Prenatal Care In Prisons

These women need regular medical surveillance even for the minor things. According to Cynthia Chandler and Carol Kingery, “The dramatic increase in imprisonment in the United States has been accompanied by epidemic rates of HIV among prisoners. Moreover, women currently incarcerated in the U.S. suffer disproportionately higher rates of HIV infection than do free people and male prisoners.” These women need counseling and therapy especially if they have cancer, HIV/ AIDS, or mental illnesses. This neglect can be extremely fetal. Many women have already died because of this; we do not want the numbers to increase. Proper treatment is necessary.

For numerous years, prison officials applied the same type of treatment for men and women. In the last decade with the increasing number of women incarcerated, research shows that women have different physical and emotional needs. For example, women are more attached to their children that they are leaving behind, and some have histories of physical and mental abuse. The creation of two programs, Key Crest and Forever Free were created to help with women specific issues. Recent studies done by National Institute of Justice studies found that participants in these two programs stayed drug and arrest free for over three years. Participants were tested and interviewed once a year for three years. The studies also showed that the programs provided aftercare and treatment in areas that were not addressed in previous years. Even though both varied in their approach, they both recognized the many ways there were to treat the needs of women and how they differ from men. The studies also show that gender specific programs do help inmates reenter into society.

The problems at hand that the SIMARRA Act bill is proposing to address, involves child welfare issues, women’s health concerns, and a lack of protection and healthcare needs for these women and their unborn children within the criminal justice system. According to the bill, it has been propositioned to enhance the welfare and public health for incarcerated pregnant women and mothers by improving the effectiveness and efficiency of the Federal prison system, by establishing a pilot program of critical-stage, developmental nurseries in Federal prisons for children born to inmates, with risk needs assessments, and risk and recidivism reduction (H.R.5130, 2016). The bill is intended to focus and alleviate the lack thereof adequate care, stress, and hazardous health practices that incarcerated mothers are experiencing with their infant babies, while also monitoring the health of these women. Both the mothers and infants are affected in these situations because the health of the mother has substantial

Mother Behind Bars examines a lot of inadequate policies and procedures that these states have in place for federal and state correctional facilities. This report card bring up the issue on prenatal care, shackling, prison nurseries, and family based treatment as an alternative to incarceration however in this paper I will focus on the restraints on these pregnant inmates. New Jersey received a grade of D for shackling policies. Besides New Jersey thirty-seven other states obtain a D/F for their failure to comprehensively limit, or limit at all, the use of restraints on pregnant women transportation, labor, delivery, and postpartum recuperation (National Women’s Law Center, 2010). The use of restraints can compromise the health and safety of the women and the unborn child. Shackling pregnant women is dangerous and inhumane; women prisoners are still routinely shackled during pregnancy and childbirth. The reason these women are shackled is for safety and security, despite the fact that shackling pregnant women is degrading, unnecessary and a violation of human rights some state still condone this practice.

In the past thirty years, the incarceration of women has risen exponentially. Poverty, lack of access to education, abuse, addiction, mental health and parenting issues all impact women’s criminality and health before, during and after they are incarcerated (Hannaher, K., 2007). By 2010 there were nearly 206,000 women currently serving time in the criminal justice system. As the years go by, the numbers are constantly increasing (Women Behind Bars, 2015). The number of pregnant women incarcerated has also been on the rise. Most incarcerated women do not receive proper prenatal care before entering the criminal justice system. Because these women are from mostly poverty neighborhoods, they are more likely to endure domestic violence, poor

Care for pregnant women is even more dismal, considering their additional health needs” (p. 11). The quantitative report goes on to state that many pregnant offenders have undiagnosed or untreated conditions that can increase the pregnancy risks and contribute to poor birth outcomes. Mothers Behind Bars surveyed all 50 states regarding prenatal care and found: 43 states did not require medical examinations as a component of prenatal care; 41 states did not require prenatal nutrition counseling or the provision of appropriate nutrition; 34 states did not require screening and treatment for high-risk pregnancies; 48 states did not offer advice on activity levels and safety during pregnancy; 45 states did not make advance arrangements for deliveries with particular hospitals; and 49 states failed to report all incarcerated women’s pregnancies and their outcomes (The Rebecca Project for Human Rights and the National Women's Law Center, 2010). Researchers did not list under limitations of their findings if obstetric care was provided inside or contracted to an outside care provider. This information would have been beneficial and may have affected the state’s responses to the survey questions. Ferszt and Clarke (2012) conducted a qualitative survey of 50 wardens, a warden at a women’s correctional

Health Care is not just of concern to the private sector. Health Care reaches into the prison system as well. Federal and state laws have been created to ensure that the prison system provides health care through the medical facilities available. The Federal Bureau of Prisons (BOP) is the government agency that regulates the health care that is given to federal inmates in the United States. The BOP licenses’, certifies, accredits, and runs the background checks necessary to obtain employment.

