Canadian Federal Penitentiaries Research Articles

“Feed them, protect them, give them what they want”: exploring food as an occupational stress in Canadian federal penitentiaries

ABSTRACT In prior punishment studies, researchers examining food in prisons focused on incarcerated people’s experiences with food insecurity, food nutrition, and access to food, some even connecting food to deprivations as per the “pains of imprisonment” . Others have studied the evolving expectations that correctional officers (CO) care and deliver care to incarcerated people who rely on COs to meet their basic needs (food, clothing, shelter). We, in this article, analyzed interviews with federal COs (n = 101) to reveal how food can become a source of stress for COs in ways remarkably similar but starkly different than how food can stress a prisoner. Departing with the knowledge that COs are responsible for the reproval and supervision of food for incarcerated people within the penitentiary food system. The food system, in turn, affects COs’ abilities to access, produce, and consume their own food while overseeing food delivery, supervision, and reproval among imprisoned people. Policy considerations and recommendations are suggested.

In Search of Penal Labour Citizenship: Prisoner-Workers Organize for Labour Rights in Canada

Do Canadian federal prison-workers have a right to unionize? This key question is investigated in a case study approach to an attempt, by prison-workers, to organize a union in a Canadian federal penitentiary in British Columbia. The authors analyze prisoner-workers penal labour citizenship position via-a-vis the State’s conceptualization of prison-workers as non-employees and difficulties in finding the appropriate Canadian jurisdiction to hear their case.

When Prisoners’ “Right to Die” Goes Online: A Case-Study of Legal and Penal Sensibilities

AbstractPrisoners in Canadian federal penitentiaries can obtain medical assistance in dying (MAiD). This raises questions about the nature and legitimacy of pain and death in incarceration. The authors analyze responses to a Canadian Broadcasting Corporation online news article discussing the provision of MAiD to prisoners. The comments exemplify different sensibilities about the state’s lethality with respect to prisoners. These sensibilities—both legal and penal—draw on an array of cultural referents to orient to prisoners’ deaths generally, but also MAiD specifically. The authors explore how certain referents factor in these legal and penal sensibilities and appear to mediate commenters’ judgements. For example, capital punishment factors significantly in conversations about MAiD for prisoners, as well as imaginations of prisoners’ bodies in pain. As a result, there is a spectacularization of prisoners’ carceral death, despite the humane, “civilized” death MAiD provides, which circumscribes how some commenters imagine the procedure and prisoners’ deaths.

Weight Gain and Mental Health in the Canadian Prison Population.

Most inmates gain excessive bodyweight during incarceration in Canadian federal penitentiaries. It is currently unknown if the weight gain is related to participants' higher prevalence of mental illness and/or psychotropic medication use. This study examined how weight change (kg) and body mass index (BMI) change (kg/m2) of 1,420 participants were associated with mental health status and psychotropic medication use. Participants who took psychotropic medications did not gain more weight during incarceration compared to their counterparts who were not taking psychotropic medications (6.5 kg vs. 6.0 kg, p = 0.87, respectively). However, participants taking psychotropic medications were more likely to be overweight or obese, which means they already had higher BMI at the beginning of their incarceration as opposed to gaining more weight during incarceration. Weight gain of participants observed during incarceration in Canadian federal penitentiaries was not related to the higher prevalence of mental illness or psychotropic medication use.

Weight gain and chronic disease progression among individuals incarcerated in Canadian federal penitentiaries: a retrospective cohort study

PurposeVery little is known about how weight gain during incarceration influences the health of people living in Canadian federal penitentiaries. To fill this knowledge gap, this study aims to determine how the observed weight gain influenced the development of obesity-related chronic diseases during incarceration.Design/methodology/approachThis retrospective cohort study examined the association between weight gain and obesity-related chronic diseases for 1,420 participants incarcerated in federal penitentiaries in Ontario, New Brunswick and Nova Scotia. To participate, individuals had to be incarcerated for at least six months at the time of the study (2016–2017). Current anthropometric data were measured or taken from medical records, then compared to anthropometric data at the beginning of incarceration (mean follow-up of 5.0 years) to determine weight change (kg) and body mass index change (kg/m2) during incarceration. Then, information about obesity-related chronic diseases was drawn from the participants’ medical records.FindingsChi-square and nonparametric median comparison tests were performed to detect statistically significant changes in anthropometric data, to determine if a relationship was present. This study observed a significant association between weight gain and disease development for many types of obesity-related chronic diseases (e.g. cancer, type 2 diabetes, hypertension, dyslipidemia and sleep apnea). This confirmed an association between weight gain and chronic disease development in the prison population.Originality/valueParticipants who gained a significant amount of weight, during incarceration, were also more frequently diagnosed with obesity-related chronic diseases. These findings suggest that weight gain may contribute to the deterioration of peoples’ health during incarceration.

