The Incarcerated Individuals Within The Correctional Facilities

The majority of sexual contact in prison is more than likely to be unsafe due to correctional institution's failure to address the issue of intraprison sex or to distribute condoms (Krebs, 2002). In male institutions, particularly, homosexual activity with anal intercourse is significantly more risky for transferring HIV (Krebs, 2002). On the other hand, the number of inmates in prison who inject drugs is lower than the free community, these prisoners are more likely to share equipment and less likely to clean the shared products (Krebs, 2002). Needles are considered contraband in a prison environment, thus, there is a limited quantity of this product for injections or tattoos, thus, having an additional risk of infecting others with diseases (Krebs, 2002). However, infectious diseases are not the only health issue in

Our modern society consist of many social problems. However, many Canadians have yet to acknowledge a major issue on our international community today. Within Canada, prison overcrowding has arisen and continues too. As many of Canadian prisons exceed its maximum capacity, we have yet not created a proper plan to execute this problem. Consequently, with the prison population accumulating, there is now a decline in correctional spending. Today, it costs over $115,000 to maintain an offender in an institution (CSC statistics 2014). As a result, the amount of inmates in custody throughout Canada are 36, 845 which includes 21, 704 in our provincial / territorial institution and 15,141 in our federal institution (Statistics Canada 2013/2014). Therefore,

Vancouver Injection Drug User Study (VIDUS) is a project that gives a prospective study and has over 1500 IDU 's enlisted to assist since 1996 and gathers data on drug use, health, sexual activity, etc. Some of the topics discussed included: prison culture, availability and price of drugs and equipment, drug use, VIDUS shows that the risk of HIV infection indicated that incarcerated injection drug users were associated with a greater risk of 2.7 times (Small, Kain, Laliberte, Schechter, O 'Shaughnessy & Spittal, 2005).

“Objectively public administrators are accountable to both their superiors and the citizenry— proximately and routinely to the former but ultimately and more importantly to the latter” (Cooper, 2012, p. 198). A situation at Corcoran State Prison was challenged with a situation wherein dual obligations conflicted. Corcoran State Prison became the center of a serious ethical scandal that consisted of illegality, injustice, endangerment, corruption, and conspiracy. Two corrections officers of Corcoran, Steve Rigg and Richard Caruso, were faced with the question of where their loyalty lies— with their superior or with the citizens they serve?

Law enforcement officers are authorized by federal, state, and local lawmakers to arrest and confine persons suspected of crimes. The judicial system is authorized to confine persons convicted of crimes. This confinement, whether before or after a criminal conviction, is called incarceration.

Over the past forty years the increased of mass incarceration within the Federal Bureau of Prisons has increased more than 700 percent since the 1970’s, between the different type of ethnicity. Billions of dollars have spent to house offenders and to maintain their everyday life from rehabilitation programs, academic education, vocational training, substance abuse programs and medical care. The cost of incarceration climbs according to the level of security based on violent and non-violent crimes. Fewer staff is required in minimum and medium-security prisons that house low-level offenders. Incarceration is likely to serves as one indicator of other co-occurring risks and vulnerabilities that makes families particularly fragile. Mass incarceration is likely to increase if awareness is not implicated to reduce the rate of imprisonment and broken families to take back their communities and reclaim their hope for the future.

The objective of this paper is to examine issues of health care inequity affecting the incarcerated Canadian population. We will be investigating the impacts of these health issues on the indicated vulnerable group, assessing how services and resources are currently distributed to deal with this issue, proposing public health responses to address the issue and also identifying what further research must be conducted to gain a better understanding of the issue.

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

would teach offenders a lesson and reduce their chances to recidivate. Stevens and Ward (1997) said that “retuning unprepared, uneducated, and unusually individuals to the community is the biggest threat to the public safety” (p. 106). Stevens and Ward conducted an experiment to examine the effects of education on incarcerated offenders. The experiment contained 60 student-inmates who had earned their associate or bachelor degree while incarcerated. The participants were inmates release from the North Carolina Department of Corrections (p. 108). The participants were tracked and their recidivism rate were compared with nonstudent inmates. Also, they gathered data from education and recidivism studies of thirty states. The result demonstrated

According to Alexander, so many black men are missing because they are under the criminal justice system. In today’s society, there has been a mass incarceration of black men due to the federal program called the war on drugs. Because of this mass incarceration, a lot of black men are far from home without being able to raise their children. “Hundreds of thousands of black men are unable to be good fathers for their children, not because of a lack of commitment or desire but because they are warehoused in prisons, locked in cages” (Alexander 738). African Americans were victims of slavery in the past; however, in today’s society the number of black men in prison is even bigger than the black men enslaved in the past. “More black men are imprisoned today than at any other moment in our nation’s history” (Alexander 740). The war on drugs makes this possible because

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.

Harm reduction is a non-judgmental and practical approach to prevent HIV/HCV seroconversions, overdose, death, and decrease adverse effects on self and community (NPNU Initiative, 2007). Successful prison harm reduction programs frequently include pharmacotherapy, which plays a key role in helping with withdrawal symptoms and relapse prevention. Numerous studies on the effectiveness of opioid maintenance treatments (OMT) such as methadone, buprenorphine, levo-alpha acetyl methadol (LAAM) and buprenorphine-naloxone have proven that the benefits of OMT pre-release are similar to community treatment (Hedrich et al. 2012). A substantial reduction in prison drug use was shown on studies reporting illicit opioid use, and the studies that compared OMT to no OMT during incarceration shown impressively large differences (Hedrich et al. 2012). The studies which reported drug injection activity found a considerable reduction in injecting and syringe sharing (Hedrich et al, 2012). An Australian OMT study measuring HIV/HCV seroconversion resulted in no HIV seroconversions during incarceration, with both the control group and treatment groups having a high HCV risk dominance with equivalent seroconversions in both groups. Dolan et al. (1998, 1996) determined a reduction in risk behaviors for continuous high dose (>60mg.) therapy versus limited low dose therapy. A 2001 Canadian study measuring inmate transgressions reported drug violations in prison shrank in the OMT group, while it amplified in the control group (Hedrich et al.

In this society it is easy to dismiss people as crazy, lazy, or violent without knowing a person’s full background. We all come from different walks of the life and we have a tendency to turn a blind eye to that fact. I look at our prison system and see an array of people incarcerated for many different reasons. The background and upbringing of a person plays a vital role in the type of person someone is going be when they grow up. A person who grew up in a home of violence will have to make a decision about their future. The things seen as a child will either cause a person to break mentally or they will have the determination to do better for their family and themselves. In some cases, a person will have to seek help in order to obtain

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.”

“I used to believe are our future but now I realize that this, sadly isn’t the reality. Through laws that treat kids like adults, the government is throwing away the future of children in this country.” (D. Lee) An estimated 200,000 juveniles are tried as adults. The term juvenile refers to any young person under the age of 18. For most states in the United States, the age of majority is 18. While there are many things that juveniles are unable to do until they reach the age of 18, being charged as an adult for a crime is not amongst those things in some states. Juveniles are not allowed to vote, drink alcohol, or sign a legal contract, yet they can be charged and treated like adults when it comes to them being