Correctionnal Heath Flashcards
Primary prevention for Correctionnal Health:
- Illness prevention (control of communicable diseases, immunization, suicide prevention, violence prevention)
- Health promotion
- Provision of education and information
- Classification of stressors
- Political involvement
- Appropriate referrals
- Advocacy
Secondary prevention for Correctionnal Health:
- Assessment, evaluation, diagnosis
- Health screening
- First aid
- Community consultation
- Crisis intervention
- Program planning and implementation
- Substance abuse tx
- Sex offender tx
- Aggressive behaviour control
- Life and social skills training
- Acute inpatient psychiatric nursing
- Suicide risk assessment and management
- Creation and maintenance of a therapeutic milieu
- Short-term therapy
- Counselling, psychotherapy
- Medication administration and management
- Emergency and trauma care
Tertiary prevention for Correctionnal Health:
- Case management
- After-care services/community reintegration
- Rehabilitation
- Vocational training
- Relapse prevention
- End-of-life/palliative care
- Compassionate release
- Spiritual care
Vulnerability factors for correctionnal people:
- Crowded living conditions (exposure to infectious disease)
- Lifestyle can includes substance abuse, drug and alcohol withdrawal syndromes
- High prevalence of mental disorder in the offenders with two or more coexisting disorders, higher rates of psychosis, depression, anxiety, and personnality disorder (desinstitutionalization resulted in an influx to correctionnal facilities)
- Women (most likely to have grown in poor communties, have limited education and job skills, are victims as well as perpetrators of crime, and are the primary caregivers for dependent children)
- Aboriginal (conflict with criminal justice system due to colonialism, residential school, cultural assimilation)
The MHCC (2012) has observed that without access to appropriate treatment, offenders with serious and complex mental health needs can get cought up in a vicious cycle:
Of violence, isolation, restraint, and segregation.
Mental health of inmates: somes facts
- Some arrive with overt signs of mental health problems, others will develop mental health problems while incarcerated. (separation, extremely high-stree environment)
- They are especially vulnerable within the correctional systems due to the pecking order (hierchical system) that exist within the prison subculture.
- Particularly at risk of suicide (may be viewed as the only way to cope with their charges/sentences, family responsability that cannot be met, fear of the actions of fellow inmates, and the living conditions within the correctional facility.
- Aging Offender
Nurses should be concerned about periods that is particularly challenging for offenders, such as:
particularly challenging period for offenders are the days following release from prison where nurses need to give appropriate discharge planning.
Somes challenges for nursing related to Aging offender:
- Dementia are particularty difficult to place in the community
- Palliative care
- Managing terminally ill offenders within the prison milieu is a time-consuming, resource-intense, exhausting endeavour, one that is frought with perplexing practical and moral dilemmas
- Transfert of offenders from prison to community-based long-term care facilities
Women’s health issues in correctionnal facilities:
- Common health concerns include substance abuse and related sequelae; infectious diseases; pregnancy, genecological problems, urinary incontinence.
- Women experience higer level of anxiety disorders (including post-traumatic stress disorder), depression, psychopathy, and bordeline personality disorder (self-injurious behaviour for various reasons, including coping with negative emotions or interpersonal conflict )
Nursing Challenges related to Women’s health:
- Caring for offenders who engage in non-suicidal self-harming behaviours is a ressource-intense, complex, exhausting endeavour; one that can readily split correctional and healthcare staff.
- Nurse-to-nurse collaboration with local hospitals is critical, as hospital nurses are often unaware of the extra security precautions that are required during medical transfers.
- Special provisions for woman had contact with her child in order to facilitate normal mother-child bonding
Nursing challenges with youth inmates:
-The big problem is when patients get attached to staff. For some kids, nurses is the parents of that this kid wished he had.
Common health challenges for incarcerated individuals:
-Confidentiality for infectious diseases
-Challenges related to security awareness which include static security (structural environment features, video monitoring, internal barriers, perimeter fences or walls, personal protection alarms) and dynamic security (institutional policies and procedures, developing professional relationships, knowing the clients)
-Attentive to the materials left with clients (could be use as weapons)
- Correctional nurses often find themselves in a “Catch-22” position as they face the competing
tensions enmeshed in their collective responsibilities (between nurses and others employees)
-Outbreaks of viruses control and management
Why is the nursing roles in correctionnal facilities is important?
Nurses represent the largest group of healthcare professionals practising in correctional systems.
Correctionnal setting includes:
Jails Detention centres Prisons healing lodges correctionnal centres Youth custody facilities Community correctional centres halfway houses
Responsability of provincial or territorial correctional systems:
-Individuals receiving a sentence of two years less a day
