Health and Justice最新文献

{"title":"Stigma and reintegration: does age influence the perceptions of older people on parole?","authors":"Angela Murolo","doi":"10.1186/s40352-026-00430-3","DOIUrl":"10.1186/s40352-026-00430-3","url":null,"abstract":"<p><p>As a consequence of the \"graying prison population,\" the number of older people leaving prison and on parole has grown. Because older people on parole are a growing proportion of the paroled population, there is a greater need to understand their reentry experiences. Therefore, the aim of this study was to understand what role age played in perceptions of stigma and reintegration. Surveys were conducted with people (n = 74) who left prison within a year to understand their perceptions of stigma and reintegration. Fisher's exact tests were conducted to determine the relationship between personal characteristics and perceptions of reintegration and stigma. Results indicated that age was only significant on one of several measures. Variables including sex, race, living situation and employment since release were consistently associated with perceptions of stigma or reintegration regardless of age. Implications for future research will be discussed.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the factors associated with sustaining jail-based programs linking to community-based Medication for Opioid User Disorder (MOUD) treatment.","authors":"Margaret McGladrey, Michael Goetz, Julie Nakayima, Marisa Booty, Ashley Berkshire","doi":"10.1186/s40352-026-00436-x","DOIUrl":"10.1186/s40352-026-00436-x","url":null,"abstract":"<p><p>Despite the prominence of sustainment as a construct in implementation science frameworks, there is limited literature on factors influencing the continued delivery and reach of evidence-based interventions in carceral settings after initial funding periods end. Extending previously published research on initial establishment of these programs with federally funded implementation support, this study reports on the post-intervention impact of jail-based programming to link people with opioid use disorder to medication treatment upon community reentry to assess whether and how linkage programming was maintained. In the five jails that sustained linkage program staff, only 4.9% of participants enrolled during the sustainment phase were successfully linked to community-based treatment, compared with 11.8% during the intervention phase. Interviews with linkage staff supervisors revealed that several factors salient to initial program implementation - adopter training and support, services and access, and systems and training - exerted ongoing effects during the sustainment period, demonstrating that preliminary implementation conditions may shape long-term reach. During the program sustainment period, these issues included restrictions on program eligibility criteria to reduce jail healthcare costs and deterioration of related clinical offerings (i.e., provision of in-house medication treatment). Additionally, challenges with maintaining data collection consistency after termination of the study's data management infrastructure and reporting requirements resulted in significant missing data. Findings emphasize the need for enduring technical assistance and data-tracking infrastructure to support and monitor the impact of jail-based linkage programs as a component of the overall opioid use disorder continuum of care.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organizational change in adversarial contexts: barriers and facilitators to healthcare consent decree implementation.","authors":"Bryant J Jackson-Green","doi":"10.1186/s40352-026-00424-1","DOIUrl":"https://doi.org/10.1186/s40352-026-00424-1","url":null,"abstract":"<p><strong>Background: </strong>When courts oversee negotiated settlement agreements about health policy and practice in notoriously insular and opaque spaces, like prisons how do they monitor implementation? In this thematic analysis of interviews with court-appointed monitors who oversee the implementation of prison healthcare consent decrees, this study examines how implementation unfolds within correctional organizations. Specifically, the study addresses (1) what monitors perceive as the key organizational and contextual barriers and facilitators to healthcare consent decree implementation, and (2) how these factors shape the implementation of health service reforms in prison settings.</p><p><strong>Methods: </strong>Data were collected through semi-structured interviews with nine court-appointed monitors across 15 interviews and analyzed thematically using the Consolidated Framework for Implementation Research (CFIR).</p><p><strong>Results: </strong>Findings suggest that successful implementation depends on key change facilitators, including respectful interpersonal relationships and open communication, support from organizational leadership, and early planning that also sought to maintain reforms after the consent decree ended. Barriers include fiscal and geographic constraints, which limit services and medical staff hiring.</p><p><strong>Conclusions: </strong>By situating consent decree implementation within a health policy implementation framework, this study highlights how legally facilitated reforms interact with organizational capacity, professional norms, and resource constraints to shape healthcare delivery in carceral settings. These findings underscore that litigation can catalyze reform, but long-term improvements in correctional healthcare require sustained institutional commitment and resources beyond the life of the decree.