Period Of Incarceration Research Articles

Behind Bars: Exploring Health and Geriatric Conditions Among Incarcerated Older People in Mexican prisons.

Introduction The aging process of the incarcerated population is a growing concern, yet there are few data on older adults in this demographic group. Hence, this study seeks to examine the health status of older adults who are incarcerated in Mexican prisons and its association with the duration of their imprisonment. Methods This is a secondary analysis of the 2021 Mexico National Prisons Survey. We analyzed 50-year-old and older prisoners, and performed a descriptive analysis of the sample's age, sex, sociodemographic variables, and chronic conditions. Multivariate analysis stratified by age was performed to assess the effect of the time spent in prison on older prisoners' health. Results The mean age was 56.95 (± 6.4 SD) and the mean duration of imprisonment was 8.93 years (± 6.94 SD). Regarding health conditions, 17.80% had diabetes, 29.62% had hypertension, 10.33% had suicidal ideation, 40.87% were visually impaired, 17.01% had hearing impairment, and 17.64% had mobility impairment. Multivariate analysis revealed that among categories of imprisonment duration, longer time imprisoned was associated with an increased risk of diabetes and hypertension for all groups but was not associated with mobility impairment or suicidal ideation except in the younger group. Conclusion Longer periods of incarceration appear to be associated with a greater occurrence of diabetes and hypertension in older prisoners. Sensory impairments and suicidal ideation are mainly identified in younger prisoners, while mobility impairments do not appear to be influenced by the time spent in prison. Further research needs to be done in prisons, where the addition of physical performance tests and cognitive tests could help further study geriatric conditions in older prisoners.

Naloxone vending machines in county jail

IntroductionThe overdose epidemic in the United States has intensified following the introduction of illicitly manufactured fentanyl to drug markets with recent estimates indicating 110,000 deaths in 2022 and longer-term trends adversely impacting national life expectancy. A period of incarceration has been identified as a critical touchpoint for overdose prevention given its strong association with risk of overdose. In this paper we describe efforts funded by the Centers for Disease Control and Prevention (CDC) Overdose Data to Action (OD2A) grant to design and implement naloxone vending machines that provide free naloxone within county jails to returning citizens and those visiting county jail facilities. MethodsThis study utilized three sources of data. First, we describe the results of a pre-implementation survey administered by technical assistance providers to 18 jails across the state of Michigan. Second, among the 6 jail facilities that accepted a naloxone vending machine we examine administrative data from Michigan Department of Health and Human Services on naloxone orders to look at changes 6-months before and after implementation. Third and lastly, we conducted semi-structured interviews (N = 6) with jail administrators (i.e., County Sheriffs) on the barriers and facilitators to implementing a naloxone vending machine. ResultsSix facilities indicated they would accept a vending machine to distribute free naloxone. Overall, the total number of naloxone box orders that were distributed across all jail sites increased by 63.5 % from 4104 boxes pre-naloxone vending machine to 6708 boxes post-naloxone vending machine implementation. Qualitative interviews revealed that prior naloxone distribution efforts and foundational knowledge about opioids, overdose, and naloxone emerged as facilitators for vending machine implementation. ConclusionThis study illustrates the utility of policy-driven funding strategies aimed at mitigating accidental overdose deaths among a high-risk population while building community naloxone saturation efforts.

The Effect of Incarceration on Mortality

Abstract This paper analyzes the effect of incarceration on mortality using administrative data from Ohio between 1992 and 2017. We first document that long-run survival is higher among the incarcerated than similar nonincarcerated defendants. Using event study designs centered around the time of release, we show why: mortality risk halves during the period of incarceration, with large reductions in murders, overdoses, and natural causes of death. However, incarceration does not increase postrelease mortality, and so the overall effect is increased longevity. These estimates reflect the high-risk environment faced by defendants when not incarcerated and suggest noncarceral policies to reduce these risks.

Prevalence and Correlates of Heavy Alcohol use among People Living with HIV who use Unregulated Drugs in Vancouver, Canada.

