Health Issues Among Incarcerated Women

Thousands of pregnant women pass through our nation’s jails every year. What happens to them as they gestate their pregnancies in a space of punishment? Using her ethnographic fieldwork and clinical work as an Ob/Gyn in a women’s jail, Carolyn Sufrin explores how, in this time when the public safety net is frayed and incarceration has become a central and racialized strategy for managing the poor, jail has, paradoxically, become a place where women can find care. Focusing on the experiences of pregnant, incarcerated women as well as on the practices of the jail guards and health providers who care for them, Jailcare describes the contradictory ways that care and maternal identity emerge within a punitive space presumed to be devoid of care. Sufrin argues that jail is not simply a disciplinary institution that serves to punish. Rather, when understood in the context of the poverty, addiction, violence, and racial oppression that characterize these women’s lives and their reproduction, jail can become a safety net for women on the margins of society.

The high rate of incarceration in the United States contributes significantly to the nation's health inequities, extending beyond those who are imprisoned to families, communities, and the entire society. Since the 1970s, there has been a seven-fold increase in incarceration. This increase and the effects of the post-incarceration reentry disproportionately affect low-income families and communities of color. It is critical to examine the criminal justice system through a new lens and explore opportunities for meaningful improvements that will promote health equity in the United States. The National Academies convened a workshop on June 6, 2018 to investigate the connection between incarceration and health inequities to better understand the distributive impact of incarceration on low-income families and communities of color. Topics of discussion focused on the experience of incarceration and reentry, mass incarceration as a public health issue, women's health in jails and prisons, the effects of reentry on the individual and the community, and promising practices and models for reentry. The programs and models that are described in this publication are all Philadelphia-based because Philadelphia has one of the highest rates of incarceration of any major American city. This publication summarizes the presentations and discussions of the workshop.

The female inmate population in the United States has exploded in the past two decades, increasing nearly six-fold. The U.S. correctional system, however, has not expanded its health care to provide for this growing population of women. This comprehensive reader addresses the physical and mental needs of women inmates and suggests that they cannot be properly treated unless their lifestyles before, during, and after incarceration are considered. This book abounds with statistics that outline the unique needs of the female inmate population. For instance, a significant proportion of female inmates suffer physical and sexual violence before serving time. Incarcerated teenagers are more likely than others from their age group to have engaged in behaviors that increased their risk for contracting sexually transmitted diseases like HIV. Because African American women are more likely than their counterparts to encounter prison time, their needs warrant specific attention. Bringing together twenty original essays, this volume will be invaluable for lobbyists and policy makers as well as for graduate students and faculty in the fields of criminal justice and public health.

Over the past four decades, the rate of incarceration in the United States has skyrocketed to unprecedented heights, both historically and in comparison to that of other developed nations. At far higher rates than the general population, those in or entering U.S. jails and prisons are prone to many health problems. This is a problem not just for them, but also for the communities from which they come and to which, in nearly all cases, they will return. Health and Incarceration is the summary of a workshop jointly sponsored by the National Academy of Sciences(NAS) Committee on Law and Justice and the Institute of Medicine(IOM) Board on Health and Select Populations in December 2012. Academics, practitioners, state officials, and nongovernmental organization representatives from the fields of healthcare, prisoner advocacy, and corrections reviewed what is known about these health issues and what appear to be the best opportunities to improve healthcare for those who are now or will be incarcerated. The workshop was designed as a roundtable with brief presentations from 16 experts and time for group discussion. Health and Incarceration reviews what is known about the health of incarcerated individuals, the healthcare they receive, and effects of incarceration on public health. This report identifies opportunities to improve healthcare for these populations and provides a platform for visions of how the world of incarceration health can be a better place.

Incarceration severely affects the health and wellbeing of women both during their incarceration and following release, further complicating the health disparities they already experience as a consequence of gender, race and social class. The scope of this international problem remains largely hidden from health professionals and policy makers. This book brings the issues into the light, with contributions from leading advocates, criminologists, feminists, nurses, physicians, public health professionals, social workers, sociologists and former prisoners.

This is an all-embracing reference that offers analyses and discussions of contemporary issues in the field of PTSD. The book brings together scientific material from leading experts in the field relating to a wide range of important current topics across disciplines. These include the early identification of PTSD and subsequent treatment, to social and behavioral studies, to biochemical, molecular and genetic research. With more than 125 chapters organized in 12 major sections, this is the most complete single resource on PTSD.

The story of the rise of prisons and development of prison systems in the United States has been studied extensively in scholarship, but the experiences of female inmates in these institutions have not received the same attention. Historically, women incarcerated in prison, jails, and reformatories accounted for a small number of inmates across the United States. Early on, they were often held in prisons alongside men and faced neglect, exploitation, and poor living conditions. Various attempts to reform them, ranging from moral instruction and education to domestic training, faced opposition at times from state officials, prison employees, and even male prison reformers. Due to the consistent small populations and relative neglect the women often faced, their experiences in prison have been understudied. This collection of essays seeks to recapture the perspective on women’s prison experience from a range of viewpoints. This edited collection will explore the challenges women faced as inmates, their efforts to exert agency or control over their lives and bodies, how issues of race and social class influenced experiences, and how their experiences differed from that of male inmates. Contributions extend from the early nineteenth century into the twenty-first century to provide an opportunity to examine change over time with regards to female imprisonment. Furthermore, the chapters examine numerous geographic regions, allowing for readers to analyze how place and environment shapes the inmate experience.

After decades of stability from the 1920s to the early 1970s, the rate of imprisonment in the United States has increased fivefold during the last four decades. The U.S. penal population of 2.2 million adults is by far the largest in the world. Just under one-quarter of the world's prisoners are held in American prisons. The U.S. rate of incarceration, with nearly 1 out of every 100 adults in prison or jail, is 5 to 10 times higher than the rates in Western Europe and other democracies. The U.S. prison population is largely drawn from the most disadvantaged part of the nation's population: mostly men under age 40, disproportionately minority, and poorly educated. Prisoners often carry additional deficits of drug and alcohol addictions, mental and physical illnesses, and lack of work preparation or experience. The growth of incarceration in the United States during four decades has prompted numerous critiques and a growing body of scientific knowledge about what prompted the rise and what its consequences have been for the people imprisoned, their families and communities, and for U.S. society. The Growth of Incarceration in the United States examines research and analysis of the dramatic rise of incarceration rates and its affects. This study makes the case that the United States has gone far past the point where the numbers of people in prison can be justified by social benefits and has reached a level where these high rates of incarceration themselves constitute a source of injustice and social harm. The Growth of Incarceration in the United States examines policy changes that created an increasingly punitive political climate and offers specific policy advice in sentencing policy, prison policy, and social policy. The report also identifies important research questions that must be answered to provide a firmer basis for policy. This report is a call for change in the way society views criminals, punishment, and prison. This landmark study assesses the evidence and its implications for public policy to inform an extensive and thoughtful public debate about and reconsideration of policies.