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Indeed, it's not just prisoners being treated for mental illness who feel a stigma—it's also their providers. "A lot of practices don't want our prisoners," Penn said. "They're worried about the danger." Having providers come to the patients, in prison, poses its own problems. "The providers who are available, they don't want to be driving to a prison and patted down," Penn said. "We've had clinical staff be assaulted or threatened." It's also tough to orchestrate travel between the facilities, which can be miles apart. So since 1994, Texas has had a telemedicine program for its prisons.

Concerns with the U.S. Preventative Services Task Force's (USPSTF) recommendations for mammogram breast cancer screening and how these could impact prison screening mammography in prisons are explained. Sections of this article cover: what the USPSTF suggested for mammograms; what evidence the USPSTF reviewed; whether other respected organizations came to the similar conclusions after reviewing the evidence as USPSTF did; what the benefit is of screening mammography in women aged 40-49; what the harms of mammography are—false positives and overdiagnosis; types of breast cancers; putting it all together—comparing benefit to harm—women only need to have a screening mammogram every other year starting at age 50 (biennial exams will "reduce the harms of overdiagnosis by 50% but will preserve 80% of the benefits"), yet ultimately leaving the decision to those women under 50; and the complexity of issuing screening mammograms to female inmates.

Understanding Breast Cancer Screening Recommendations Cover

This program addresses behavior health care services for offenders under community supervision. Topics include: mental illness and its impact on individuals in community corrections; special issues with behavioral managed care in criminal justice; the history and components of managed behavioral healthcare and what has not worked; what constitutes good managed behavioral healthcare; legal issues and liabilities related to behavioral health care and community corrections; collaborative strategies for service providers and community corrections; and the role of the mental health care supervisor.

Understanding Managed Behavioral Health Care in Community Corrections Cover

This report describes the implementation and outcomes of a pilot study in Connecticut to enroll people who were arrested and detained pretrial into Medicaid so they would have health coverage upon release. Jails can offer a “public health opportunity” (Greifinger 2007) to connect otherwise hard-to-reach, low-income people with health insurance. People in jail have substantial health needs, including behavioral health conditions that can contribute to a cycle of relapse and reoffending. Medicaid enrollment has the potential to increase access to physical and behavioral health services upon release. However, most people in jail are pretrial detainees who have brief and unpredictable lengths of stay, making it challenging to conduct outreach and provide assistance in time for their reentry to the community.

This article explains how the use of telehealth - the interactive electronic exchange of information for diagnosis, treatment, support, or care management - can be a useful component for grantees of the Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP), which focuses on a collaborative intervention strategy to address substance abuse.

“Beginning in the late 1990’s, the National Institute of Corrections (NIC) Information Center began scanning social, economic and corrections issues to inform the development of programs and services offered by NIC. This report, now in its 8th edition, has continued to evolve into a popular tool corrections practitioners also use to inform their work in jails, prisons and community corrections. Since there are many issues beyond what is addressed in this environmental scan that potentially will influence corrections, this report is intended to give a broad overview of selected current and anticipated trends and not intended to be comprehensive” (p. 3). Sections of this report are: introduction; international developments; demographic and social trends; the workforce; technology; public opinion; the economy and government spending; criminal justice trends; corrections populations and trends; and the Affordable Care Act (ACA).

Environmental Scan 2013 cover


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