Among people living with HIV (PLWH), heavy alcohol use is associated with many negative health consequences. However, the impacts of heavy alcohol use are not well described for PLWH who use drugs. Thus, we investigated the prevalence and correlates of heavy alcohol use among a cohort of people who use drugs (PWUD) living with HIV in Vancouver, Canada. We accessed data from an ongoing community-recruited prospective cohort of PLWH who use drugs with linked comprehensive HIV clinical monitoring data. We used generalized linear mixed-effects modeling to identify factors longitudinally associated with periods of heavy alcohol use between December 2005 and December 2019. Of the 896 participants included, 291 (32.5%) reported at least one period with heavy alcohol use. Periods of recent incarceration (Adjusted Odds Ratio [AOR] = 1.48, 95% Confidence Interval [CI]: 1.01-2.17), encounters with police (AOR = 1.87, 95% CI: 1.37-2.56), and older age (AOR = 1.05, 95% CI: 1.02-1.07) were positively associated with heavy alcohol use. Engagement in drug or alcohol treatment (AOR = 0.54, 95% CI: 0.42-0.70) and male gender (AOR = 0.46; 95% CI: 0.27-0.78) were negatively associated with heavy alcohol use. We observed that heavy alcohol use was clearly linked to involvement with the criminal justice system. These findings, together with the protective effects of substance use treatment, suggest the need to expand access for drug and alcohol treatment programs overall, and in particular through the criminal justice system to reduce alcohol-related harms among PLWH who use drugs.

Immigrant background, incarceration history and recidivism among adults assessed for illicit substance use severity: Findings from a Swedish registry study

BackgroundIn Sweden, as in other countries, individuals with immigrant backgrounds are disproportionately represented within the incarcerated population. This study examined the association between immigrant background and future incarceration for individuals assessed for illicit substance use severity, while considering their prior incarceration history. MethodsUsing data from Swedish Addiction Severity Index (ASI) assessments linked to register data from Statistics Sweden, we employed Zero-Inflated Negative Binomial (ZINB) regression models to analyse differences in incarceration histories within five years before and after ASI assessments based on immigrant backgrounds. Additionally, Cox proportional-hazard models were used to assess the likelihood of post-assessment incarceration among these groups. ResultsImmigrant background was positively associated with pre- and post-assessment incarceration. First- and second-generation immigrants from the Global South had longer periods of incarceration in the five years before assessments compared to native Swedes. Post-assessment, first-generation immigrants showed longer periods of incarceration. Survival analyses supported these findings, indicating a higher risk of prolonged post-assessment incarceration among all immigrant groups, particularly first-generation immigrants from the Global South. ConclusionAmong individuals assessed for illicit drug use within Swedish municipalities, those with immigrant backgrounds faced higher incarceration risks, even after controlling for substance use severity and prior incarceration. Tailored interventions and support systems are vital to prevent re-entry into the criminal justice system. Timely actions can break re-offending cycles, redirecting paths away from reoffending and towards legal reintegration, thereby reducing incarceration and recidivism rates.

Multi-sector stakeholder consensus on tackling the complex health and social needs of the growing population of people leaving prison in older age

BackgroundAs populations age globally, cooperation across multi-sector stakeholders is increasingly important to service older persons, particularly those with high and complex health and social needs. One such population is older people entering society after a period of incarceration in prison. The ‘ageing epidemic’ in prisons worldwide has caught the attention of researchers, governments and community organisations, who identify challenges in servicing this group as they re-enter the community. Challenges lie across multiple sectors, with inadequate support leading to dire consequences for public health, social welfare and recidivism. This is the first study to bring together multi-sector stakeholders from Australia to form recommendations for improving health and social outcomes for older people re-entering community after imprisonment.ResultsA modified nominal group technique was used to produce recommendations from N = 15 key stakeholders across prison health, corrections, research, advocacy, aged care, community services, via online workshops. The importance and priority of these recommendations was validated by a broader sample of N = 44 stakeholders, using an online survey. Thirty-six recommendations for improving outcomes for this population were strongly supported. The key issues underlying the recommendations included: improved multi-stakeholder systems and services, targeted release preparation and practices that ensure continuity of care, advocacy-focused initiatives in the community, and extended funding for effective programs.ConclusionsThere is consensus across stakeholders on ways forward, with intervention and policy updates required at the individual, systems and community levels. These recommendations entail two important findings about this population: (1) They are a high-needs, unique, and underserved group at risk of significant health and social inequity in the community, (2) Multi-sector stakeholder cooperation will be crucial to service this growing group.