A Correctional Plan for the Canadian Federal Penitentiary System

A Correctional Plan for the Canadian Federal Penitentiary System

How did the tobacco ban increase inmates’ body weight during incarceration in Canadian federal penitentiaries? A cohort study

ObjectiveThis study aimed to determine how inmates’ body weight changed during incarceration in Canadian federal penitentiaries, based on their history of tobacco use. Since tobacco was banned from all Canadian...

Cryptosporidiosis Outbreak Investigation in a Canadian Correctional Facility Using Novel Case Finding Tools.

Eliminating Cryptosporidium oocysts is particularly challenging in prison environments, and limited information is available on best practices for outbreak control. This report aims to expand the evidence base through the lessons learned from an outbreak at a Canadian federal penitentiary in 2013. The outbreak investigation methods included inmate and staff case finding, hypothesis-generating questionnaires, and environmental investigation. A clear source of Cryptosporidium into the facility could not be identified; however, there were a number of possible sources of ongoing propagation within the facility. There were difficulties obtaining valid data on inmate and staff cases and exposures. This report discusses the novel epidemiological tools used in this investigation to address the complex challenges of a correctional setting.

Influence of physical activity, screen time and sleep on inmates' body weight during incarceration in Canadian federal penitentiaries: a retrospective cohort study.

Recent research found that inmates experience undesirable and rapid weight gain during incarceration in Canadian federal penitentiaries. However, little is known about what factors and daily movement behaviours (e.g., physical activity, screen time, and sleep) influence weight gain during incarceration. This study examines how these 24-h movement/non-movement behaviours contribute to weight gain during incarceration. This retrospective cohort study explored how weight change outcomes during incarceration (weight change, body mass index (BMI) change, and yearly weight gain) were influenced by physical activity, screen time, and sleep in a convenience sample of 754 inmates. The outcome measures were taken twice, once from participants' medical chart at admission and again during a face-to-face follow-up interview (conducted in 2016-2017; mean follow-up time of 5.0 ± 8.3years). Physical activity, screen time, and sleep were self-reported. The statistical analysis was chi-square testing, non-parametric median comparison testing, and regression analysis to control for confounders. Inmates who engaged in at least 60min of daily physical activities gained less weight (4.5kg) compared to inmates who reported not exercising (8.3kg). Different types of exercise (cardiovascular exercises, weight lifting, and team sports) were helpful at limiting weight gain, but playing sports was the most effective. Screen time and sleep were not associated with weight gain outcomes. Among the behaviours examined, physical inactivity was significantly associated with higher weight gain during incarceration. However, even high levels of physical activity (> 60min/day) were not sufficient to eliminate weight gain during incarceration in Canada.

An exploration of reported food intake among inmates who gained body weight during incarceration in Canadian federal penitentiaries.

BackgroundCanadian penitentiaries have recently been shown to be obesogenic. However, little is known about the eating habits of inmates who gained weight while living in the prison environment.MethodsThis retrospective cohort study examined the reported food intake of inmates during incarceration in federal penitentiaries. During a face to face interview, anthropometric measures (2016–2017) were taken and compared to anthropometric data at the beginning of incarceration (mean follow-up of 5.0 ± 8.3 years). Self-reported data on food intake were collected via a food frequency questionnaire.ResultsInmates who gained the most weight (15.7 kg) during incarceration reported not eating vegetables. They were followed by inmates who gained 14.3 kg and reported not eating fruit. Other inmates who gained a significant amount of weight reported not eating cereal, dairy or legumes. Moreover, inmates’ weight gain was also assessed by special diets: inmates following a religious diet (4.5 kg) or a diet of conscience (-0.3 kg) gained less weight than inmates not following a diet (5.8 kg). In comparison to other types of diets, inmates on a medical diet gained the most weight (7.5 kg). Furthermore, inmates who gained significant weight (8.0 kg) also reported not purchasing healthy foods from the commissary store (or “canteen”), whereas inmates who gained less weight (4.8 kg) reported purchasing healthy foods from the commissary store (or “canteen”). The observed weight gain was positively associated with food purchased from the commissary store (or “canteen”), but was not associated with the feeding system of the penitentiary (tray, cafeteria or meal plan).DiscussionFood intake during incarceration is a modifiable risk factor that could be the target of weight management interventions with inmates. Our findings suggest that inmates who gained the most weight also reported having low intake of foods deemed healthy (vegetables, fruit, cereal, dairy and legumes) from food services and from the commissary store (or “canteen”) purchases.