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The incidence and risk factors for incarceration for violence after traumatic brain injury.","authors":"Tahnee Guala, Dominique de Andrade, Travis Harries, Amy Langbein, Lorraine Tonner, Harry Hill, Peter Miller, Ashlee Curtis","doi":"10.1186/s40352-026-00429-w","DOIUrl":"10.1186/s40352-026-00429-w","url":null,"abstract":"<p><strong>Background: </strong>There is increasing evidence to suggest that Traumatic Brain Injury (TBI) is implicated in increased incarceration for violence. TBI is commonly experienced by vulnerable populations who are at greater risk of violent offending due to health and social comorbidities. However, the impact of comorbid risk on outcomes of incarceration for violence is underexplored. Through retrospective data linkage, the current study aimed to identify the rate of incarceration for violence post-TBI and explore the impact of key risk factors in a cohort of 5899 survivors of TBI identified through hospital emergency department (in Victoria, Australia) presentations for TBI (age: M = 21.60, SD = 2.29; sex: males n = 4130, 70.01%, females n = 1769, 29.99%; Indigenous status: Indigenous Australian n = 136, 2.31%, non-Indigenous Australian n = 5763, 97.69%).</p><p><strong>Results: </strong>The incidence rate for incarceration for violence was 409.31 per 100,000 person-years with incarceration occurring, on average, 2.63 (IQR = 4.56) years post-TBI. Risk of incarceration was almost four times higher for individuals who reported pre-TBI incarceration for violence (HR = 3.80, 95% CI [1.89-7.69]) but was not impacted by pre-TBI incarceration for non-violent crimes. Post-TBI incarceration for non-violent crimes demonstrated an increased risk that ranged from 11 (one incarceration, 95% CI [6.66-19.43]) to almost 25 times higher (four or more incarcerations 95% CI [9.42-64.39]) compared to individuals who were not incarcerated. Pre-and-post-TBI substance and substance use treatment demonstrated an increased risk for incarceration for violence that was 17 (pre-TBI: HR = 17.27 95% CI [11.44-26.06]), 19 (post-TBI: HR = 19.32, 95% CI [13.32-28.02]), and almost three (substance use treatment: HR = 2.46-4.67, 95% CI [1.55-18.53]) times higher than those without indicators of substance use or substance use treatment.. Comparatively, only pre-TBI mental health (HR = 4.16, 95% CI [2.62-6.57]) and mental health treatment (HR = 2.68-5.3, 95% CI [1.11-28.03]) significantly increased risk by four and almost three times respectively.</p><p><strong>Conclusions: </strong>The findings suggest TBI is a key risk factor for incarceration for violence that is exacerbated by health and social vulnerabilities experienced pre-TBI and post-TBI. There may be key opportunities prior to prison contact and after release from prison to provide appropriate intervention that accommodates for TBI-related changes and effectively addresses needs before they manifest into violent offending outcomes.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicaid access and the impact on individuals with criminal legal involvement: a scoping review.","authors":"Utsha G Khatri, Lisa-Qiao MacDonald, Alyssa A Grimshaw, Kathryn Thomas, Benjamin A Howell","doi":"10.1186/s40352-026-00420-5","DOIUrl":"https://doi.org/10.1186/s40352-026-00420-5","url":null,"abstract":"<p><strong>Background: </strong>People with criminal-legal involvement (CLI) face disproportionately high morbidity and mortality. Policies like the Affordable Care Act (ACA), Section 1115 waivers, and other state-level initiatives have extended Medicaid coverage to millions in this population, aiming to improve outcomes. Our objective was to map the literature for studies assessing the association of policies that increase Medicaid access with key health (e.g., utilization, mortality) and non-health (e.g., recidivism) outcomes among people with CLI.</p><p><strong>Methods: </strong>We searched eight academic databases for experimental or quasi-experimental studies published through April 1, 2025.</p><p><strong>Results: </strong>Of the 4,845 studies identified, 62 met inclusion criteria. Policies expanding eligibility consistently increased insurance coverage, particularly when paired with prerelease enrollment assistance. However, impacts on healthcare utilization and health outcomes were mixed. While targeted enrollment efforts promoted greater use of outpatient and behavioral health services, Medicaid expansion alone did not consistently increase care utilization. Many quasi-experimental studies linked Medicaid expansion to reduced recidivism, though others found null or inconsistent results. Conversely, one study of a large-scale Medicaid disenrollment found that coverage loss was associated with increased crime, particularly non-violent offenses.</p><p><strong>Conclusions: </strong>Expanding Medicaid eligibility is an essential first step to increasing health care access for people with CLI, but its potential is only realized when policy changes are paired with targeted implementation strategies that bridge coverage to care. Critical gaps remain in the literature as few studies examined equity, long-term outcomes, or key subgroups like women and older adults. Future research is needed to determine how to operationalize insurance coverage into improved health and social outcomes for this population.