Mental and Physical Well Being in Prisoners

Brandon Presley, Kimberly Morton Cuthrell
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Abstract

Global health attention is necessary to improve the prison population mental and physical health because limited public health ramifications and inmates’ psychological effects impose many strains on community preventive measures and prison rehabilitation. Though some prisoners are  younger than the general population, the jail population often has the worse health. Many have considerable mental and physical health needs as a result of social and economic poverty. Since many prisoners have histories of tobacco use and alcohol or drugs, many of these risk patterns  result in addictions that are tied to unhealthy  lifestyles. Prior contact with mental health, substance use or medical services  typically was very limited or absent due to lack of access to treatment, diminished resources, barriers for the uninsured and underserved, financial stability to afford care, stigma, or reluctance to focus on self-care. There are certain mental health disorders and infectious diseases that are prevalent in prisoners and should be addressed. Many prisoners have serious, debilitating mental and physical conditions that go untreated or undiagnosed while they are incarcerated. Prior to being incarcerated, If crime and incarceration are to be decreased and rehabilitative efforts are increased to deter re-incarceration, preventive measures are necessary that include community mental and medical services accessibility and affordability while availability of such services are provided in prison and coordination of care of evidence-based therapy and infection-control strategies are highly recommended before the inmate returns to the community. This review covers most common mental and physical health issues and their management for inmates because few research has explored how having a mental health disorder compound with a physical ailment affects an inmate’s behavior while advocating for human rights-informed strategies for the treatment of people in the criminal justice system.
囚犯的身心健康
全球卫生关注对于改善监狱人口的身心健康是必要的,因为有限的公共卫生影响和囚犯的心理影响给社区预防措施和监狱改造带来了许多压力。尽管一些囚犯比普通囚犯年轻,但监狱囚犯的健康状况往往更差。由于社会和经济贫困,许多人有相当大的身心健康需求。由于许多囚犯有吸烟、酗酒或吸毒的历史,其中许多风险模式会导致与不健康生活方式有关的成瘾。由于缺乏治疗、资源减少、没有保险和服务不足者的障碍、负担得起护理的经济稳定、耻辱感或不愿专注于自我护理,先前与心理健康、药物使用或医疗服务的接触通常非常有限或缺乏。囚犯中普遍存在某些精神健康障碍和传染病,应予以解决。许多囚犯在监禁期间都有严重的、使人衰弱的精神和身体状况,得不到治疗或诊断。在被监禁之前,如果要减少犯罪和监禁,并加大康复力度以阻止再次监禁,预防措施是必要的,包括社区精神和医疗服务的可及性和可负担性,同时在监狱中提供此类服务,并强烈建议在囚犯返回社区之前协调循证治疗和感染控制策略的护理。这篇综述涵盖了最常见的心理和身体健康问题及其对囚犯的管理,因为很少有研究探讨患有身体疾病的心理健康障碍复合物如何影响囚犯的行为,同时倡导在刑事司法系统中采用人权知情策略来对待人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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