The phenomena known as the cradle to prison pipeline has been cited as a major contributor to racial discrepancy of incarceration rates. The phrase denotes the ever-increasing amount of contact that students have with the juvenile and adult criminal justice system. The “pipeline” is a product of schools adopting strict zero-tolerance polices , Schools that inpose these polices lagerly exist within communities of color due to the precived . In America’s Cradle to Prison Pipeline, the President of the Children’s Defense Fund, Marian Wright Edelman states “disparities start early and continue throughout African Americans’ lives. Black children are pushed out of school given no meaningful alternatives and soon find themselves in the criminal justice

(Ferst & Erickson-Owens, 2008) Many of these women were lacking education, had been unemployed or underemployed and were lacking adequate health insurance prior to being incarcerated. (Siefert & Pimlott, 2001) In general, most women enter the prison system with a plethora of physical and emotional obstacles; in addition, the health concerns of pregnancy and childbirth increase the challenges presented to institution medical staff to provide the necessary medical and emotional support that this woman will need. The prison health care system has improved considerably over recent years, especially in the area of women’s health and mental health services, often times due to intervention by health, women and civil rights advocacy groups. (Birth, 2000)

The Federal Bureau of Prisons has guidelines and regulations that they must adhere to when it comes to providing healthcare to inmates within the prison system. Although some of the guidelines and regulations vary from institution to institution, the authority given to the BOP when it comes to health services is much the same regardless of which prison an inmate is housed at. The BOP regulates the health care services that are provided to the inmates based upon the needs of such. Most prisons have psychological services available to each inmate along with a provider for other medical services. As other needs arise, the BOP is responsible for providing and maintaining

There are approximately 1,600,000 million inmates are behind bars in America (Glazer, 2014, para. 11) . Without a doubt, much of state prisons are overcrowded, which can lead to, very dangerous situations and environments. Due to the overwhelming number of inmates incarcerated it is difficult to deal with medical and mental health problems in prison. If most inmates complain about not feeling well or have symptoms, medical condition or disease that is not immediately, they would get some form of medication and get turned life back without seeing a doctor for a proper medical exam. A clear majority of the health care professional that work in the prison systems are very under qualified to work in such dangerous and trauma environments like prisons

Today different measures are being employed as forms of punishments other than serving time in jail. Fallon was placed on probation for having drugs in his possession. However he is placed in the drug court program due to his addiction. This program keeps drug addicts under treatment for a long time as a punishment as well as a way of assisting him to cope with his problem. Brian was also found with drug possession but unlike Fallon he was place on parole. Later on he is enrolled into a stepped care program to assist him deal with his addiction. Stepped care program mostly deals with treating the mental health of the drug addicts and other patients (O'Donohue and Draper, 2011).

Having poor heath care within the prison system is something that is very dangerous. It can lead to things such as accidental deaths, worsening pre-existing conditions, and conditions occurring that could have been prevented if the proper care was

Furthermore, female inmates are another challenge for correctional administrators. For example, an important and alarming issue such as overwhelming pregnancy and abortion related health care factors can become expensive. These inmates need special clear, intensive monitoring and observation. According to the American Civil Liberties Union, “200,000 women are living behind prison or jail walls and thousands of these women are pregnant and dependent on the correctional administrators for health care.” (para. 1). Even though correctional administrators are legally obligated to meet their needs, there are guidelines that they must follow. These guidelines are put in place to further assist correctional administrators so that they are not violating the rights and well-being of female inmates who are already pregnant or considering on having a child while incarcerated.

While, the issue of the incarcerated population having the privilege of this scarce medical resources is extensively and generally approved or compelling recognition within the correctional health profession and there is a case-law supporting the matter of concern, that the statues of a person as an inmate must not preclude such person as a patient from receiving adequate care in respect to serious health needs, regardless of the cost of such treatment. They also have all the social and moral values since the law does not exempt them from citizenship (Puisis, 2006, p.23).