Identifying structural risk factors for overdose following incarceration: a concept mapping study

BackgroundCurrently, there are more than two million people in prisons or jails, with nearly two-thirds meeting the criteria for a substance use disorder. Following these patterns, overdose is the leading cause of death following release from prison and the third leading cause of death during periods of incarceration in jails. Traditional quantitative methods analyzing the factors associated with overdose following incarceration may fail to capture structural and environmental factors present in specific communities. People with lived experiences in the criminal legal system and with substance use disorder hold unique perspectives and must be involved in the research process.ObjectiveTo identify perceived factors that impact overdose following release from incarceration among people with direct criminal legal involvement and experience with substance use.MethodsWithin a community-engaged approach to research, we used concept mapping to center the perspectives of people with personal experience with the carceral system. The following prompt guided our study: “What do you think are some of the main things that make people who have been in jail or prison more and less likely to overdose?” Individuals participated in three rounds of focus groups, which included brainstorming, sorting and rating, and community interpretation. We used the Concept Systems Inc. platform groupwisdom for our analyses and constructed cluster maps.ResultsEight individuals (ages 33 to 53) from four states participated. The brainstorming process resulted in 83 unique factors that impact overdose. The concept mapping process resulted in five clusters: (1) Community-Based Prevention, (2) Drug Use and Incarceration, (3) Resources for Treatment for Substance Use, (4) Carceral Factors, and (5) Stigma and Structural Barriers.ConclusionsOur study provides critical insight into community-identified factors associated with overdose following incarceration. These factors should be accounted for during resource planning and decision-making.

Displaying, Not Just Doing: Learning for Citizenship and Belonging in Australian Institutions for Incarcerated Boys, 1920–1939

ABSTRACT Throughout the 1920s and 1930s, both the Gosford Training School for Boys in New South Wales and the Westbrook Farm Home for Boys in Queensland were well-established institutions. Both were state-run facilities that ostensibly existed to incarcerate, educate and reform boys convicted of criminal offences. Gosford and Westbrook had total responsibility for the boys under their care during their periods of incarceration. They were responsible not just for the formal education of the boys within them, but also for ensuring that those boys learned how to become good citizens and valuable members of their future communities. This article focuses on how institutional and government authorities communicated and displayed techniques of reformative learning. It examines how this learning was displayed to local communities, arguing that the work of demonstrating that the boys were learning to be good citizens was an important part of institutional governance.

January 2024 Medical Image of the Month: Polyangiitis Overlap Syndrome (POS) Mimicking Fungal Pneumonia

No abstract available. Manuscript truncated after 150 words. A 32-year-old woman with a history including hypertension, end-stage renal disease requiring dialysis, asthma, nonischemic cardiomyopathy, and migraines, was directly transferred to our hospital in November 2023 for the evaluation of hemoptysis. The patient reported a two-week history of a nonproductive cough, runny nose, muscle aches, subjective fevers, chills, fatigue, nausea, and decreased appetite. Within the past 2 days the patient had also developed hemoptysis, with 5-6 episodes per day. Initial investigations, including chest X-ray and CT chest, revealed large biapical pulmonary consolidations with cavitation. Multiple nodular densities were observed throughout both lungs (Figures 1 and 2). The patient denied any recent sick contacts, travel history, and prior tuberculosis infection. She did, however, disclose a period of incarceration from 2011 to 2019. Upon arrival at our hospital, the patient recounted a relatively normal state of health until January 2023 when she underwent a two-month hospitalization, culminating in the diagnosis of …