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Help-seeking for mental health and substance use problems among people in contact with the criminal justice system: a mixed-methods social network analysis.","authors":"Catriona Connell, David Griffiths, Jessica Greenhalgh, Morgan Torrance","doi":"10.1186/s40352-026-00431-2","DOIUrl":"10.1186/s40352-026-00431-2","url":null,"abstract":"<p><strong>Background: </strong>Mental health (MH) and substance use (SU) problems are prevalent among people in contact with the criminal justice system, many of whom serve all (or part) of their sentence in the community. Barriers to help-seeking in this population contribute to insufficient support, and later serious adverse outcomes for individuals and society. We aimed to understand variation in the relational context surrounding people in contact with the criminal justice system, and how these differences influence help-seeking for MH or SU problems.</p><p><strong>Methods: </strong>We interviewed 50 people in contact with the criminal justice system in a mixed-methods social network analysis study. We collected data about participants' social networks, help-seeking experiences, perceived societal stigma and perceived usefulness of MH and SU support. We developed a network typology by synthesising these data, and explored relationships between network types and help-seeking for MH or SU problems.</p><p><strong>Results: </strong>We demonstrated the feasibility of our exploratory approach to developing a typology of social networks among people in contact with the criminal justice system in the community. Five network types were differentiated by structure, composition, network members' characteristics, and culture. These could be applied to explore influences on a range of behaviours. Knowledge and attitudes towards MH, SU, and help-seeking across the network and within the wider community were important influences on individual help-seeking behaviour.</p><p><strong>Conclusions: </strong>Interventions to encourage help-seeking, and other behaviours, among people in contact with the criminal justice system should consider network type and relational context. Introducing diverse contacts who can provide alternative perspectives may be useful for changing network culture towards different behaviours and facilitating individual change. Tailored messaging and delivery methods are required to increase awareness of MH and SU problems, and of when, where and how to seek help across the networks of people in contact with the criminal justice system. Further research could test our exploratory approach in larger samples and across contexts, examine the impact of network change over time, and rigorously develop and test relationally informed and context-responsive interventions.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance of cognitive screening tools in detecting possible dementia among older males in custody in Canada: a pilot study.","authors":"Bryce E Stoliker, Krista Lagimodiere, Christie Tetreault, Lisa M Jewell, Olajide Adelugba, Susan Chalmers, Mansfield Mela, Megan O'Connell, Lindsay Reddick, Travis Boone, Shelley Peacock, Megan Surkan, Arlene Kent-Wilkinson","doi":"10.1186/s40352-026-00428-x","DOIUrl":"10.1186/s40352-026-00428-x","url":null,"abstract":"<p><strong>Background: </strong>Older individuals represent a growing demographic in correctional institutions worldwide, many of whom are living with complex health and social needs. One area of concern is that older people in custody are at increased risk of developing, or are currently living with, neurocognitive issues such as dementia. This pilot study examined the preliminary diagnostic performance of several cognitive screening tools for detecting suspected cases of dementia when compared with a formal diagnostic assessment among older people in custody at a multi-level forensic psychiatric treatment centre in Saskatchewan, Canada.</p><p><strong>Results: </strong>Data collection included administering cognitive screening tools to older people in custody (n = 28) and a formal diagnostic assessment for dementia by a geriatrician (n = 18). Findings revealed that (a) cognitive screening tools varied in the identification of possible dementia, with point estimates ranging from 21% (Canadian Indigenous Cognitive Assessment; CICA) to 43% (Community Screening Instrument for Dementia; CSI 'D'), whereas 33% of participants were screened positive for cognitive impairment (Mini-Mental State Exam; MMSE); (b) approximately 39% were diagnosed with dementia and 17% with mild cognitive impairment; and, (c) certain screening tools (CICA and MMSE) perform better in classifying cases of dementia.</p><p><strong>Conclusions: </strong>Preliminary evidence suggests variability in the diagnostic performance of the assessed cognitive screening tools. The CICA and MMSE show promise in discriminating older males in custody in a forensic psychiatric setting with dementia from those without.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contrasting perspectives and applications of the Good Samaritan Overdose Prevention Law: insights from people who use and distribute drugs in Rhode Island.","authors":"Joseph Silcox, David Pletta, Jaclyn M W Hughto, Sabrina Rapisarda, Sofia Zaragoza, Patrick J A Kelly, Stephanie Vento, Josiah Rich, Traci Green","doi":"10.1186/s40352-026-00433-0","DOIUrl":"10.1186/s40352-026-00433-0","url":null,"abstract":"<p><strong>Background: </strong>The overdose crisis in the U.S is complex, with opioid overdoses compounded more recently with rising stimulant-involvement. Individuals who experience or witness overdoses often avoid calling 911 due to fear of criminal-legal system consequences. Many U.S. states have \"Good Samaritan Laws\" (GSLs) protecting those seeking help for overdoses, but research is lacking on the understanding and role of GSL in overdose response among people who use stimulants (PWUS) and criminal-legal populations. Our mixed-methods analysis focused on PWUS from a community-based sample in a state with GSL protections, Rhode Island, and participants incarcerated at the Rhode Island Department of Corrections (RIDOC) for charges related to drug distribution. We analyzed survey and interview data to discern differences in knowledge and attitudes regarding Rhode Island's GSL in the two samples.