed consent, extended isolation and solitary confinement, use of mace, strip searches and body cavity searches, and medical experimentation on prisoners as human subjects. It also considers participation by health care professionals in capital punishment, coerced substance abuse treatment, how much health care to provide, organizational structure and hierarchy, cooperation between correctional and health care staff, and the importance of recognizing mental illness as a chronic condition. This book is informative for professionals working in corrections facilities, such as physicians, psychiatrists, psychologists, nurses, wardens, jail administrators, sheriffs, and corrections officials, as well as legislators and decision makers, attorneys involved in correctional healthcare lawsuits, students of criminal justice, and those seeking to work in the field of correctional health care or in corrections. Additionally, students and professors of medical ethics will find this book helpful in illustrating real-life topics for research and discussion.
Each person confined in jails, prisons, and juvenile detention facilities must be afforded unimpeded access to needed health care. Such persons, without risk of interference or fear of reprisal, should be able to alert health care staff of a medical need, obtain a timely professional evaluation of that need, and receive treatment in the manner prescribed by a competent provider. Simply stated, no correctional officer should ever prevent, impede, or inhibit anyone from alerting a health care provider of a perceived need for health services, even though the officer may believe the request is trivial, fictitious, or undeserved. This book focuses on access to health care services by special populations in correctional institutions (women, youths, elderly, persons with dementia, and the terminally ill), which includes important information on privatization in corrections. The following topics are featured: the context, principles, balance and implications of correctional health care, including the recent detention of immigrants in the United States; the unimpeded access to care, enhancements, stress reductions, health literacy, culture, ethnicity, religion, intake health screening, medical clearance for transfer or release, medications and clinical appointments, emergency care services, special settings, copayments, and budgeting for health care services; privatization, contracts, evaluating bids, monitoring the contract, and minimizing adverse risks; special health concerns of incarcerated women, communicable disease, pregnancy-related concerns, aging, frailty, osteoporosis, mental health, cosmetic concerns, health education and job assignments; youth in corrections, hygiene, exercise, gender-specific needs of young women, informed consent, supervision of vulnerable youth, substance abuse treatment, and the community connection; special health needs and humane care and alternative care of the aging; the prevalence, person-centered care, elements of care, environment, restraints, visits, and the ethics of incarcerating persons with dementia. The book concludes with end-of-life care in prison, hospice, palliative care, and compassionate release. It will serve as an invaluable tool for correctional officers, health care providers, justice and legal professionals, social workers, mental health professionals, and counselors.
This book brings together the principles and practices of health care for incarcerated populations. It references national standards and legal precedents and cites recognized experts and authorities. It describes serious mistakes that have occurred and discusses strategies for the future. The chapters in this book focus on four specific branches of health care services: mental health, infectious disease, dentistry, and addiction rehabilitation. To deliver effective health care in corrections, including prisons, jails, and juvenile facilities, the directors of these facilities and the health care staff need to understand not only the clinical aspects of their patients but their special needs. Those funding or planning for these programs must consider the needs of those special groups who are incarcerated. They include: members of often-underserved groups, including women, the elderly, minorities, and juveniles. Additional ways these groups and others in the prison environment are underserved include in their treatment for infectious diseases, dental health issues, and mental health, as well as for substance abuse problems. The author who has practical hands-on experience with correctional health care suggests what types of environments lead to positive outcomes and offers concrete and often cost-effective suggestions. One of the surprising suggestions is to encourage exercise programs as a cost-effective method to provide increased good health and to keep the peace. This book reflects the experience of a seasoned administrator, writer, and accreditation specialist in the field of correctional health care. It will prove to be invaluable to correctional officers, health care providers, justice and legal professionals, social workers, mental health care professionals, and counselors.
A useful research resource and handy reference, this book discusses the many important ethical and legal issues that arise in the delivery of health care to prisoners at correctional facilities. It references national standards of professional practice as well as the advice of recognized experts. The mission of corrections is the care and custody of prisoners with a view to public safety within a place dedicated to punishment, while the mission of the medical and mental health professionals in a corrections facility is to care for the health and well-being of the prisoners. Both have a duty to provide care, but their differing roles and objectives give rise to ethical role conflict and disagreement regarding appropriate care strategies. Humane Health Care for Prisoners considers important ethical and legal issues that arise in the delivery of health care to prisoners, covering topics such as privacy, confidentiality, informed consent, extended isolation and solitary confinement, use of mace, strip searches and body cavity searches, and medical experimentation on prisoners as human subjects. It also considers participation by health care professionals in capital punishment, coerced substance abuse treatment, how much health care to provide, organizational structure and hierarchy, cooperation between correctional and health care staff, and the importance of recognizing mental illness as a chronic condition. This book is informative for professionals working in corrections facilities, such as physicians, psychiatrists, psychologists, nurses, wardens, jail administrators, sheriffs, and corrections officials, as well as legislators and decision makers, attorneys involved in correctional healthcare lawsuits, students of criminal justice, and those seeking to work in the field of correctional health care or in corrections. Additionally, students and professors of medical ethics will find this book helpful in illustrating real-life topics for research and discussion.
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