Confronting historical narratives at the Castillo de San Marcos, Saint Augustine, Florida

Recent research on intangible cultural heritage and the politics of contested sites of memory show that the emotional dimensions of historic places change over time and influence what visitors experience. These dimensions also influence interpretive strategies and historical narratives within sites that are public tourist destinations. In this regard, the Castillo de San Marcos in Saint Augustine, Florida posits significant challenges. As a national monument situated in a scenic, sea-side town, it is a symbol of Spanish Florida and part of the National Park Service (NPS). Conveyed as the place where ‘America begins,’ the lesser-known history is that, when operated under the United States military as Fort Marion (1825–1924), it was the site of three periods of Native American incarceration and the foundation of an educational system for forced assimilation. Within this context, this essay focuses on three questions: How does a governmental entity such as the NPS present complicated histories experienced at tourism sites? In what ways can the Castillo become a place that goes beyond Native American existence or disappearance to present complex narratives of survival and active resistance? And, to what extent can tourism sites become agents of change to confront settler colonialism through centering new voices? Through the concept of survivance and centering Indigenous perspectives and voices, national parks can broaden interpretations and create more complex narratives of history.

Gaps in monitoring global progress toward universal health coverage among disadvantaged populations: the case of people living in prison

Abstract The United Nations’ Sustainable Development Goals (SDGs) represent a sweeping initiative to create a sustainable and equitable global future. SDG 3 focuses on the health and wellbeing of the world. Expanding universal health coverage is a central component of SDG 3 and has been a focus area of the World Health Organization (WHO), which aims to expand universal health coverage to an additional 1 billion people by this year (2023). The WHO developed an index (indicator 3.8.1) intended to monitor coverage of essential health services across the globe. However, this indicator fails to incorporate health coverage for people in prisons. People incarcerated in prisons across the globe have high rates of physical health, mental health, and substance use conditions compared with the general population, and they are frequently excluded from policies and services available in the general population. For example, in some countries, like Australia and the United States, people in prison are legislatively excluded from the public health insurance programs available to the general population. Exclusion of prison health coverage from the WHO's universal health coverage indicator likely results in overestimation of health coverage in most countries and fails to identify gaps in care during and after periods of incarceration. We believe prison health coverage should be incorporated into the WHO's 3.8.1 indicator, which would more accurately capture a country's health coverage among its most disadvantaged populations. Monitoring of prison health coverage will require improved measurement of quality and service availability in prisons, which is sorely lacking in most countries.

Twitter-generated Moral Panic and Its Effect on Pretrial Incarceration/ Bail: Contextualizing the Tale of ‘Folk Devil’ Aryan Khan

The Narcotic Drugs and Psychotropic Substances (NDPS) Act, which was enacted with an intent to control drug abuse and prohibit its trade, has blurred the line between the offender and the victim, particularly in cases of addicts. Nonetheless, the focus of this study is the multifarious victimization of the offender: overcriminalization in terms of measures, lengthy pretrial incarceration and increased sensationalism in cases of offenders belonging to high strata of society, thus creating a moral panic. Incident of victimization is juxtaposed with public concern solicited by the reporting of cases. The stigmatization endured and the trauma suffered by the accused owing to the full media glare strike on their innocence and violate their right to life and dignity. Aim and Objective: A criminal justice system is an institutionalized means of rendering justice. One of the virtuous traits of a criminal justice system modelled on the ethos of due process is its attempt to achieve certainty and transparency in its process and the outcomes. However, no institution is infallible as manifested by the misuse of draconian provisions of the NDPS Act 1985. This study first evaluates whether disposal of bail matters in NDPS cases is a classic case of overcriminalization leading to the victimization of the offender; second, it gauges the impact of public reaction depicting ‘moral panic’ of the offender in the disposal of bail matters. Methodology: The study was conducted through a detailed content analysis of the public reaction in the Aryan Khan drug case on the micro-blogging site Twitter with the help of the content analysis tool NVivo. Findings: The outcome of the study manifests positive interrelationship between moral panic and public perception, positive interrelationship between moral panic and status of the person arrested which consequentially affects the period of pretrial incarceration (denial of bail).

