Health Policies and Outcomes for Criminal Justice: A resource for policy makers,

刑事司法卫生政策和成果：政策制定者的资源，

• 批准号: 8023005
• 负责人: CATHERINE A GALLAGHER
• 金额: $ 5万
• 依托单位: LLOYD SOCIETY, INC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8023005
• 关键词: Address; Adolescent; Adult; Advocacy; Advocate; Affect; Award; Back; Books; California; Caring; Cessation of life; Clinical; Collaborations; Communicable Diseases; Communities; Contracts; Criminal Justice; Data; Decision Making; Development; Disadvantaged; Discipline; Emotions; Ensure; Failure; Family; Foundations; Funding; Futility; Future Generations; Generations; Guidelines; Health; Health Policy; Health Services; Healthcare; Human; Human Rights; Imprisonment; International; Intervention; Justice; Knowledge; Laws; Leadership; Left; Legal; Length; Letters; Life; Manuscripts; Maps; Measures; Medical; Meta-Analysis; Methodology; Methods; Odds Ratio; Outcome; Persons; Play; Policies; Policy Maker; Population; Prevalence; Prisoner; Process; Provider; Public Health; Publications; Publishing; Relative Risks; Research; Research Personnel; Resources; Role; Running; Shoulder; Societies; Surgeon; System; Techniques; Time; Vacuum; Work; Writing; base; burden of illness; community setting; court; design; evidence base; evidence based guidelines; experience; falls; health care delivery; improved; interest; juvenile justice system; knowledge base; physical conditioning; population health; premature; response; social; systematic review; wasting

DESCRIPTION (provided by applicant): The preponderance of evidence portrays adults and adolescents under the control of the criminal and juvenile justice systems as disproportionately shouldering the burden of nearly every type of negative health condition, from premature death to representing the single largest infectious disease carrying population. As such, the tens of millions of people currently involved in the criminal and juvenile justice systems are critical to the public health of their larger communities, while also representing an overwhelming loss of human potential. Despite these facts, there remains a dearth of coherent policy specifically designed to address the health of, and the health service delivery for, this population. The lack or rational policy and evidence-based guidelines may be viewed as the failure of the scientific community to rigorously organize the knowledge base on health prevalence, interventions and outcomes, and to disseminate findings in a manner conducive to guideline development that will resonate with care providers. It has been left to the courts to be the lone actors establishing standards in this realm. Through several Supreme Court cases, health care for incarcerated persons has been deemed legally required, but at what level and for what conditions is open to wide legal interpretation. This is most vividly demonstrated in the billion dollar state response to judicial intervention in a class action suit claiming inhumane health care for California prisoners (Plata v Schwarzenegger). The proposed manuscript takes on this critical policy vacuum, relying on tenets of the systematic review process to ensure an exhaustive and comprehensive coverage of health outcomes, interventions, and current conditions in confinement and in the community for people controlled or affected by the justice systems reach. Findings will be made accessible through graphical displays of relative risk ratios and mapping of current knowledge by subpopulations and settings. The current system, its obstacles, and the complexity of the population are also depicted using comprehensive, recent national data. These data will be brought to life by weaving compelling first hand descriptions of current conditions. This will provide an accurate and resonating description of the meaning of health in this population and the futility of our efforts without evidence-based guidance. This work, newly under contract for publication with Springer Verlag, is intended to engage the medical, public health, criminal justice, policy, legal and advocacy communities by uniting diverse disciplines around a common issue - improving the health of this population, their communities, and the byproducts of strengthening our society through greater equality

描述（由申请人提供）： 大量证据表明，刑事和少年司法系统控制下的成年人和青少年不成比例地承担着几乎每一种不良健康状况的负担，从过早死亡到成为最大的传染病携带者。因此，目前涉及刑事和少年司法系统的数千万人对其更大社区的公共健康至关重要，同时也代表着人类潜力的巨大损失。尽管如此，仍然缺乏专门针对这一群体的健康和保健服务提供的连贯一致的政策。 缺乏合理的政策和循证指南可被视为科学界未能严格组织关于健康普及率、干预措施和结果的知识库，也未能以有利于制定指南的方式传播研究结果，从而引起护理提供者的共鸣。在这一领域，只有法院才是制定标准的唯一行为者。通过最高法院的几个案件，被监禁者的保健被认为是法律所要求的，但在什么水平和什么条件下是开放的广泛的法律的解释。这一点最生动地体现在数十亿美元的国家对司法干预的集体诉讼中，声称对加州囚犯的不人道的医疗保健（普拉塔诉施瓦辛格）。 拟议的手稿利用了这一关键的政策真空，依靠系统审查进程的原则，确保详尽和全面地涵盖受司法系统控制或影响的人在监禁和社区中的健康结果、干预措施和现状。将通过相对风险比的图形显示和按亚群和环境绘制的现有知识图来提供调查结果。目前的制度，其障碍，以及人口的复杂性也使用全面的，最近的国家数据进行了描述。这些数据将通过编织对当前状况的令人信服的第一手描述而变得生动起来。这将提供一个准确的和共鸣的描述的意义，健康在这一人群和徒劳的努力，没有证据为基础的指导。 这项工作，最近根据合同与施普林格出版社，旨在从事医疗，公共卫生，刑事司法，政策，法律的和宣传界通过团结不同的学科围绕一个共同的问题-改善健康的人口，他们的社区，并通过更大的平等加强我们的社会的副产品