Research Proposal, Part I

Prisons today are pushed to their limits, both state, and federal prisons. Inmates are forced to live in unsanitary, unhealthy, unsafe, and poor conditions. Men and woman should not be made to sleep on floors, sleep in tents outside, or fight for a spot in a long line to shower. This issue needs to be addressed, and some states have proceeded to do so and have had great results.

Topics discussed included: life in prison, prison culture, prison economy, the availability and price of drugs, drug use, syringe availability and access to bleach, sexual activity and methadone maintenance

“The developed world deprives children of a basic and inalienable right: unstructured outdoor play. Children today have substantially less access to nature, less free range, and less time for independent play than previous generations had.” This quote is from the research based paper titled, “Where the Wild Things Should Be: Healing Nature Deficit Disorder through the Schoolyard." This article touches many aspects of how children now a days need more exposure to nature like it was on the older days. Currently, there are many playgrounds around the United States and even more the world. This article is trying to bring awareness to the problem of if playgrounds do not have enough nature or is too safe then it is

Inmates within the prison system experience a vast array of medical issues. Their medical issues are costly and require medical personnel with a multitude of experience to be available to inmates. Inmate health care is more reactive than it is preventative, which results in expensive treatments. If we were to implement a more comprehensive preventative system within our prisons, we would see a drastic decline in inmate medical issues.

The Los Angeles County Sheriff 's Department is tasked with providing health care services to all incarcerated prisoners within a jail system which at present exceeds 18,500 inmates. Correctional Treatment Center (CTC) provides care and treatment for inmates requiring inpatient medical and or psychiatric care in this 196-bed rated medical unit located in the Twin Towers Correctional Facility in downtown Los Angeles. The inmate population is in poor health, largely due to the lifestyle choices of the inmates which often include substance abuse, violence, and living on the streets of Los Angeles. They require the same basic medical care that all residents of Los Angeles County require, including routine illness to advanced medical issues such as tuberculosis (TB), AIDS/HIV+, heart disease, diabetes, dialysis, paraplegics, and acute mental health problems. Additionally, problems associated with aging are becoming common as the jail population increasingly includes older inmates. In the wake of chronic overcrowding in the county lockups, the Sheriff 's Department has been struggling to provide adequate care for thousands of inmates, many of whom have never been treated, with illnesses ranging from tuberculosis to AIDS to schizophrenia. Reported rates of tuberculosis in jails and prisons are more than six times higher than those for the general population. Jails and prisons concentrate individuals at high risk for TB or noncompliance with therapy, including those who are

Linder and Frederick J. Meyers. This article starts with a story about an inmate who found out he had cancer while incarcerated. Then, it goes on to incorporate his story throughout the article in interview form to provide inside information on the treatment of prisoners. Most inmates come in with addictions and substance abuse, no access to health care, homelessness, and untreated mental illnesses (Linder and Meyers 895). They blame this on the lack of medical health that’s available to the general population. According to Linder and Meyers, “Inmates and the free-living populations share 6 of the 10 leading causes of death: heart disease, cancer, cerebrovascular disease, respiratory disease, influenza/pneumonia, and septicemia”. With the remaining four for inmates being liver disease, AIDS, self-harm and digestion

The criminal justice system has become an ad hoc medical and social service delivery institution with more than eight million offenders under correctional control. Offenders have more physical, substance-abuse disorders, social and psychological deficits than the general population. According to Estelle versus Gamble, correctional institutions are required to provide reasonable care for all offenders who are incarcerated. Other issues such as psychological and social services have become a burden. A recent survey of prison administrators sheds light on the capacity of offenders that needed medical, psychological, and social services for offenders. The survey also dissected the analysis of the organizational factors that may affect whether an

The incarcerated population are typically of low socioeconomic and low education levels. (4) Interestingly, low socioeconomic status and education levels on their own are directly linked with poor health. (5) When these social determinants of health are combined with prisonisation; the adaptation process in which incarcerated individuals adjust themselves to behavioural standards within the institutions which are not comparable with those of life outside prison.(6) This confines the already vulnerable to an environment of violence and drug use, which leads to further decline in health status while serving sentences. (1) In addition to the low socioeconomic status and education level of prison inmates, we can also establish that inmates are predominately male when compared to the

