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Dungeons & Dragons could "foster an inmate's obsession with escaping from the real-life correctional environment, fostering hostility, violence and escape behavior," prison officials said in court.
"The vast majority of youths who have mental health needs," one report said, "are made worse instead of improved by the correctional environment".
(Martha Harbin, a spokeswoman for Corizon, said that "malpractice lawsuits are a fact of life," especially in the correctional environment, where "the patient population is highly litigious".
In addition to the health impact of the correctional environment and enduring post-release mechanisms, incarceration-related policy can also have a significant impact on well being.
Providing mental health treatment in a correctional environment is complex, especially given the focus on safety and security of offenders, correctional staff and the public.
For the majority of the prominent areas of concern described above, more prisoners had their needs met within the correctional environment than those who did not.
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[ 10, 32] In the current analysis, perhaps individuals exposed to correctional environments are normalized to the practice while incarcerated and continue once released.
There is some evidence that the benefits of screening may be greater among individuals in foster care, correctional environments and other high risk groups [ 33- 37].
These findings point to the need for the ongoing development of programs both within and following prison that aim to reduce risk behaviour among IDU exposed to correctional environments.
Many previous analyses from this setting and others have identified a greater risk of syringe sharing among imprisoned individuals compared with analagous samples of IDU, especially in correctional environments where access to sterile syringes is forbidden.
As has been suggested previously [ 35], controlling or averting epidemics of HIV infection among IDU requires minimizing the transmission of HIV within correctional environments, as well as reducing the rate of incarceration of drug-using populations [ 36].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com