Search Results (82)

Deaths caused by or connected to exposure to Brazilian prisons are widely acknowledged as frequent and preventable, yet official data fails to capture their scale, causes, and circumstances. To circumvent what official administrative datasets miss, this article examines an original dataset of 1077 criminal case files from 27 Brazilian state courts involving individuals who died between 2017 and 2021 after having been incarcerated. Drawing on the systematic document review of these cases, we analyze sociodemographic characteristics, health information, causes of death, and judicial responses, distinguishing between deaths occurring in custody (“internal”) and after release (“external”). Our findings reveal pervasive omissions in basic demographic and medical information, extensive use of ill-defined causes of death, and a striking absence of investigation in most cases, including deaths under direct state custody. We identify instances of obfuscation and judicial inaction that, together with the absence of reliable administrative data, are likely to sustain institutional ignorance and normalize preventable deaths. This study advances debates on incarceration and health, state accountability, and proposes the concept of prison lethality: the capacity of carceral spaces to increase people’s exposure to health risks and harms, combined with the epistemic practices that shed light on or obfuscate this capacity. Full article

Background/Objective: Mind–body programs teaching mindfulness-based techniques have benefits for incarcerated people, as do programs in which individuals teach yoga to their incarcerated peers. However, there are no studies of comprehensive programs that combine a variety of self-care techniques with group support and enable people in prison to enhance their own well-being and then share what they have learned with their peers. This study evaluated the effects of such a training program in the United States. Methods: Thirty-eight incarcerated men and women began the 8-day mind–body medicine training and 31 completed the training. Mind–body techniques taught included soft belly breathing, meditation, autogenics and biofeedback, guided imagery, mindful eating, self-expression through drawings and writing, and genograms. Outcomes included resilience, depression, anxiety, stress, coping self-efficacy, optimism, meaning in life, and purpose in life. Outcomes were measured before and after the training, and at a 6-month follow-up. Results: There were significant improvements in resilience, depression, anxiety, stress, coping self-efficacy, optimism, the presence of meaning in life, and purpose in life after the training. All of these improvements were maintained at follow-up. The most frequently practiced skills both after the training and at follow-up were soft belly breathing, meditation, and mindful eating. Conclusions: The training provided participants with skills that had a lasting positive benefit on numerous aspects of their own well-being and trained them to teach the skills to their incarcerated peers. The results of this uncontrolled study suggest that the mind–body medicine training program may be helpful to incarcerated people in other prison systems. Full article

Current school level practices and policies reproduce and reify carceral logics in schools through the disproportionate exclusion, removal, policing, and surveillance of Black, Latinx, and Indigenous students from low-income backgrounds. Given the link between school-based discipline and youth incarceration, we sought to understand how young people experience and respond to inequitable discipline practices in educational settings. In this two-part study, we conceptually explore the mechanisms by which schools function as an extension of the carceral system through inequitable disciplinary practices and seek to empirically understand how students perceive and experience school-level carceral logics and the processes that lead students into the juvenile legal system. Study 1 consisted of three focus groups (N = 24) with high school students from historically marginalized backgrounds and explored youth perceptions of and experiences with discipline. Study 2 consisted of six focus groups (N = 28) with community college students who were incarcerated as youth, to understand their trajectories and educational experiences before, during, and following their incarceration. Taken together, the studies illuminate the intersection of schools and prisons as complex systems that historically marginalized students must navigate to access their education, leveraging skills and collective resilience to do so. Full article

Pregnant people in U.S. jails experience high rates of opioid use disorder (OUD), yet access to medications for opioid use disorder (MOUD) remains inconsistent. This mixed-methods study examines how jail policies, treatment infrastructure, and political context shape MOUD provision for pregnant incarcerated individuals. We conducted a secondary analysis of a national survey of 2885 U.S. jails (analytic sample = 836). Logistic regression models assessed associations between MOUD provision and telemedicine capacity, community MOUD availability, state Medicaid expansion, and 2020 presidential voting outcomes. Qualitative responses characterized barriers to care. Findings confirm that MOUD access for pregnant incarcerated individuals remains limited and structurally patterned. Fewer than half of jails continued methadone or buprenorphine for pregnant individuals already in treatment, and initiation was uncommon. MOUD provision was more likely in Democrat-won states, jails with telemedicine capacity, and jails located in communities with MOUD providers, while limited community availability reduced odds of provision. Qualitative themes highlighted restrictive jail policies, provider discretion, diversion concerns, and misconceptions regarding fetal harm. These findings underscore persistent structural barriers to evidence-based perinatal OUD treatment in carceral settings and highlight the importance of telemedicine expansion, community treatment capacity, and standardized correctional policies to advance perinatal health equity. Full article