Canadian federal penitentiaries as obesogenic environments: a retrospective cohort study.

Very little is known about how incarceration influences a person's weight in Canada. We sought to determine how inmates' weights change during their incarceration in Canadian federal penitentiaries. We performed a retrospective, longitudinal cohort study to examine weight change in Canadian federal penitentiaries. To participate, inmates had to have been incarcerated for at least 6 months at the time of the study. Current anthropometric data were measured or taken from medical records, then compared with anthropometric data from the beginning of incarceration (mean follow-up of 5.0 ± 8.3 yr). We examined 3 outcomes: change in weight (kg), change in body mass index (BMI) and rate of weight change (kg/yr) during incarceration. A total of 1420 inmates participated in this study. Almost three-quarters (73.0%, n = 1037)) of participants gained weight during incarceration. Inmates gained a median of 6.2 (95% confidence interval [CI] 5.6-6.9) kg, and BMI increased by 2.0 (95% CI 1.8-2.2). Obesity rates increased by 71%, from 26.6% of participants (n = 378) on admission to 45.4% of participants at follow-up (n = 645). The proportion of inmates with a BMI in the normal range (18.5-24.9) decreased by 52%. Weight gain was found to be associated with older age, region (Ontario v. Atlantic), ethnicity (Aboriginal inmates showed the highest weight gain), longer incarceration, and longer total sentence. However, weight gain was not associated with sex, feeding system or spoken language. The Canadian correctional environment can be considered obesogenic, with most inmates experiencing undesirable and rapid weight gain during their incarceration. Rates of obesity increased dramatically during incarceration, and could put inmates at increased risk of obesity-related health problems.

Chronic health conditions reported by male inmates newlyadmitted to Canadian federal penitentiaries.

International health studies have shown that inmates have higher rates of infectious diseases, chronic diseases and psychiatric disorders relative to the general population. We conducted a systematic collection of data on chronic physical health conditions reported by newly admitted inmates in Canadian federal penitentiaries. Over a 6-month period from April to September 2012, we collected and analyzed data from a standardized health interview routinely conducted with consenting incoming male inmates (n = 2273). Prevalence rates of health conditions were determined and disaggregated by age (<50 yr and ≥50 yr) and by Aboriginal status. The most common health conditions reported by respondents were head injury (34.1%), back pain (19.3%), asthma (14.7%) and hepatitis C virus (HCV) infection (9.4%). Rates of many health conditions were higher among inmates 50 years of age or older than among younger inmates. Compared with their non-Aboriginal counterparts, Aboriginal inmates had higher rates of head injury and HCV infection. Our study provides a benchmark that can be used to examine health trends within Canada's federal penitentiaries over time and points to subgroups of newly admitted inmates for whom health services may need to be concentrated.

Interferon-gamma release assays piloted as a latent tuberculous infection screening tool in Canadian federal inmates.

Interferon-gamma release assays (IGRAs) may be useful in diagnosing latent tuberculous infection (LTBI) in inmates; however, published experience in these settings is limited. To identify variables associated with IGRA positivity among Canadian federal inmates with positive tuberculin skin test (TST) results. On intake, TST-positive (≥10 mm) inmates were offered an IGRA (QuantiFERON(®)-TB Gold), and demographic and historical data were collected. IGRA-positive and -negative inmates were compared using the χ(2) test and multivariable logistic regression; the final model's goodness of fit was assessed using Hosmer-Lemeshow test and area under the receiver operating characteristic curve (AUC). Of 96 TST-positive inmates, 31 (32.3%) were IGRA-positive. Variables associated with positive IGRA were age >45 years (11/20 vs. 20/75, P = 0.016) and previous LTBI treatment (9/20 vs. 13/55, P = 0.032) in univariate analysis, and being from a country with a moderate or high estimated tuberculosis (TB) incidence (OR 3.5, 95%CI 1.3-9.4, P = 0.013) and absence of bacille Calmette-Guérin (BCG) vaccination (OR 3.3, 95%CI 1.2-9.0, P = 0.017) in multivariable analysis. The data fit the model well, classifying the group better than chance alone (AUC 0.67, P = 0.007). High discordance with TST, particularly among BCG-vaccinated inmates and those from low TB incidence countries, suggest that IGRA may be useful in Canadian federal penitentiary screening programmes.

