Joseph Bick, Gabriel Culbert, Haider A. Al-Darraji, Clayton Koh, Veena Pillai, Adeeba Kamarulzaman and Frederick Altice
Criminalization of drug use in Malaysia has concentrated people who inject drugs (PWID) and people living with HIV into prisons where health services are minimal and HIV-related…
Abstract
Purpose
Criminalization of drug use in Malaysia has concentrated people who inject drugs (PWID) and people living with HIV into prisons where health services are minimal and HIV-related mortality is high. Few studies have comprehensively assessed the complex health needs of this population. The paper aims to discuss these issues.
Design/methodology/approach
From October 2012 through March 2013, 221 sequentially selected HIV-infected male prisoners underwent a comprehensive health assessment that included a structured history, physical examination, and clinically indicated diagnostic studies.
Findings
Participants were mostly PWID (83.7 percent) and diagnosed with HIV while incarcerated (66.9 percent). Prevalence of hepatitis C virus (90.4 percent), untreated syphilis (8.1 percent), active (13.1 percent), and latent (81.2 percent) tuberculosis infection was several fold higher than non-prisoner Malaysian adults, as was tobacco use (71.9 percent) and heavy drinking (30.8 percent). Most (89.5 percent) were aware of their HIV status before the current incarceration, yet few had been engaged previously in HIV care, including pre-incarceration CD4 monitoring (24.7 percent) or prescribed antiretroviral therapy (ART) (16.7 percent). Despite most (73.7 percent) meeting Malaysia’s criteria for ART (CD4 <350 cells/μL), less than half (48.4 percent) ultimately received it. Nearly one-quarter (22.8 percent) of those with AIDS (<200 cells/μL) did not receive ART.
Originality/value
Drug addiction and communicable disease comorbidity, which interact negatively and synergistically with HIV and pose serious public health threats, are highly prevalent in HIV-infected prisoners. Interventions to address the critical shortage of healthcare providers and large gaps in treatment for HIV and other co-morbid conditions are urgently needed to meet the health needs of HIV-infected Malaysian prisoners, most of whom will soon transition to the community.
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Purpose – Prison health is public health. Yet, efforts to protect against as well as slow the spread of COVID-19 are virtually impossible in prison settings where “what we know”…
Abstract
Purpose – Prison health is public health. Yet, efforts to protect against as well as slow the spread of COVID-19 are virtually impossible in prison settings where “what we know” may not match with policies. As the COVID-19 pandemic continues, incarcerated people are uniquely at risk as correctional facilities are “super-spreader” sites for prisoners and staff alike. The purpose of this chapter is to explore the impact of COVID-19 in prisons along with the additional personal and social costs associated with the pandemic (e.g., lockdowns, limited visitation, etc.) that can also impact the health status of those “doing COVID time.”
Methodology/Approach – This chapter examines the multifaceted impact of the COVID pandemic on those (in)directly impacted in correctional settings. It is not an empirical work.
Originality/Value – This chapter provides insight into the often taken-for-granted impact of the COVID pandemic on those who live and work in prison settings. The recommendations may be of interest to those who “do the time,” those who work in such settings, and social justice advocates and others involved in policy-making.
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Anne S. De Groot, Madeline Dilorenzo, Mary Sylla and Joseph Bick
At least 20% of individuals living with HIV pass through prison and jail doors every year, in any nation, worldwide. Therefore, interventions that improve access to HIV testing…
Abstract
At least 20% of individuals living with HIV pass through prison and jail doors every year, in any nation, worldwide. Therefore, interventions that improve access to HIV testing, HIV care, and education can have a broad impact on public health in every country. The benefits of these interventions in correctional settings have already been well documented. For example, improved access to HIV testing, treatment by an HIV specialist, preventive vaccinations and prophylactic medications, screening for concomitant infections such as HCV, and pre‐release planning services have been shown to decrease HIV‐related mortality and morbidity, to reduce the risk of HIV transmission and to decrease recidivism. Education of at‐risk individuals has also been shown to reduce HIV risk behaviors. Safe distribution of condoms and needle‐exchange programs have also been demonstrated to be safe and effective, although few such programs have been implemented in the United States. While all the available evidence has demonstrated that these public health‐oriented interventions can be and are successful in correctional settings, implementation on a national and international level lags far behind the evidence. The time has come to take an evidence‐based approach to improving HIV management in correctional settings. Implementations of the HIV management interventions described in this article make good medical sense and will have a positive impact on the health of inmates and the communities to which inmates return.
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Robert Douglas Hinshelwood and Gary Winship
A one-day conference organised by the University of Essex and the Consortium of Therapeutic Communities, 10 December, 2021 with the theme, “The Unconscious and Organisations”…
Abstract
Purpose
A one-day conference organised by the University of Essex and the Consortium of Therapeutic Communities, 10 December, 2021 with the theme, “The Unconscious and Organisations”. Presentations and discussions throughout the conference had the aim of generating ideas and sharing knowledge about the unconscious and how this can inform practitioners working in therapeutic communities and other organisations meeting the challenge of emotional distress.
Design/methodology/approach
Interview with Professor Robert (Bob) Hinshelwood (RH), now 83 years old, who has been involved in therapeutic communities (TCs) since 1969, part of the initial founding of the Association of Therapeutic Communities in 1974, is presented. He qualified as a psychoanalyst in 1976. In 1980 he instigated the founding of the International Journal of Therapeutic Communities along with Nick Manning, David Kennard, Jeff Roberts and Barry Shenkar. In 1984 he founded the British Journal of Psychotherapy, and edited it for 10 years. He was Director of the Cassel Hospital 1993–1997. In 1999 he founded the journal Psychoanalysis and History. He was part of the Free Associations Group (founded by Bob Young and others) which ran the journal Free Associations, and with Mike Rustin and the University of East London, the “Psychoanalysis and Public Sphere” conferences in the 1990s. He has written a great deal about the dynamics of organisational cultures in complex settings. He is Fellow of the British Psychoanalytical Society, Fellow of the Royal College of Psychiatrists and Professor Emeritus of the University of Essex. The interviewer was conducted by Dr Gary Winship (GW) is an associate professor at the University of Nottingham where he leads the MA in Trauma Informed Practice, visiting professor Moscow Institute of Psychoanalysis, and also visiting professor at the Russian State Humanities University, editor of the International Journal of Therapeutic Communities.
Findings
Hinshelwood reflects on the question of the unconscious and the impact of destructive tendencies on organisational process. He shares his personal experience being a young evacuee during the Second World War and considers the impact of trauma, losing his religion and his subsequent career choices in medicine, psychiatry and psychoanalysis. He discusses his experience of supervision with Isabel Menzies Lyth and reflects on the different groups in the Institute of Psychoanalysis. He turns to the question tribalism in TCs and regrets that there had not been more bridge building and collaboration. He talks about his own prolific writing and publishing career which he describes as obsessional rather than passionate, and finally candidly reflects on the prospect of facing death.
Originality/value
The interview was transcribed.
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Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management…
Abstract
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17; Property Management…
Abstract
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17; Property Management Volumes 8‐17; Structural Survey Volumes 8‐17.