Providing Healthcare in the Prison Environment. What services belong behind bars and what services belong in the community setting?

By David Redemske

While there are numerous built environmental models for prisoner health care, little has been done to assess the models to see if a particular location for care better serves the inmate population’s health needs over other locations. “Mass incarceration” has been used to describe the recent dramatic expansion of the criminal justice system in the United States. Underserved communities with minimal access to healthcare services disproportionately bear the burden of mass incarceration. This huge influx into the prison population of those who have received little or no medical care throughout the course of their lives, along with a court ruling mandating a constitutional level of care for prisoners, has resulted in a greater demand for healthcare services for this population. The purpose of this literature review is to shed light on the challenging healthcare process, the best environments for prison inmates to receive care, and to generate recommendations for the future.

Omaha, NE: HDR, 2018. 198p.