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Faith Adede Aspen University Advanced Corrections Cj585 Professor Tammi Clearfield August 29th, 2023

Introduction: In this essay, I will explore the complex world of corrections, where managing varied inmate needs and concerns necessitates both empathy and pragmatism. The responsibilities of wardens, superintendents, and administrators are numerous, embracing the complicated facets of prisoners' health, safety, and familial rights. I will focus on the obstacles provided by AIDS-infected prisoners, the immediate concerns of newly incarcerated individuals, efforts to reduce violence within maximum- security prisons, and the complexities of administering a women's correctional center. Most people believe that the major objective of prisons is to ensure security by dealing with the nature of inmates and protecting the community and employees. High walls, razor wire, searches, checkpoints, and inmate counts, all play an important part in achieving this goal since they successfully deter escapes. Furthermore, these factors influence the day-to-day operations of prisons, which are usually seen as impersonal, quasi-military organizations focused on severe discipline, restricted amenities, and limited freedom to punish prisoners. Throughout history, three incarceration regimes have predominated: custodial, rehabilitative, and integration. Each of these models reflects a distinct approach to the organization and operation of prisons.( Clear et al,2022 p256) Managing Prisoners with AIDS: A Comprehensive Approach to Inmate Healthcare As a warden responsible for the well-being and safety of all inmates, addressing the needs of prisoners with AIDS is a critical aspect of correctional management. Providing proper healthcare and support for these individuals is not only essential for their dignity and human rights but also crucial for public health and safety within the prison environment. Only the incarcerated have a constitutional right to health treatment in the United States. The Supreme Court declared in 1976 that denying detained people fairly sufficient medical care violates the Eighth Amendment's prohibition on cruel and unusual punishment. But who determines what is reasonable? (The Regulatory Review, 2022)

On any one day, it is estimated that 12 million people are incarcerated. Prisoners are five times more likely than the general population to have HIV. Despite the fact that women make up only 7% of convicts, HIV prevalence among women in prison is 4%, compared to 3% among men. (Be in the KNOW, n.d.) Medical Care and Treatment Ensuring adequate medical care for prisoners with AIDS is paramount to managing their condition effectively. A comprehensive approach involves regular screening, early diagnosis, and access to appropriate antiretroviral therapy (ART) under the supervision of qualified medical professionals. Collaborating with local healthcare providers and specialists can enhance the quality of care and help manage any potential complications associated with the disease. (Be in the KNOW, n.d.) People in jail are 7.2 times more likely than adults in the general population to have HIV. Globally, it is estimated that 4.6% of those incarcerated are infected with HIV. Education and Awareness Educating both inmates and staff about AIDS is essential to reduce stigma, misconceptions, and discriminatory attitudes towards affected prisoners. Developing educational programs that emphasize transmission prevention and the importance of adherence to treatment can help promote a safer and more supportive environment within the prison. These programs can also foster empathy and understanding among inmates, leading to reduced social isolation and improved mental well-being for those living with AIDS. (UNODC n.d.) Living with AIDS can be emotionally challenging, especially in a prison environment. Offering access to mental health counseling and support groups can be beneficial for prisoners with AIDS, addressing psychological distress and promoting overall well-being .Additionally, training correctional staff to recognize signs of mental health issues and to respond compassionately can contribute to a more inclusive and supportive environment. (HIV.gov, n.d.)

Implementing preventive measures to reduce the risk of transmission within the prison population is crucial. This includes providing condoms, promoting safe injection practices, and implementing harm reduction programs . It is also essential to ensure that all inmates have access to clean needles and syringes to prevent the spread of HIV through drug use. (HIV.gov, n.d.) Managing prisoners with AIDS requires a multifaceted and compassionate approach that encompasses medical care, education, mental health support, and prevention strategies. By ensuring proper healthcare and creating a supportive and inclusive environment, jails can contribute to the overall health and well-being of inmates with AIDS. Additionally, a comprehensive approach can help reduce the risk of HIV transmission within the prison and its impact on public health. (HIV.gov, n.d.) Adjusting to Life as a New Prisoner: Immediate Concerns and Corrections Officer Support All prisoners that arrive at a prison follow the same procedure. To verify that prisoners are not concealing anything, they will be strip searched by officials of the same sex. As a new prisoner, the experience of being incarcerated can be overwhelming and filled with uncertainties. Upon entering the prison environment, my immediate concerns would revolve around personal safety, adapting to the institutional rules and routines, and navigating the social dynamics within the prison community. (Families outside, n.d.) The first and foremost concern would be ensuring my safety in an unfamiliar and potentially volatile environment. Prisoners are susceptible to violence, abuse, and exploitation, particularly during the initial period of incarceration. Therefore, establishing connections with other inmates to find support and guidance can be crucial. Building alliances with fellow prisoners can provide a sense of protection and guidance in navigating the prison's unwritten rules and norms Forming relationships with those who have more experience in the system can help me understand the intricacies of prison life, maintain safety, and adapt to the environment. (Families outside, n.d.)

The second concern would be the daunting challenge of adjusting to the prison's rules, regulations, and daily routines. These rules are often intricate and must be followed diligently to avoid disciplinary actions. Lack of adherence to these rules can lead to a reduction in privileges, solitary confinement, or extended sentences .As a new prisoner, I would strive to attend orientation programs, educational workshops, and counseling sessions aimed at providing essential information about the prison's policies and procedures. By taking an active role in these programs, I can enhance my understanding of the system, increase my chances of early adaptation, and potentially reduce the likelihood of future disciplinary actions. Participation in the Federal Bureau of Prisons' (BOP's) Post- Release Employment Project (PREP) considerably reduced misconduct, according to Saylor and Gaes (1997). Furthermore, Gover, Perez, and Jennings (2008) found that jail work reduced disciplinary offenses. Similarly, Steiner and Woolredge (2014) discovered that the number of hours spent on a job task each week was inversely related to both violent and nonviolent misconduct. They also discovered that participating in educational or occupational programming reduced peaceful behavior (Steiner & Woolredge, 2014). (ojp.gov, n.d.) Moreover, navigating the social dynamics within the prison community can be challenging and potentially risky. Establishing relationships with the wrong groups or engaging in conflicts may lead to further complications during the incarceration period. In this regard, seeking guidance from prison staff or counselors who can provide insights into forming positive social connections would be beneficial. (Families outside, n.d.) For corrections officers, addressing the concerns of new prisoners is essential to promote a safe and rehabilitative environment. Creating comprehensive orientation programs that emphasize safety, institutional rules, and available support services can help alleviate immediate concerns .Regular

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