REFLECTIONS OF INCARCERATED YOUNG ADULTS IN A ROMANIAN DETENTION CENTER

Objective. Young people deprived of their freedom in the custody of education centres or detention centres are aged between 18 and 21, according to the criminal law. The aim of the study is to examine, through structured interviews with young people in a detention centre, how they experience incarceration. Method. The data collection is based on face-to-face structured interviewing. The study includes a group of 22 young people, all males aged 18-22 years, from a detention centre in Romania. They answered about their perception of the activities/programmes they are involved in, their relationship with colleagues and staff and what they would like to improve in the youth detention system. Results. Young people experience the period of incarceration as a challenge they have to face because of the daily routine. Phone communication with loved ones and work and sports activities are what most ease their longing for home and family. They feel betrayed by their friends in the free world and no longer want to be part of the entourage that causes them problems. They long for freedom and family and would like to have the possibility to work, and, and benefit of outings in the community. Conclusions. Intervention programmes for young offenders should focus on promoting healthy lifestyles, positive behavioural change and education programmes aimed at explaining prison policies and practices regarding young offenders' rights and teaching them how to follow up on abuse allegations. Keywords: youth, incarceration, detention centre, experience of freedom deprivation, resources, resilience.

Understanding the impact of bail refusal on the Australian public health system

Australia’s incarceration rates are the highest they have been in a century. Bail and remand contribute much to this trend, and yet the reasons why police refuse bail to vulnerable people are currently unclear. What is clear, though, is that a disproportionate number of vulnerable people are being refused bail, resulting in periods of remand incarceration which end up either longer than the prison sentence given by a magistrate, or undue if the alleged offender is found not guilty. This tendency is particularly observable for the most vulnerable: Aboriginal people, children, people with a mental health condition, the homeless, and women. The authors investigated how magistrates grant or refuse bail as part of the court process, then looked at two tipping points bracketing the bail continuum: 1) policing interactions leading to court appearance, and 2) the impact of bail refusal on public health and community safety and well-being in general. In the present article, they examined how authorized police officers consider refusing or granting bail. This new project aims to investigate the police bail decision-making process and generate new knowledge about the impact of bail refusal on vulnerable people. Through an iterative process with national practitioners and international experts, the authors aimed to identify factors to consider when bail involves vulnerable people. Expected outcomes included the development of mechanisms to benefit the full remit of criminal justice, reduce costs, and improve fairness, accountability, and procedural justice.