Constructing and Performing Sexualities in the Penitentiaries

Prison sex research has primarily focused on overt sexual behaviors, while prisoner attitudes regarding sexuality have received considerably less attention. Moreover, little is known about the implications of such attitudes for prisoner behaviors. Applying a social constructionist framework, the present study explores how sexuality is negotiated and performed during incarceration, and situates these behaviors within the context of dominant attitudes in all-male prison environments. To this end, in-depth, face-to-face interviews were conducted with male parolees from Canadian federal penitentiaries. The results suggest that heteronormativity and homophobia are pervasive in prisoner cultures and are reflected in how sexuality is discursively constructed and acted out by incarcerated men. Implications of the current findings and directions for future research are discussed.

Are All Gangs Equal Security Risks? An Investigation of Gang Types and Prison Misconduct

Examination of the demographic and offense-related characteristics of 1,636 gang members admitted to Canadian federal penitentiaries between January 1, 2006 and August 31, 2009 revealed that there is considerable variation between these groups. Members of Aboriginal, Asian and Street Gangs tended to be admitted at much younger ages than members of Outlaw Motorcycle Gangs (OMG), or members of Traditional Organized Crime (TOC) gangs. Moreover, these younger offenders were more likely to be admitted to prison with a conviction for a violent offense, have higher levels of risk and need, were placed in higher security facilities, and engaged in higher levels of institutional misconduct once imprisoned. Members of TOC gangs, however, had levels of misconduct that were one-third the rate of non-gang offenders admitted during the same era. This study shows that not all gangs pose equal risks to correctional systems, and that gang management or suppression strategies should take their characteristics into account.

The Unproductive Prisoner: Labor and Medicine in Canadian Penitentiaries, 1867-1900

Labor played a central role in nineteenth-century penitentiaries. It was intended to provide guidance and discipline to prisoners whose behavior was outside of social, moral, and economic norms. This article examines the relationship between medicine and labor in Canadian federal penitentiaries between 1867 and 1900. As penitentiaries grew and expanded throughout the century, increasing numbers of prisoners were unable to participate in penitentiary labor due to illness or disability. In these cases, penitentiary medicine helped form part of an “enlightened” response to nonworking prisoners. It suggests that medical records from this period demonstrate how penitentiaries reconciled nonworking prisoners with the prevailing model of reform constructed around labor. The article looks at two such groups. The first is sick prisoners, including physical and mental ailments. Mental illness was an increasingly vexing problem for penitentiaries in this era as they struggled to form appropriate responses to mentally ill prisoners within the prevailing penitentiary model. The second group is prisoners with disability, including physical and intellectual disability. Although both groups were understood through medical categories, their status as “unproductive” prisoners sometimes played a larger role in determining their experience of confinement. The article looks at the influence of ideas about labor on the delivery of medical services in penitentiaries and the resulting experience of illness. Although prison medicine in Canada expanded and improved throughout this period, the sick and disabled often experienced marginalization and moral condemnation on the basis of their uncertain relationship to penitentiary labor.

Rediscovering Quetelet, Again: The “Aging” Offender and the Prediction of Reoffending in a Sample of Adult Sex Offenders

This study explored the role of age at release on the risk of reoffending using a sample of sex offenders. It examined whether the risk of reoffending, assessed using actuarial tools, should be adjusted according to the offender’s age at the time of release. The sample comprised 553 offenders, all of whom were consecutive admissions to a Canadian federal penitentiary. Scores on the Static‐99 as well as age at release were included in successive nested prediction models using Cox‐regression. Receiver operating characteristic (ROC) curves and Allison’s R 2 were computed to assess the predictive accuracy of the models and the strength of the association between the covariate measures of general and violent/sexual reoffending. Results showed that overall predictive accuracy observed across models was fair at best. Generally, age of onset and age at release improved the prediction accuracy over and above the scores on the Static‐99. In fact, by itself, age at release showed a predictive accuracy comparable to that of the actuarial tool. The results suggest that risk assessors should adjust the risk of reoffending based on the offender’s age at release. The implications of this study are discussed in light of the age–crime curve literature and the risk management of sex offenders in the community.

