Palliative care needs and experiences of people in prison: A systematic review and meta-synthesis

Background: Globally, the prison population is growing and ageing, as is the need for palliative care. Yet, little is known about how people in prison perceive palliative care provision in this setting. Aims: To identify the: (i) perceptions of palliative care provision and dying in custody by people in prison; and (ii) perceived barriers and facilitators of person-centred palliative care provision in prison. Design: A systematic review and meta-synthesis was registered and undertaken in accordance with the reporting guidelines. Data Sources: Keywords and MeSH headings encompassing (i) palliative care, end-of-life care, death; and (ii) prison; were used to search Pubmed, Medline, CINAHL, PsycINFO, Web of Science, CINCH and ProQuest Central. Articles published in English, from high income countries, and containing qualitative data exploring perceptions of people in prison of palliative care in custody were included. Findings were reporting using the ENTREQ guidelines. Findings: Of the 2193 articles identified, 12 were included. Experiences of people in prison regarding palliative care related to two themes: (1) expectations versus experiences of palliative care; and (2) prison context complicates access to and provision of palliative care. People in prison with palliative care needs want to feel safe, cared for, and acknowledged as they face an expected death. The prison environment can severely restrict access to palliative care, leaving people in prison feeling isolated and powerless. Conclusions: People in prison expect to receive high-quality palliative care, but their experiences often do not match their expectations. Numerous structural and organisational challenges complicate the provision of palliative care in prisons, limiting accessibility of care.

Procedural Justice and Legitimacy in Prisons: A Review of Extant Empirical Literature

Significant in the management of a safe and secure custodial environment is the compliance of incarcerated persons with the prison rules and the directives of prison officers. In recent years, there has been increased research focus on the role of normative compliance in the prison environment, which is postulated to derive from the perceptions of legitimacy and procedural justice of those who are incarcerated. This article presents the findings of a scoping review of the empirical literature as it relates to procedural justice and legitimacy in prison settings. This literature is charted and then analyzed across two primary themes, namely “Shaping Perceptions of Procedural Justice and Legitimacy” and “Procedural Justice, Legitimacy, and Compliance.” The presence of normative compliance in prisons and the contribution of procedurally just treatment to perceptions of legitimacy held by persons who are incarcerated are discussed.

“Aboveground, Underground, and Locked Down”

Incarcerated people in Washington have published a variety of periodicals, ranging from general prison news to radical newspapers that debated ideologies like communism, anarchism, and Black nationalism. This article examines radical periodicals published in and concerning prisons to better understand struggles over the prisoners’ press in Washington. First, it contextualizes this history with a discussion of militant prisoner support movements in the 1970s. These movements included the Sunfighter, an underground newspaper; and the George Jackson Brigade, a guerrilla group, whose members were involved with both the Sunfighter and subsequent prison newspapers. This article then analyzes the politics, inside-outside relationships, and censorship of two radical prisoner quarterlies: the Marxist-Leninist Red Dragon and the Anarchist Black Dragon. Influenced by their prison environment, these newspapers provided space for networks and writings that sought to address interconnected problems such as mass incarceration, sexual violence, and racism. Ultimately, these newspapers demonstrate how prisoners’ politics are worthy of closer consideration by historians, as their ideas and actions shaped news, public discourse, and movements on both sides of the prison walls.

Filhos da (in)justiça

The following article presents statements by pregnant or breastfeeding women to have been through custody hearings and criminal proceedings while released on bail, illustrating institutional responses to prenatal, childbirth, and post-natal care outside the prison environment. The aim was to document the possibilities for and difficulties of applying release measures, according to the women’s own narratives of violence. The qualitative research is based on an analysis of content and is organized according to thematic modules with an exploration of the material collected in interviews and field data. Several obstacles faced in the empirical study have been highlighted, as have the experiences of the women inside and outside the prisons, in terms of the exercise of motherhood, life with the child, the lack of state assistance, and the consequences of the imprisonment. The report from mothers to have been released on bail or placed under house arrest due to pregnancy demonstrates adequate pre-natal care and the children’s healthy development, although difficulties were still experienced during childbirth. The adoption of measures to release the women allowed for better access to healthcare, in line with the human right to safe motherhood. The satisfaction of being able to care for their children and live alongside family stood out as a positive factor. Situations of institutional violence still persist, given the insufficiency or absence of state protection.

'Finding beauty' in French rural prisons. How prison officers operate rurality

The literature on rural criminology and rural prisons has so far essentially focused on debunking myths about rurality and rural crimes, and on the economic and social impacts of building prisons in rural areas. Typically, such rural prisons are recent. Conversely, due to its long history, France's rural prisons have in some cases been built during the 19th century within former convents from the Middle Ages or monasteries confiscated from the church during the 1789 Revolution. Missing from this literature, therefore, is, on the one hand, a focus on historic rural prison settings and, on the other hand, attention to individuals and professionals who work there. This paper focuses on a high security prison set in a middle-ages abbey in the middle of nature. In our interviews with its prison officers (POs) we used appreciative inquiry in order to better uncover the positive dimensions of rurality. We find that rurality is used to reinforce safety and the 'right distance' with prisoners, and to better cut off from the prison environment when they finish their shift. We also find that POs are bound by strong (rural) family ties that in turn contribute to their professional identity and values, and to their feelings of safety.