The Impact of Multi-System Trauma in Patients with Sickle Cell Disease

The impact of multi-system traumatic injury in patients with Sickle Cell Disease (SCD) is grossly understudied; only three published case studies have described such a relationship between sickle cell and multi-system trauma. These reports do not address prospective health outcomes following injury, despite strong biological plausibility to support adverse effects in trauma patients with sickle cell trait. It is likely, therefore, that trauma may increase acute complications such as vaso-occlusive events (VOC) and thus pain crises in SCD. We examined whether exposure to a traumatic injury is associated with an increase in frequency and duration of VOC. A retrospective chart review of 356 adult patients from 2000-2022 with SCD was performed, using data from electronic health record abstraction. A total of 96 patients were identified with a prior traumatic event (TE), defined as a sudden onset of physical injuries of any severity requiring an Emergency Department (ED) visit. Patients with missing data one-year pre- and post-TE, isolated injuries, or periods of incarceration were excluded. The 62 qualifying patients were then sorted into three primary comparison groups: (A) those with severe injuries (receiving triage by Trauma Team Activation (TTA) and admission), (B) moderate injuries (receiving triage by TTA but no admission), and (C) minor injuries (receiving neither triage by TTA nor admission). To further stratify by triage status alone, groups A and B were combined to compare against those with minor injuries (triage vs no-triage). TE hospital length of stay (LOS) and 30-day mortality were noted for all groups. To determine sickle cell-related outcomes, we recorded the time from TE discharge to first VOC event, as well as the number of VOC requiring an ED visit one-year pre- and post-TE. LOS for the VOC event immediately pre-TE was compared to the first VOC post-TE. We tested statistically significant changes in the frequency of ED visits, hospitalizations, and LOS for TE admission, stratifying pre-post estimates by severity of trauma. Favorable prospective health outcomes were defined as no significant difference in mortality, number of ED visits, hospitalizations, and VOC LOS pre- and post-TE. Our analysis determined that the earliest time to first VOC event post-TE was noted in patients with mild injuries at 826.3 hours, followed by patients with moderate injuries at 2349.2 hours, and patients with severe injuries at 3252.6 hours. This trend may imply that unresolved injuries from a lack of triage by TTA and disease management may contribute to early onset VOC. Two-sample t-tests report that the patient cohort with mild injuries observed a 28% increase in pain crises frequency post-injury (p=0.04), followed by patients with severe injury at 20% (p=0.24), and moderate injuries at 8% (p=0.16). These results may suggest that the cohorts of SCD patients with the most favorable prospective health outcomes were those who were ultimately admitted post-injury. Similarly, duration of first VOC post-injury increased for patients with severe injuries by 472% (p=0.78), followed by patients with moderate injuries by 202% (p=0.16), suggesting that high injury severity may contribute to longer VOC LOS. No statistical difference in 30-day mortality was noted between all cohorts. Our analysis was limited by small cohort sample sizes, retrospective documentation of SCD and trauma outcomes, and lack of precedence. Our findings are the first to provide preliminary evidence for an association between exposure to multi-system traumatic injury and poor SCD outcomes. This was especially true for patients classified as having mild traumatic injuries and thus not requiring triage by TTA or admission. In this subset, lack of further interventions following an injury may result in unforeseen physiologic stressors contributing to occurrence of VOC and prolonged hospital admissions. Only one patient of 356 record reviews had an Emergency Severity Index Triage (ESI) documented, despite NIH SCD Expert Panel's recommendation that all SCD patients be designated an ESI of 2. In SCD patients, further management of traumatic injuries, regardless of severity, may help to minimize future VOC events and other adverse outcomes. Further research is required to identify post-TE triage protocols, predict acute triggers for pain events, and target appropriate medical interventions for SCD patients suffering traumatic injuries. Figure 1View largeDownload PPTFigure 1View largeDownload PPT Close modal

Mental health and community program for people over 60 years

Introduction: The programs that develop actions focused on the health of the older adult in their integrality, provide improvements in aspects of quality of life (physical, functional, social, emotional). With the spread of an acute respiratory infection caused by the coronavirus SARS-CoV-2 (Covid-19), internationally eligible as "severe" and highly transmissible, there was an extensive period of incarceration at home by the majority of the population, here, in this case, Brazilian, resulting in a large part of the older adult population emotional, social sequelae and declines in functional capacity. Among them, we can highlight anxiety and depression, psychopathological symptoms that are related as risk factors for quality of life affecting the performance of their daily activities. Objective: To compare, through the Geriatric Depression Scale GDS-15 and GDS-5 and the Geriatric Anxiety Inventory (GAI), possible changes in psychopathological parameters in older people after 3 months of participation in the activities developed in the “Living Better” project. Methods: In this section 35 participants of the Better Living Project, carried out at the Community Health Center - CSC, Deise de Fátima Araújo de Paula, health unit of the City Hall of Palmas (TO), answered the questionnaires GAI and GDS-15 and GDS-5 at the beginning and after 3 months of activities offered (stretching, memorization, lectures). Descriptive statistics, normality test (Shapiro-Wilk), and T-student test for dependent samples were performed using the Jamovi 2.2 software. We adopted a significance level of p ≤ 0.05 for all variables. Results: There were no data related to depression during pre and post-collections (GDS-15 and GDS-5). When comparing the pre-and post-GAI data, one observed that there was a reduction in anxiety parameters, statistically significant according to p= 0.0471 in an interval of 3 months of participation in the activities offered by the project. Conclusion: It is perceived the need for a more cautious look at the older population, which was highlighted to the increase in anxiety symptoms presented by the research participants, pointing to the participation in physical and social exercise programs as fundamental factors for the maintenance of integral health.