Background/Objectives: Incarcerated people experience high rates of trauma, psychological distress, and social marginalization. Yoga has been introduced in prisons as a trauma-sensitive mind–body practice, yet its rehabilitative contribution remains uncertain. This systematic review aimed to synthesize evidence on the feasibility and effectiveness of yoga interventions delivered in correctional settings. Methods: Following PRISMA guidelines and a preregistered PROSPERO protocol, we searched PubMed, PsycINFO, Cochrane CENTRAL, and Scopus for peer-reviewed publications from May 2012 to November 2025. Eligible studies involved structured yoga interventions for incarcerated populations and reported psychological, behavioral, or institutional outcomes. Two reviewers independently performed screening, data extraction, and quality appraisal using the Mixed-Methods Appraisal Tool (MMAT). Results: Ten studies reported in twelve publications and involving 1815 incarcerated individuals met the inclusion criteria. Interventions included Hatha-based protocols, Krimyoga, trauma-informed approaches, and multicomponent programs. Across randomized, quasi-experimental, and pre–post designs, yoga was feasible and acceptable. Reported benefits included reduced psychological distress, negative affect, anger, and trauma-related symptoms, as well as improved mood, self-regulation, and mindfulness. Evidence specific to women and girls was limited, but the available trauma-informed and gender-responsive studies suggested potential reductions in post-traumatic stress, depression, and anxiety, alongside increases in self-compassion. One large quasi-experimental cohort found lower reincarceration rates among yoga participants, although institutional outcomes were otherwise limited. Evidence was constrained by small samples, heterogeneous intervention formats, short follow-up, and variable outcome measures. Conclusions: Yoga appears to be a promising adjunct to rehabilitation in correctional settings. However, methodological limitations prevent firm conclusions. Larger, well-controlled studies with standardized outcomes and longer follow-up are needed to clarify effectiveness and support integration into correctional health and rehabilitation policy. Full article

People who are incarcerated experience a high rate of hepatitis C (HCV) worldwide, and HCV micro-elimination in prisons is an effective strategy to support treatment. In Victoria, British Columbia, administrative barriers limited HCV testing and treatment at Vancouver Island Correctional Centre (VIRCC), and people who were HCV RNA+ were lost to follow up. Cool Aid Community Health Centre (CACHC) is an inner-city, primary care clinic that serves a marginalized population. The CACHC HCV nurse coordinator with the VIRCC nurse held HCV testing ‘blitzes’ at VIRCC and offered phlebotomy for screening and pre-treatment bloodwork. Clients who tested HCV RNA+ were started on HCV treatment and if discharged before completion, CACHC followed them in the community. A retrospective chart review was conducted to identify all clients who accessed HCV testing and treatment through the VIRCC partnership. To date, 230 clients were tested: 49 tested HCV antibody+, 11 tested HCV RNA+, and 10 started on treatment (6 SVR). Case management and consultation with the nurse coordinator and VIRCC nurse supported treatment starts for an additional 18 clients (14 SVR). This pragmatic and innovative approach to HCV care with people who are incarcerated demonstrated effective HCV testing and treatment. CACHC and VIRCC have established closer relationships and reduced barriers to reach and maintain continuity with this target population. Full article

Over the last decade, Cameroon has been embroiled in a violent civil conflict. In 2016, protests within the minority Anglophone regions against the obligatory use of French in schools triggered a period of considerable unrest, in which hundreds of people have been incarcerated and killed. Following an increased security presence in the English-speaking regions, armed groups surfaced calling for secession—the creation of an independent nation of Ambazonia. The failure to resolve the crisis peacefully through dialogue has resulted in a spiral of violence between armed separatists and the military. Building on the work of Frantz Fanon, this paper offers an analysis of the construction of these identities before and after European colonisation. In mapping the contours of Francophone and Anglophone assimilation it seeks to explore how the current crisis might be resolved through what Fanon describes as a transformation of the collective unconscious and what the Nigerian philosopher Cyril Orji describes as a psychological transition away from prejudice against the Other. Full article