THE ANALYSYS OF LEVEL OF BLOOD-BORNE AND SEXUALLY TRANSMITTED VIRUSES INFECTIONS OF THE PRISONERS IN THE CONTEXT OF HBV PREVENTION

The aim of the article is to analyze the level of viral infections transmitted through sexual contact and blood-borne infections in Polish penal institutions and detention centers. The description of the issue presented in the study is primarily aimed at signaling the issue and at trying to indicate possible preventive solutions. It seems inevitable to confront the actual living conditions and situations in the prison environment with the scale of the problem of HIV and HBV/HCV infections. Therefore, the authors consider it necessary to monitor the situation and familiarize the interested specialists in the field of probation with the problem in order to encourage reflection on the possible introduction of preventive measures.

The relevance of social dreaming for action research: exploring jail workers’ unconscious thinking of the changes in the prison organization

The contribution focuses on how dreams can be investigated as social phenomena in a manner which illuminates the role of the individual in a particular group and elucidates unconscious group processes in an organization. The article presents an experience of adopting Lawrence’s social dreaming (SD) matrices in a new a specific field: an Italian prison which has shifted in the last two decades from a punitive to a rehabilitative mission. The aim of the experience was twofold: i) to help jail workers, through a formative experience, gaining a deeper understanding of how the new prison environment influences their emotional experience and work functioning; ii) to collect the emotional climate, the feelings, and the critical issues among the prison staff, in order to gain insights for the authorities responsible for the regulation of correctional facility. The experience of SD included 4 matrices, involving a total of 12 participants: 7 prison officers and 5 educators. The main thematic areas emerged from the matrices are related to: trust, competence, professional identity, separateness and privacy, safety, and to the gender differences. All the themes are presented and discussed, along with dreams and free associations. The present work is, to our knowledge, the first attempt to apply the tool of social dreaming to the context of correctional facility all over the world. The described experience might serve as an example of the applicability of this mode of analytic exploration to institutions or organizations, and the contribution opens to reflection and some implications.

Suicide after reception into prison: A case-control study examining differences in early and late events

Objective Prisoners constitute a high-risk group for suicide, with suicide rates about 5 to 8 times higher than in the general population. The first weeks of imprisonment are a particularly vulnerable time, but there is limited knowledge about the risk factors for either early or late suicide events. Methods Based on a national total sample of prison suicides in Germany between 2005 and 2017, suicides within the first 2 (4 and 8) weeks after reception into prison were matched by age and penalty length with cases that occurred later. Factors that potentially influence the timing of suicide were investigated. Results The study has shown that 16.7% (31.5%) of all 390 suicides in German prisons occurred within the first two weeks (two months) of imprisonment. Factors that facilitate adaptation to the prison environment (e.g. prior prison experience) were negatively associated with early suicide events. Factors that hindered the adaptation process (e.g. withdrawal from illicit drugs) were observed more frequently in early suicide events than in late ones. These factors are active at different times of imprisonment. Conclusion At reception, particular attention should be paid to the following factors associated with early suicide events: widowed marital status, lack of prison experience, and drug dependency.

Seroprevalence and associated factors of HIV and Hepatitis C in Brazilian high-security prisons: A state-wide epidemiological study

The prevalence of hepatitis C virus (HCV) and the acquired immunodeficiency virus (HIV) is much higher in prisons than in community settings. Some explanatory factors for this burden include putative aspects of the prison environment, such as unprotected sexual relations and sexual violence, use of injectable drugs and syringe sharing. Nonetheless, efforts in better understanding the dynamics of both HCV and HIV are scarce in developing countries such as Brazil, which poses a risk not only to the inmates but to the community as well. In this investigation, we sought to determine the seroprevalence and sociodemographic and behavioral risk factors associated with HIV and anti-HCV antibodies among men detained at high-security institutions. This is an epidemiological, proportionally stratified observational study including 1,132 inmates aged 18 to 79 years-old (Mage = 32.58±10.18) from eleven high-security prisons located in the State of Paraná, Brazil. We found that HIV and anti-HCV prevalence were 1.6% (95% CI: 1.0–2.5) and 2.7% (95% CI: 1.0–2.5), respectively. Risk factors associated with HIV included not receiving intimate visits (OR = 8.80, 95% CI: 1.15–66.88), already having another sexually transmitted infection (OR = 3.89, 95% CI: 1.47–10.29), and reporting attendance in HIV preventive campaigns (OR = 4.24, 95% CI: 1.58–11.36). Moreover, anti-HCV seroprevalence was associated with higher age (OR = 4.03, 95% CI: 1.61–10.07), criminal recidivism (OR = 2.58, 95% CI 1.02–6.52), and the use of injectable drugs (OR = 7.32, 95% CI 3.36–15.92). Although prisons might increase the risk for acquiring and transmitting HIV and HCV, the adoption of permanent epidemiological surveillance programs could help reducing the circulation of viruses, involving strategies focusing on screening, treating, and preventing infections to assure proper prisoner health. Moreover, these policies need to take place inside and outside the prison environment to offer continued assistance to former prisoners once they leave the institution.