Health Care for Women Inmates: Issues, Perceptions and Policy Considerations

Rapidly increasing numbers of women incarcerated in the United States have created an overwhelming need for appropriate health services for these inmates despite limited resources. This article outlines the key health care issues associated with women inmates. We begin by examining the challenges posed by this population of inmates. Additionally, we investigate the provision of health care to these women and then evaluate the perceptions of that care from the perspective of the women and their care providers. We conclude with a discussion of policy-relevant considerations and suggest that realism should be the underlying premise of any health-related policy for women inmates. Specifically, we suggest that education and the treatment of communicable diseases become the most targeted health-related goals for women inmates, as it is inevitable that most of these women will eventually be released

Trends and correlates of substance use disorders among probationers and parolees in the United States 2002–2014

BACKGROUND: Substance use and crime/recidivism are irrevocably linked. We explore the nuances of this association by highlighting the prevalence, trends, and correlates of substance use dsorders in a large group of probationers/parolees. METHODS: We examined SUDs among probationers and parolees in the United States using data from the National Study on Drug Use and Health (NSDUH). Logistic regression models were computed to examine eight distinct outcomes: alcohol abuse, illicit drug abuse, marijuana/hashish abuse, comorbid alcohol and illicit drug abuse, alcohol dependence, illicit drug dependence, marijuana/hashish dependence, and comorbid alcohol and illicit drug dependence. RESULTS: Probationers/parolees have high prevalence rates across all SUDs categories and these trends have been relatively constant. Prevalence rates for alcohol abuse and dependence are two to six times higher than for marijuana and other illicit drug abuse and dependence. Key correlates of substance abuse for probationers/parolees include: age, gender, race/ethnicity, education, income, risk propensity, crime/violence measures, and comorbid substance abuse. Similar correlates were found for substance dependence, in addition to employment and mental health treatment. CONCLUSIONS: This study indicates that SUDs are higher among probationer/parolees as compared to their non-supervised counterparts − between four and nine times higher − and these levels have changed little in recent years. Effectively responding to SUDs in this population may enhance adherence to supervision requirements, prevent recidivism, and improve public safety. We may be better served using limited funds for further development of evidence-based policies and programs, such as drug courts, which demonstrate reductions in both drug use and recidivism

HIV/AIDS Among Female Prison Inmates: A Public Health Concern

Research points to the importance of adequate health care in women’s prisons. This is especially important as female inmates are faced with a host of unique and distinct needs, in particular, an increased risk of HIV/AIDS infection. This risk presents a significant public health concern as the majority of female offenders receive limited screening, treatment, education, and counseling related to HIV/AIDS infection and transmission while in prison. Additionally, when these women return to their communities, they are generally ill-equipped to prevent the transmission of their disease. Further, their heath concerns become the responsibility of an already overburdened public health system. Effective medical care in prison alleviates inmates’ growing medical needs and protects the public from the transmission of HIV/AIDS. This study identifies the current state of HIV/AIDS among female inmates in correctional institutions nation wide. We argue that mandatory AIDS screening for all inmates and gender-specific educational programming will lower the rate of transmission and the prevalence of high-risk behaviors, thus reducing pre- and post-release health threats. Future research directions and policy implications are discussed

Gender, race, and formal court decision-making outcomes: Chivalry/paternalism, conflict theory or gender conflict?

A significant body of research examines the influence of offender gender on court-related decision making and typically finds that women deemed "worthy of protection" are afforded greater leniency than other offenders. There is a less developed effort to uncover the influence of victim characteristics, particularly victim gender and the interaction between offender and victim gender on formal criminal justice outcomes. Drawing from the chivalry/paternalism hypotheses, conflict theory, and gender conflict frameworks, the present research used data on a nationally representative sample of convicted homicide defendants to examine the effects of gender and race dyads on sentencing outcomes. Policy implications and future research directions are discussed.

HIV/AIDS Among Female Prison Inmates: A Public Health Concern

Abstract Research points to the importance of adequate health care in women's prisons. This is especially important as female inmates are faced with a host of unique and distinct needs, in particular, an increased risk of HIV/AIDS infection. This risk presents a significant public health concern as the majority of female offenders receive limited screening, treatment, education, and counseling related to HIV/AIDS infection and transmission while in prison. Additionally, when these women return to their communities, they are generally ill-equipped to prevent the transmission of their disease. Further, their heath concerns become the responsibility of an already overburdened public health system. Effective medical care in prison alleviates inmates' growing medical needs and protects the public from the transmission of HIV/AIDS. This study identifies the current state of HIV/AIDS among female inmates in correctional institutions nation wide. We argue that mandatory AIDS screening for all inmates and gender-specific educational programming will lower the rate of transmission and the prevalence of high-risk behaviors, thus reducing pre-and post-release health threats. Future research directions and policy implications are discussed