ABSTRACT
Many people in contact with the criminal justice system, including those in prison, are affected by socioeconomic, psychological and biological factors that lead to health inequalities. The majority of health needs and inequalities will have originated prior to being taken into the custodial setting, however there are adverse environmental and social factors associated with prisons that may have a detrimental impact on the prisoner health of their residents, some of which may persist or be exacerbated beyond release causing a deterioration of health back in the community setting.
This chapter explores further
The social determinants of health inequalities in people in contact with the criminal justice system.
Under-identification of disease and the importance of screening and health promotion.
The burden of mental health and substance misuse in prison populations; the importance of trauma-informed care, identifying and managing risks to safety.
Safer prescribing in prisons and the need for a multi-disciplinary approach to care.
Justice system-specific ethical and practical issues faced when caring for people in prison.
The importance of a rehabilitative culture in preparing for life beyond prison; equipping/training, mentoring and third-sector involvement.
Perpetuation and deterioration of health inequalities – perceptions of community and potential employers, relational issues beyond release; the need to adjust attitudes and communicate community dividend for treatment in prison and successful reintegration into society.
