As a warden, to lower medical costs at my facility, instead of focusing on diagnostic care, I would implement a preventative system as well as education for inmates regarding medical issues. Research indicates that prisoners are only treated for ailments when they are reported and because of this, some inmates may not report illnesses or some illnesses may go undetected. Within our prison system, an estimated 44% (forty-four percent) of state inmates and 39% (thirty-nine percent) of federal inmates have a medical issue that is beyond the common cough or cold (Maruschak, 2004). Although these inmates reported illnesses, there is likely a much higher percentage of inmates with some sort of ailment but they don’t report it for a multitude of reasons. First, to reduce medical costs at my facility, I would implement a preventative system of medical care. Yearly, the inmates would receive a physical, mental evaluation, and a blood test. Although initially this may be expensive, it would ultimately lower costs. If we are able to detect diseases and prevent their spread, we will be able to lower costs in the long run due to a decrease in the spread of viral and bacterial infections. Furthermore, I would begin an education program for inmates. It would encompass issues regarding hygiene, viral and bacterial infections, blood borne pathogens, and other health issues. I would also provide more thorough counseling and mental evaluations for my inmates. …show more content…
References:
Maruschak, L. M. (2004). Medical Problems of Prisoners. Retrieved November 06, 2017, from
Another way to resolve this issue, would be to have each individual state come up with various health care plans in which inmates’ would be able to sign up and pay for with the money on their accounts, or having family members or friends pay for
One of the primary issues, problems and concerns in regards to healthcare issues or medical problems pertaining to the United States inmate population is the staggering expense, type of care provided, diagnosis and classification of illness. The other issue is that of the surveys to determine percentages of the inmate populace that fall within each category. In reading the statistical analysis, or report written by Laura M. Maruschak, named, Medical Problems of Prisoners, written in 2004, it appears to me that a main issue is that the statistics are extremely skewed, due to a few factors; 1) The lack of complete participation across the board from every facility and inmate (out of 1585 state facilities only 287 participated, and out of 148 federal prisons only 40 participated, and I don’t even have an accurate percentage of inmates who participated, but it appears less than
First, reduce the inmate need for medical attention. Second, reduce the cost per-inmate treated. (Davies & Jordan 2013) To help reduce the inmate’s need for healthcare an inmate’s need for healthcare an inmate should be screened upon intake and any illnesses that are found be treated immediately. This helps contain any contagious illnesses and inmates who are already in the facility do not contract the illness. Expand utilization management. This means that on staff medical providers screen inmates when they request hospitalization or other outside services, and expand facility medical services to include some services that are typically outsourced. Inmates typically request outside services such as hospitalization so that they may obtain time outside the facility and to get comfort they do not get in the facility. If they are screened and it is discovered they do not require outside services the cost will drastically be reduced. If you expand services within the facility after the startup cost money will be saved because it is cheaper than outside services due to steep healthcare cost throughout the United States. Another way that facilities can reduce the cost for inmate medical request is to require a co-pay. Many inmates will not want to pay the fee unless it is absolutely necessary thus cutting down request for services. Methods to reduce the cost per-inmate treated include, This
There are also issues with the policies of prisons and medical confidentiality. Inmates are forced to be examined
Getting rid of private prisons would be extremely beneficial for not only prisoners and their families, but for society as a whole.
