Interventions with incarcerated persons

摘要: Publisher Summary This chapter reviews the experience to date with interventions in incarcerated setting that have relevance HIV prevention, and is predominantly focused upon United States, which has highest rates of incarceration world. Incarceration a fundamentally flawed, extremely expensive inefficient approach major societal problems. With this massive warehousing people, society embarking on vast social experiment will likely dramatic unanticipated implications years come, reaching far beyond actual individuals being incarcerated. One these consequences been disproportionate number imprisoned at risk for infection. The epidemic provides tremendous opportunity implement prevention measures population often marginalized by US health-care system, poses high proliferating epidemic. Participation range in-house drug-dependence programs drug-dependent inmates state (39 percent) federal (45 prisoners reached new highs 2004. These mostly reported taking part self-help groups, peer counseling, education programs. Inmates correctional facilities constellation factors infection addition histories substance dependence abuse. Jails prisons become storehouse mental illness. In illness, frequently homelessness, physical sexual abuse, unstable family environments. are interrelated. Maintaining care during incarceration, (often more challenging) after release, may well impact reducing further spread both release.