2022
DOI: 10.3390/healthcare10020289
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Triaged Out of Care: How Carceral Logics Complicate a ‘Course of Care’ in Solitary Confinement

Abstract: Incarceration, along with its most restrictive iteration, solitary confinement, is an increasingly common experience in America. More than two million Americans are currently incarcerated, and at least one-fifth of incarcerated people will experience solitary confinement. Understanding the barriers to care people experience in prison, and especially in solitary confinement, is key to improving their access to care during and after incarceration. Drawing on in-depth qualitative interviews with a random sample o… Show more

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Cited by 4 publications
(3 citation statements)
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“…Ontario relegates imprisoned people’s healthcare to the ministry in charge of corrections rather than the ministry responsible for healthcare. The provision of healthcare is managed by an institution with a primary mandate and logic of operation grounded in security and “risk governance.” As such, imprisoned people’s healthcare occurs at the intersection of institutional security and individual need, such that imprisoned people are often triaged out of—rather than into—healthcare services (Barragan et al 2022). This institutional arrangement means that the provision of healthcare to most imprisoned people in Canada lacks clinical independence—a central tenet of the Mandela Rules (UN 2015).…”
Section: Resultsmentioning
confidence: 99%
“…Ontario relegates imprisoned people’s healthcare to the ministry in charge of corrections rather than the ministry responsible for healthcare. The provision of healthcare is managed by an institution with a primary mandate and logic of operation grounded in security and “risk governance.” As such, imprisoned people’s healthcare occurs at the intersection of institutional security and individual need, such that imprisoned people are often triaged out of—rather than into—healthcare services (Barragan et al 2022). This institutional arrangement means that the provision of healthcare to most imprisoned people in Canada lacks clinical independence—a central tenet of the Mandela Rules (UN 2015).…”
Section: Resultsmentioning
confidence: 99%
“…One contributing factor is that those who are imprisoned struggle accessing quality healthcare, which includes oral healthcare [18,20,33]. Research shows there is a general lack of dental care and support in penal facilities for currently incarcerated people [31,[34][35][36][37]. Unclear US federal and state guidelines on dental policy and procedures for prisons lead to a lack of services for incarcerated people [13].…”
Section: Incarcerated Populations and Oral Healthmentioning
confidence: 99%
“…First, supermax will be less likely to improve safety if its implementation is not theoretically sound (i.e., people are not selected because of their actual threat to safety). Second, some individuals may be arbitrarily subjected to extreme and harsh supermax conditions and any potential consequences of them (e.g., Anderson et al., 2022, Arrigo & Bullock, 2008; Barragan et al., 2022; Haney, 2018; Jahn et al., 2022; Luigi et al., 2022). It would also highlight a clear need for future research to pinpoint how exactly these decisions are made.…”
mentioning
confidence: 99%