</p><p><strong>Results: </strong>Overall awareness of the GSL was widespread among the community sample (61.1%) and the RIDOC sample (63.3%); however, more RIDOC participants (70%) than PWUS in the community (42.9%) could accurately describe the law. Participants in both samples reported deeply rooted fears associated with the consequences of help-seeking and skepticism of protections provided by the GSL, particularly around criminal-legal consequences. While the Rhode Island GSL provides protections for probation or parole violations, many RIDOC participants were fearful that these protections would not apply to them, despite the law being amended to provide these protections. Additionally, participants from both samples reflected on differences in help-seeking behaviors among unexpected opioid and stimulant overdoses, discussing how their interpretation of overdose symptoms influenced decisions to call for help (e.g., call 911) or not.</p><p><strong>Conclusions: </strong>Varying degrees of understanding of the Rhode Island GSL, along with fears of police involvement in overdose situations, underscore the need for targeted interventions, policy change, and re-education efforts about overdose prevention and the GSL. Findings can inform policy and professional practices associated with GSLs.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results from a peer recovery coach-delivered future orientation intervention for returning citizens in substance use treatment: feasibility and preliminary outcomes.","authors":"Salam Sulaiman, Richard Yi, Jennifer E Johnson, Andre Johnson, Ashley Kucera, Jaclyn M Johnson, Adhithi Keerthana Athikumar, Aanandita Bali, Julia W Felton","doi":"10.1186/s40352-026-00427-y","DOIUrl":"10.1186/s40352-026-00427-y","url":null,"abstract":"<p><strong>Introduction: </strong>Returning citizens with substance use disorders (SUD) make numerous decisions that involve engaging in behaviors with short-term, immediate rewards (i.e. the pleasurable effects of returning to use) relative to those with longer-term, but delayed, benefits (i.e. engaging in treatment), often in the context of resource-poor and unstable environments. Successful navigation of the reentry period may require making future-oriented decisions; yet previous research suggests that incarcerated individuals and those with SUD evidence steeper rates of delay discounting, or tendency to devalue something as a function of the delay of its receipt. Episodic future thinking has been shown to reduce delay discounting and improve decision-making, suggesting it may be particularly well-suited to support healthy decision-making among justice-involved populations. The current study evaluated the implementation potential and preliminary effectiveness of an episodic future thinking intervention adapted for individuals during the reentry period to reduce delay discounting and improve related clinical outcomes.</p><p><strong>Method: </strong>Returning citizens (n = 40) who identified as in recovery from SUD and had experienced incarceration within 12 months prior to enrollment were recruited to participate in a randomized controlled trial. Participants received either a brief (60-min) adapted episodic future thinking intervention or a control intervention that did not activate future thinking. Both interventions were administered by a peer recovery coach in a community setting. Participants then completed weekly check-ins for up to four weeks and were assessed one month after the intervention.</p><p><strong>Results: </strong>Findings suggest that peer-delivered episodic future thinking was feasible and acceptable, and could be delivered with fidelity. Additionally, participants in the active condition experienced significant decreases in delay discounting, significant increases in considerations of future consequences, and increases in the presence of protective factors that may support longer-term recovery. Participants in the control condition did not experience changes in clinically-relevant outcomes.</p><p><strong>Conclusion: </strong>Results of this study provide preliminary support for the implementation potential and effectiveness of brief, peer-delivered intervention focused on improving decision-making during the reentry period.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Too many for too long: physicians dismantling mass incarceration.","authors":"Michelle Suh, Justin Berk, Josiah Rich","doi":"10.1186/s40352-026-00423-2","DOIUrl":"10.1186/s40352-026-00423-2","url":null,"abstract":"<p><p>\"If you are like the many people who approach us and ask, 'How do we end [mass incarceration]?', keep reading. You've come to the right place.\" So closes the introduction to Dismantling Mass Incarceration: A Handbook for Change, a collection of abolitionist and reformist pieces edited by Premal Dharia, James Forman Jr., and Maria Hawilo. This book review provides an overview of the main themes regarding the six aspects of the criminal legal system: police, prosecutors, public defenders, judges, prisons, and post-release. We highlight examples of the theoretical and practical takeaways from the various interviews, articles, book excerpts, and essays written by a wide range of guest authors. Ultimately, this book is critical reading for those interested in tackling mass incarceration as physicians, citizens, and concerned fellow human beings.</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}