Term 2 Lecture 3- Prison Health and Healthcare Flashcards
What are the key readings?
De Viggiani and Jablonska
What are the key points from Jablonska?
Higher rates of mental illness in female prisoners= highest being depression, then anxiety
Women prisoners= offend often due to ‘physical or sexual abuse, substance misuse, or mental health care needs’
Women= primary caregivers (Sheehan et al) and commit crime for ‘monetary gain
Doubly punished through ‘physical and social isolation and discrimination by staff and fellow prisoners due to their disability (Haualand, 2015) and through imprisonment
What can forced community cause according to Jablonska?
close proximity this can cause poor mental health
Lack of support from other inmates when mental health was poor
Avoidance of burdening others with problems
Isolation used to reduce Physical or emotional abuse experienced in previous relationships
What are the key points from De Viggiani
Sykes’ deprivation model
Emotional and psychological survival depends on toleration of deprivations within prisons
High suspectability to poor health
There is deprivation of human needs
‘tough persona’ in order to show less weakness and be victims of violence
What does the WHO define as health?
A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity
What did the WHO say that health problems are from?
Overcrowding, exposure to violence, illicit drugs and separation from family networks
What are the rationale for prisoner health?
United nations
NHS
Individual health improvement
Reduced health inequalities
Reduce public health expenditure
Rehabilitation and reintegration
How does the united nation relate to prisoner health?
Just because someone is deprived of liberty does mean they should be deprived of their health
How does the NHS relate to prisoner health?
People who are detained in prisons they should have adequate healthcare they would receive outside
How does the individual health improvement relate to prisoner health?
Recognising importance of health for improved life in prison
How does the reducing health inequalities relate to prisoner health?
Health inequalities between people in prison and people in the community builds strong rationale
How does reducing public health expenditure relate to prison health?
As there are financial implications
How does rehab and reintegrative relate to prisoner health?
As those released early if they aren’t in gppd health it will become a public health concern
There is a relationship between enjoying good health and reducing reoffending
What are the 5 topic areas from health promoting prisons: a shared approach?
Mental health promotion and well-being
Smoking cessation
Healthy eating and nutrition Health lifestyle
Drug and other substance abuse
What are the key issues with prisoner health from patient or prisoner?
Staffing= under qualified, lack of suitable training, low morale, poor communication, professional isolation
Health needs of prison population are not assessed
Who spoke about prisoner physical and mental health?
Bridgwood and Malbon
What did Bridgwood and Malbon find?
Prisoners experience generally poorer levels of physical and mental health than the general population’
What does patient or prisoner say about improving healthcare services?
Responsibility from health care of prisons taken from home office and given to NHS to improve the accountability of the health care services
Who looked at the 4 pillars of health promoting prison?
Health in Prison Project
What are the 4 pillars of health promoting prison?
Safe, secure, reforming and health promoting and grounded in decency and respect for human rights
Who made the importation-deprivation model of prison health?
De Viggiani
What are the importation factors of prisoner health?
Values, attitudes, beliefs and social norms from their respective communities’
What are the deprivation factors of prison health?
Heterosexual relationships, security, goods and services, autonomy and liberty is deprived which ‘threatened…self-esteem and identity’
What does deprivation cause?
Prisoners to conform to stereotypes to assimilate into prison population
What are the unhealthy lifestyle behaviours that can cause offending?
Mental health
Lifestyle behaviour
Drug use
Chronic conditions
Smoking
Infectious diseases
What is the process for healthcare in prison?
Placed on induction wing for assessment
Provided services by a company
The last resort is the prisoner is taken outside of the prison
Receiving good health can cause less reoffending
What is the food in prisons?
Three meals a day
Food is not varied (lack of fruit and veg)
Why is there a focus on sport in prison?
Adds to communication with family
Contributes to moral performance
What can sport contribute to? (Sabo)
Positive identity
Self-esteem
Self-concept
Locus on control
Potentially increased aggression and bullyin
