With an increasingly aging prison population, how to care for inmates with chronic illnesses or other infirmities and those at the end of life has become an urgent challenge for federal and state governments, and for inmate and elder rights advocates.
An increasing number of prisoners need wheelchairs, walkers, canes, portable oxygen, and hearing aids. Many are incontinent or forgetful and need assistance to get dressed, go to the bathroom, or bathe, according to the Connecticut Office of Legislative Research. Authorities must balance appropriate care with ballooning health costs, determine who will provide care and pay for it. The situation is squeezing state correctional budgets, health services, safety-net programs and local communities. Continue reading
From time to time, the tabs in my web browser taunt me with the stories I’ve saved to read later. Fairly frequently, those stories have a theme, usually a subject that I’ve seen a spate of in-depth coverage on. Lately, those browser tabs have been filled with stories about health care in jails, a topic that also got some recent mentions on AHCJ’s electronic discussion list.
There are a lot of aspects to cover here: mental health, privatization, the money involved and the care decisions based on those budgets and, of course, the people affected by all of those decisions – inmates and their families. You might even think about reporting on the mental health of corrections officers. So, here are some stories I’ve been paying attention to and some resources to use as a jumping off point for your own reporting – which I hope you will send to me or post a link to in the comments.
In Modern Healthcare, Beth Kutscher writes about the privatization of jailhouse health care and critics’ questions about the quality of care and cost savings. Her story starts with a focus on Florida but points out that about 20 states have outsource all or part of their prison health care. Florida’s five-year contract for prison health care is $230 million. One expert “estimated that half of all state and local prisons and jails have outsourced healthcare services, and that these contracts are worth roughly $3 billion a year.”
Last month, ProPublica’s Christie Thompson compiled a list of reporting on mental illness in prisons that includes “the best deep-dive reporting on the mentally ill in U.S. prisons” and goes back to 2000. Continue reading