Overcrowding, violence, poor nutrition, unsanitary conditions, and solitary confinement are all issues that contribute to public health consequences all over the world (Cloud, 2014). Being incarcerated exposes inmates to health risks such as risky sexual behavior with little access to condoms and shared needles for drug use and tattooing (Dumont, 2012). Compared to the general population, the people that seem to be incarcerated the most seem to come from poor communities, where there seems to be higher rates of chronic diseases. For example these diseases include the higher rates of obesity, diabetes, hypertension, asthma, hepatitis C virus, HIV, and syphilis all occur within correctional facilities. Furthermore, when these individuals return home, correctional facilities lack in providing them with access to valuable health care services and resources, and this ultimately further exacerbates the negative consequences of their health which contributes to population health disparities. Overall, public health agencies need to play a more active role for the incarceration
addressed the violation of inmates rights to adequate health care. Believe it or not, "prison
Based off the research, it is best to provide a mental health program to people who were in jail and had just gotten out. People need to talk about and treat their mental state so they can fully return back to the real world. Jail is a lot different compared to the real world and people who have been incarcerated for years need to know the difference between
There are approximately 1,600,000 million inmates are behind bars in America (Glazer, 2014, para. 11) . Without a doubt, much of state prisons are overcrowded, which can lead to, very dangerous situations and environments. Due to the overwhelming number of inmates incarcerated it is difficult to deal with medical and mental health problems in prison. If most inmates complain about not feeling well or have symptoms, medical condition or disease that is not immediately, they would get some form of medication and get turned life back without seeing a doctor for a proper medical exam. A clear majority of the health care professional that work in the prison systems are very under qualified to work in such dangerous and trauma environments like prisons
Although elderly inmates are receiving health care while they are institutionalized, they are not always receiving the proper health care that is needed. The overwhelming increase in the elderly prison population has caused challenges to health care administrators. According to Kuhlmann and Ruddel (2005), not only do elderly inmates have common illnesses such as high blood pressure, heart disease, cancer, dementia or other diseases that one undergoes as they age, elderly inmates are also affected by transmissible diseases due to overcrowding, unsanitary conditions, or unprotected sex. Health officials also have a problem treating elderly patients who are at the top of the list for being attacked by other inmates. Even if an elderly inmate is healthy when processed into the prison system, the stressors contribute to the declines in physical functioning ensuing in amplified health care. Kuhlmann and Ruddel (2005), states the only way that elderly inmates can receive proper health care is if public health practitioners and jail administrators launch an improved long-term
The topic that I chose to research for my proposal is health care in the prison system. This is something that can vary drastically depending different details such as the specific prison, the management of the prison, as well as the needs of the inmates that could change for various reasons. It is generally believed that the health care that is available to inmates in both emergency situations as well as day-to-day medical needs is lacking compared to the health care that is available to the general public. The reasoning behind the quality of health care in the prison system can also be attributed to many different aspects such as an increase in inmates within the prison system, an increase in privately operated prisons that seek to make a profit, and the population of the prison system changing. There is now an increase in the elderly being incarcerated due to there being longer sentences which leads to there being an increase in age related health concerns that need to be taken care of within this growing population.
First and far most what is considered proper living conditions for a criminal. Yes, I believe they should have a sanitary establishment where they could sleep, eat, and shower, that is least we could provide for anyone. I do not think taking away privileges from any confinement facility will promote less repeat offenders. Instead of taking away we should be trying to help the individuals who can be rehabilitated, with programs that can teach them how stay on the right track, help them get a job, and provide for themselves. I know that everyone is not able to recover but if we gave those men and women who are willing to learn these tools then we would see less repeat offenders. Prison should not just be a place of confinement, it's where these
Inmates within the prison system experience a vast array of medical issues. Their medical issues are costly and require medical personnel with a multitude of experience to be available to inmates. Inmate health care is more reactive than it is preventative, which results in expensive treatments. If we were to implement a more comprehensive preventative system within our prisons, we would see a drastic decline in inmate medical issues.
Better treatment of staffs would also be implemented into my correctional facility. The officers would see better pay and treatment from their administrators, whether that means being listened to concerning policy creation and reasonable cuts to what levels of training are received. Most importantly officers will see more efforts in employee retainment, which is reasonable considering the major understaffing and overcrowding of prisons in the United States.
The prison system's overcrowding is making them more and more expensive to afford. Also, mandatory sentences have hindered the Judiciary's ability to sentence offenders with discretion; so many offenders are sent to prison automatically, without regard for mitigating circumstances. For some of these offenders, prison may not be the most appropriate remedy. The cost to house and feed the inmates is skyrocketing. As with the general public, the cost to provide medical treatment, especially to those elderly and special needs inmates, has increased substantially.