Incarceration is the state in which a person is confined within a prison, this can be known as imprisonment. Imprisonment within the United States is mostly due to the illegal use of drugs. Drug Offenses are the most common cause of incarceration, an astounding forty-six percent, compared to the second most common causes. These causes include the illegal handling, and usage of weapons, explosives, and arson; these Offenses only hold a lightly rounded total of seventeen percent. The list of Offenses continuing from there decrease in percentage rates, the list contains the following in order from greatest to least amount of cases; Immigration, Sex Offenses, Extortion, Fraud, Bribery, Burglary, Larceny, Property Offenses, Robbery, Homicide, Aggravated Assault, and Kidnapping Offenses, Miscellaneous, Courts or Corrections, Banking and Insurance, Counterfeit, Embezzlement, Continuing Criminal Enterprise, then National Security Risks. Ages of those incarcerated have a range from the beginning of adolescence to the elderly. The security system of prisons is separated into five main categories; Minimum, Low, Medium, High, and Unclassified. Minimum and low-security levels are for common offenses such as theft. Medium and high classifications are for homicide and national security risks. Unclassified is for those who have not yet been assigned an area of security.

Overcrowding, violence, poor nutrition, unsanitary conditions, and solitary confinement are all issues that contribute to public health consequences all over the world (Cloud, 2014). Being incarcerated exposes inmates to health risks such as risky sexual behavior with little access to condoms and shared needles for drug use and tattooing (Dumont, 2012). Compared to the general population, the people that seem to be incarcerated the most seem to come from poor communities, where there seems to be higher rates of chronic diseases. For example these diseases include the higher rates of obesity, diabetes, hypertension, asthma, hepatitis C virus, HIV, and syphilis all occur within correctional facilities. Furthermore, when these individuals return home, correctional facilities lack in providing them with access to valuable health care services and resources, and this ultimately further exacerbates the negative consequences of their health which contributes to population health disparities. Overall, public health agencies need to play a more active role for the incarceration

The following pages contain information on the AIDS and HIV epidemic within the United States prison system. The characteristics of these inmates will be discussed and how well this population adjusts to the environment. There are some treatments and services provided to these inmates in and outside the walls of the prison. The public views are not very friendly, but the criminal justice system is trying to make it easy for the inmates to return back to society with help on how to cope with the disease.

Contrary to popular belief sexually transmitted diseases are not the only physical harm victims of prison rape endure. Many rape victims endure broken bones, broken noses, bruises, cuts, concussions, and the obvious genital injuries. Sexual assaults also increases violent behavior in prisons because inmates who feel like they may be a future target of sexually assault, defend themselves, and lash out in these violent rages and fights to establish themselves with a “tough guy” reputation to prevent any sexual misconduct from other inmates.

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

Dominique Robert’s (2008) theoretical framework in the article “Prison and/as Public Health. Prison and Inmates as Vectors of Health in the New Public Health Era. The Case of Canadian Penitentiaries” focuses on structural elements that explain the use of correctional health care in the prison setting today and how this plays a role in the broader public health strategies in the outside community. He does this by explaining factors such as “the mobilisation of prison as a tool for the new public health” and "the production of inmates into healthcare ‘consumers’, along with the role of actuarial justice.”

Compared to mental health workers correctional officers are assaulted nearly twice as much (Schenk & Fremouw, 2012). Sexual violence inside of prisons is issue in which the government has put effort in to address with the Prison Rape Elimination Act of 2003 however a study of black men was conducted and 43 % of those men indicated that they have a least heard sexual acts of violence occur inside of the prison (Rowell-Cunsolo, Harrison, & Haile, 2014). Across the United States about 4% of the inmates have been a victim of sexual assault (Daquin, Daigle, & Johnson Listwan, 2016). Other than sexual assault around 32% and up to 66% of inmates have been a victim of some type of physical violence (Daquin, Daigle, & Johnson Listwan, 2016). Also 18% to 49% of inmates have had property stolen from them (Daquin, Daigle, & Johnson Listwan, 2016). Also other factors that can contribute to violence occurring inside of prisons is gang membership. This is usually an identifier for the inmates to know who to attack and who to leave alone. Also sexual predators are subjected to some sort of violence because of the crime that landed them inside of the prison. The amount of time that you spend in prison can contribute to whether you become a victim or not (Ross, 2012). This is why prison overcrowding has become such a major problem for violence the