Historical discussions regarding labour organizing within American prisons tend to focus on the period stretching from the late 1950s to the early 1970s, framing those years as both the origin and apex of nationalized and organized inmate-led strikes behind bars. This focus is partly due to a counter-historical assumption that the rebellions of previous eras were primarily focused on “good housekeeping” and were not political in nature. This article challenges ongoing scholarly assumptions that incarcerated Americans were ever pre-political, providing a microhistorical account of the first significant labour unrest at New York’s Attica State Prison in 1932. Through an analysis of the strike’s leadership structure, this paper claims that there is no reason to believe that incarcerated Americans lacked political identities prior to their contact with conscientious objectors, Marxist revolutionaries, and other educated ideologues. Rather, this article contends that the Depression-era Jewish and Italian inmates who led the 1932 Attica strike carried into the prison their own form of political pragmatism, drawn from their experiences operating within interwar-era organized crime syndicates. While this was not a universal experience among incarcerated people, it is indicative of the notion that interwar-era strikes throughout the country surely drew from their own local, informal political norms. This paper concludes that it is unlikely any penal rebellion could exist outside of politics and that historians of prison rebellions must be more willing to look for indirect indicators of political identities that naturally emerge from the struggles of everyday life. Full article

This study aimed to map the literature on the clinical role of pharmacists in the care of incarcerated people at correctional facilities and to identify gaps in this field. A scoping review was conducted on 30 July 2024, using the PubMed, Scopus, and LILACS databases. Gray literature was searched via Google Scholar, and references of included studies were manually reviewed. Primary studies of any design reporting pharmacists’ clinical services and/or activities for incarcerated individuals were eligible. Study selection and data extraction were performed independently by two reviewers, with a third resolving disagreements. The search yielded 894 records, from which 27 studies were included. Most studies were conducted in the United States (n = 16; 59%) and France (n = 7; 26%). Eleven (41%) focused exclusively on male populations, and one (4%) on female inmates. Most studies addressed pharmacists’ clinical roles in mental health conditions and substance use disorders (n = 9; 33%), infectious diseases (n = 5; 19%), and diabetes (n = 4; 15%). Clinical services and/or activities related to direct patient care were the most frequently reported (n = 18; 67%). Process measures were reported in 18 studies (67%), and clinical outcomes were the most common type of outcome (n = 13; 48%). This review highlights the pharmacist’s clinical role in treating mental health conditions and substance abuse, infectious diseases, and diabetes in incarcerated care. It underscores the need for further research in low- and middle-income countries, on women’s health, and on other prevalent conditions. Full article

Sexual minority women (SMW) are a resilient yet vulnerable population who may experience poor psychosocial outcomes due to minority stress associated with their marginalized status and traumatic experiences resulting from interpersonal and structural violence. When SMW are incarcerated, the trauma of this experience can exacerbate existing mental health challenges. Self-concept is a key measure of mental health that is associated with increased self-efficacy and positive psychosocial outcomes. This analysis explores the ways in which incarceration impacts the self-concept of SMW. Secondary data analysis of three qualitative interviews with formerly incarcerated SMW was conducted. Specifically, Gilligan’s Listening Guide was used to create “I poems” that articulate the participants’ narratives and contrapuntal voices. These poems were then analyzed to build knowledge about participants’ self-concept. This analysis informs our understandings of self-concept among SMW, violence against women, the vulnerability of binary constructs, and the ways in which people negotiate past, present and future selves. The findings can inform interventions that seek to mitigate the psychosocial risks faced by SMW and formerly incarcerated people and improve outcomes for these populations. Full article

Sex workers and formerly incarcerated people with a cervix face significant structural, interpersonal, and emotional barriers to cervical cancer screening, despite being at elevated risk for HPV infection. HPV self-sampling (HPV-SS) is a validated, user-directed method that has the potential to address these barriers, yet it remains excluded from Ontario’s organized screening program. This qualitative study explored the lived experiences of structurally marginalized individuals with a cervix who were offered HPV-SS as part of a mixed-methods pilot in the Greater Toronto Area. Five virtual focus groups were conducted with 34 participants, including both those who used the HPV-SS kit and those who declined it. Using inductive thematic analysis, we identified barriers to traditional screening including fear, stigma, mistrust of healthcare providers, logistical constraints, and a lack of accessible information. HPV-SS was widely described as more acceptable, empowering, and emotionally manageable, offering participants autonomy, privacy, and control over their care. Concerns included swab design, uncertainty about correct use, and unclear follow-up after positive results. Participants offered concrete, community-informed recommendations to improve HPV-SS implementation, including opt-in distribution models, gender-affirming language, and trauma-informed educational materials. The findings highlight the urgent need to integrate HPV-SS into organized screening programs to advance equitable access to cervical cancer prevention for marginalized populations. Full article

