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Prisoners in closed prisons were also more likely to be in contact with health services.
There are also indications that prisoners in closed prisons perceive the health care service as more available.
A former prisoner told the Guardian that although libraries existed, access could be severely restricted, particularly in closed prisons.
"In closed prisons we keep them locked up for some years and then let them back out, not having had any real responsibility for working or cooking.
There is a fence, more to keep people out than in, and staff levels are much lower than in closed prisons, so the opportunity to abscond is always there.
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Joyti Waswani, who served half of her seven-year sentence in three closed prisons under her then married name of Joyti De-Laurey, is said to be Britain's biggest female fraudster after stealing vast sums from her bosses, Scott Mead, Jennifer Moses and Moses's husband, Ron Beller, all of whom were directors of the investment bank.
But virtually all closed prisons have one thing in common, they are noisy places.
In California and Colorado, entrepreneurs are eyeing the secure walls of two closed prisons as a perfect place to grow medical marijuana.
We did not find any association between inmates' help seeking behaviour and the size of prison, but we found some differences between open and closed prisons.
"This is a closed prison," Esko Aaltonen, warden of the Hameenlinna penitentiary, said in welcoming a visitor.
It has also triggered the potential of strengthening the basic health care in closed settings including prisons into the coming time.
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