Continuity of mental health care during the transition from prison to the community following brief periods of imprisonment.

PurposeThe prison-to-community transition period is one of high risk and need, particularly for those with mental illness. Some individuals cycle in and out of prison for short periods with little opportunity for mental health stabilization or service planning either in prison or the community. This study describes the socio-demographic, clinical and criminal justice characteristics of individuals with mental illness and frequent, brief periods of imprisonment, examines continuity of mental health care between prison and the community for this group, and reports on their post-release mental health and criminal justice outcomes.Design/methodology/approachThis study examined a sample of 275 men who had recently entered prison in New South Wales (NSW), Australia, who had been charged with relatively minor offenses and had been identified on reception screening as having significant mental health needs. Baseline demographic and mental health information was collected via interview and file review and contacts with the prison mental health service were recorded for the period of incarceration. Follow-up interviews were conducted 3 months post-release to determine level of health service contact and mental health symptoms. Information on criminal justice contact during the 3 month period was also collected.FindingsThe majority (85.5%) of the sample had contact with a mental health professional during their period of incarceration. Mental health discharge planning was, however, lacking, with only one in 20 receiving a referral to a community mental health team (CMHT) and one in eight being referred for any kind of mental health follow-up on release. Of those followed up 3 months post-release (n = 113), 14.2% had had contact with a CMHT. Of those released for at least 3 months (n = 255), one in three had received new charges in this period and one in five had been reincarcerated.ConclusionContinuity of mental health care for those exiting prison is poor, particularly for those with mental health needs experiencing brief periods of imprisonment, and rates of CMHT contact are low in the immediate post-release period. These findings suggest a need for early identification of individuals in this group for timely commencement of intervention and release planning, and opportunities for diversion from prison should be utilized where possible.

Experiences of Loneliness: COVID-19 Versus Incarceration.

As the world comes to terms with the realities surrounding COVID-19, media sources have likened quarantine experiences to that of incarceration. Individuals who have experienced incarceration and individuals who have experienced the incarceration of loved ones (LO), have already experienced periods of time apart. We are exploring the experiences of individuals who have some experience with incarceration; whether they were personally incarcerated, or they experienced the incarceration of a LO. Utilizing snowball sampling, a mixed methods survey was circulated on social media. Survey items included demographic information, questions about incarceration, issues related to COVID-19 quarantines, and the UCLA Loneliness Scale. Results follow similar patterns to previous studies. However, this unique population argues that COVID-19 quarantines are not the same as periods of incarceration. Similarly, future research and community agencies need to examine the unique needs of those who have experienced the incarceration of a loved one.

Raced to Death in 1920s Hawai‘i: Injustice and Revenge in the Fukunaga Case

Raced to Death in 1920s Hawai‘i: Injustice and Revenge in the Fukunaga Case

HIV and Incarceration: Implications for HIV-Positive People Who Use Illicit Drugs During a Seek, Test, Treat, and Retain Initiative in Canada.

People who use illicit drugs (PWUD) face increased exposure to the criminal justice system and disproportionate burdens of HIV infection. This article investigated the effects of incarceration on HIV cascade of care-related measures in a setting with a community-wide seek, test, treat, and retain (STTR) initiative. Using a multivariable logistic regression analysis of 935 HIV-positive PWUD between 2005 and 2017, this article showed a negative relationship between periods of incarceration and two measures of engagement in clinical care for HIV among PWUD: recent dispensation of antiretroviral therapy and suppression of HIV viral load. These findings suggest the benefits of STTR-based efforts are limited by exposure to the criminal justice system and highlight the need for additional supports for PWUD with HIV exposed to the criminal justice system.