The 2021 military coup in Myanmar triggered a severe humanitarian crisis, forcing many to flee through regular and irregular channels to neighboring countries like Thailand. This study explores the resulting migration patterns and precarious situation of Myanmar nationals seeking refuge in Thailand. Drawing on contemporary sources, it highlights how the crisis, worsened by military conscription laws, displaced many citizens. Refugees face constant fear of incarceration and forced repatriation while struggling with limited access to basic services in Thailand, which worsens mental health and reduces quality of life. The military’s revenue tactics, such as taxing overseas workers and remittances, have contributed to their hardships. In response, Thailand introduced a cabinet resolution to legalize work and residence for irregular migrants for four years. However, ongoing detentions and deportations risk forced military enlistment upon return, raising doubts about the resolution’s effectiveness, accessibility, and affordability. The study concludes with policy recommendations to address the humanitarian needs of Myanmar’s displaced population both at home and abroad. It also suggests ways to implement protective measures effectively, such as the Thai Cabinet resolution, to safeguard the dignity and rights of Myanmar’s people. Full article

The vast majority of people in U.S. women’s prisons are survivors of interpersonal violence, a pattern that organizers and advocates have referred to as the abuse-to-prison pipeline. This article critically examines criminal prosecution from the perspectives of survivors of interpersonal violence who faced long prison sentences in California. In-depth interviews and group discussions were generated through a participatory process at a gathering to launch the University of California Sentencing Project, a partnership with the community-based organization California Coalition for Women Prisoners. The twenty-two formerly incarcerated participants had collectively spent more than 300 years imprisoned. Drawing on their lived experiences spanning several decades and multiple jurisdictions, this article offers an unyielding account of tactics of isolation, intimidation, narrative manipulation, and confinement as definitional to prosecutorial practice and culture. This criminalized survivor-centered analysis of prosecution shows how one of the most robustly funded public interventions for interpersonal violence is not merely failing to protect victims but is protracting patterns of abuse and coercive control. Implications are discussed in terms of social care work and collective defense rooted in abolition feminism. Full article

A substantial amount of the literature has examined the impact of participation in sport-based youth development programming and its global contribution to the lives of young people. In a similar vein, the outcomes of sport-based leadership programs are heavily influenced by the relationships and life skills acquired. One often overlooked demographic in this literature is incarcerated youth, a unique population who’s time spent in juvenile justice is fundamentally designed to prioritize rehabilitation and development. This paper sought to understand youths’ experiences in a sport-based leadership prison program with regards to content, relationship building, and transfer. This study included semi-structured interviews with three, currently incarcerated, adolescent black males, exploring their experiences as participants in their sport leadership program. Results included themes around the program meaning, relationship enhancers, and life skill learnings. Findings explore how sport-based prison programs may consider the importance of physical and psychological safety, relationship building, and life skill teachings as crucial components of a program that remain with participants well into their reintegration within society. Full article

The carceral apparatus in the U.S. can be understood as mechanisms of policing, criminalizing, and incarcerating through the criminal justice system in its traditional sense but also encompassing mechanisms of social control, surveillance, and violence exerted through other systems such as family policing organizations, social service agencies, and helping professions. As we are witnessing the impacts of the toxic drug supply crisis and continued reliance on the “war on drugs” policies, these carceral functions are deeply felt among people who use drugs and have substance use disorders. This qualitative study uses the Foucauldian lens of biopolitics and biopower to examine how power operates in carceral systems and impacts women who use substances. By conducting and analyzing in-depth interviews with four women who identify as systems-involved in the U.S., this study highlights that power operates in a multitude of ways. The findings highlight the gendered experience these individuals face navigating these systems of circularity, including the minimization of bodily autonomy, the destruction of social reproduction, and coercive performances to the patriarchal gaze. The findings also amplify the women’s perspective on systemic change and offer alternatives to current carceral approaches. This research provides insights for social service professionals in all fields for more liberatory approaches to working with women in carceral settings and proposes a radical departure from current trajectories of social control and criminalization. Full article