Browsing by Subject "Prisons"
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Item Medical ethics in the carceral setting(2024-01-09) Kendig, Newton E.In this Ethics Grand Rounds, we will discuss ethical concerns that commonly arise when caring for patients in the carceral setting. Topics include respecting patient autonomy within a public safety setting, obtaining informed consent from patients in an inherently coercive environment, determining medical necessity of correctional health services, and navigating ethical concerns for specific patient populations such as those with behavioral health conditions, hepatitis C, reproductive and gender-related health care needs, the aging, and those living with life-limiting conditions. We will explore the interface of public policy, legal mandates, evidence-based clinical guidance, and ethical decision-making.Item [News](1980-04-28) Harrell, Ann; McKay, CarolItem The Role of Incarceration in Treatment-Seeking Veterans with PTSD: Evaluating Differences in Trauma Symptoms, Suicidality, and Substance Use(August 2021) Sligar, Kylie Blake; LePage, James; Jeon-Slaughter, Haekyung; Shivakumar, Geetha; Pai, Anushka; Smith, JuliaVeterans are an at-risk population with increased chances of exposure to trauma, mental health diagnoses, substance use, and suicidality. Individuals who have been incarcerated demonstrate similar increased risks. As such, when a Veteran also has a history of incarceration, these risks may be exacerbated. It is posited the rate of PTSD among Veterans is 11-20% (National Center of PTSD, 2019). Additionally, it is estimated over 120,000 Veterans are currently incarcerated, with as many as 67% having a mental illness or substance use disorder (Finlay et al., 2017; Bronson et al., 2015). This study aimed to examine how a history of incarceration may impact trauma symptoms in Veterans, and how this differs when compared to Veterans without an incarceration history. The data did not support overall differences between these two groups; however, exploratory analyses suggest potential areas of future directions. Exploratory analyses suggest potential differences in PTSD symptomology, specifically increased endorsement of Cluster C / avoidance among Veterans with PTSD, and increased risk taking among Veterans with PTSD and an incarceration history. Results also suggested higher rates of substance use treatment among Veterans with PTSD and an incarceration history. Lastly, analyses suggest higher endorsement of feeling "tense and keyed up" among Veterans with PTSD. No differences were found between groups in areas of PTSD severity, number of endorsed trauma events, suicidality, or adverse childhood events.