Partners in Crime

Little is known about the characteristics of homicides committed by more than one perpetrator. This study examined the crime, victim, and perpetrator characteristics of individual homicides ( n = 84) versus multi-perpetrator homicides ( n = 40), according to official file information from two Canadian federal penitentiaries. Compared to multiple perpetrators, individual perpetrators were more likely to be older and to target female victims, and their homicides were more likely to contain reactive, sexual, and sadistic elements. Multi-perpetrator homicides tended to involve younger offenders, male victims, and instrumental motives. Psychopathic offenders were likely to act alone in committing sexual homicides and to involve an accomplice in other types of murders, but they typically committed gratuitous violence against women regardless of whether they acted alone or with a co-perpetrator. The findings indicate that individual and multi-perpetrator homicides have distinctive dynamics and can be differentiated during investigations.

Governing the Captives: Forensic Psychiatric Nursing in Corrections

TOPIC/PROBLEM: Since 1978, the federal inmates of Canada serving time have had access to a full range of psychiatric care within the carceral system. Five psychiatric units are part of the Federal Correctional Services. Nursing practice in forensic psychiatry opens up new horizons in nursing. This complex professional nursing practice involves the coupling of two contradictory socio-professional mandates: to punish and to provide care. The purpose of this article is to present the results of a grounded theory doctoral study realized in a multi-level security psychiatric ward of the Canadian Federal Penitentiary System. The theoretical work of the late French philosopher, Michel Foucault, and those of sociologist, Erving Goffman, are used to illuminate the qualitative data that emerged from the author's fieldwork. A Foucauldian perspective allows us to understand the way forensic psychiatric nursing is involved in the governance of mentally ill criminals through a vast array of power techniques (sovereign, disciplinary, and pastoral) which posited nurses as "subjects of power". These nurses are also "objects of power" in that nursing practice is constrained by formal and informal regulations of the penitentiary context. As an object of "governmental technologies", the nursing staff becomes the body onto which a process of conforming to the customs of the correctional milieu is dictated and inscribed. The results of this qualitative research, from a nursing perspective, are the first of their kind to be reported in Canada since the creation of the Regional Psychiatric Correctional Units in 1978.

HIV and Hepatitis C Virus Testing and Seropositivity Rates in Canadian Federal Penitentiaries: A Critical Opportunity for Care and Prevention

Incarcerated persons experience high rates of HIV and hepatitis C virus (HCV) infection, but little is known about the burden of these bloodborne viruses among federal penitentiary inmates in Canada. The present study investigates rates of testing and seropositivity for HIV and HCV among inmates in all 53 Canadian federal penitentiaries. A cross-sectional design using surveillance data on voluntary HIV and HCV antibody testing in 2002 were applied to estimate the rate of testing uptake and the rate of incident seropositive tests among new admissions to federal penitentiaries and resident inmates. Rates of testing and infection were further examined by sex and region. Seroprevalence of HIV and HCV was estimated from the number of cumulative positive tests to year-end. Of 7670 new admissions during 2002, 30% were tested for HIV and HCV. Test seropositivity rates in this group were 0.7% for HIV and 10% for HCV. Of the 12,426 resident inmates, 28% were tested for HIV and 27% for HCV. Seropositivity rates in this group were 0.3% for HIV and 7% for HCV. Seroprevalence rates at yearend for 2002 were 2.0% for HIV and 26% for HCV and were substantially higher among women offenders (HIV: 3.7% of women, 1.9% of men; HCV: 34% of women, 26% of men). Variations in testing uptake and test seropositivity were observed across regions. The present study underscores the value of continued monitoring and evaluation of trends in HIV and HCV infection, which remain prevalent in federal penitentiaries. Higher rates of testing are warranted for at-risk inmates to improve early detection of infection and provide infected inmates with timely care and treatment. For those who remain free of infection, testing can provide the additional benefits of exposing inmates to health counselling and for the reinforcement of prevention messages. The period of incarceration is also a critical opportunity to link inmates with outside resources in preparation for release to the community.