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Psychiatry and the dying prisoner.

Annette Hanson1

  • 1a Forensic Psychiatry Fellowship , University of Maryland , Jessup , MD , USA.

International Review of Psychiatry (Abingdon, England)
|September 27, 2016
PubMed
Summary

Prison hospice programs are crucial for aging inmates with chronic conditions. Psychiatry plays a key role in end-of-life care and navigating the right-to-die movement within correctional facilities.

Area of Science:

  • Geriatric Medicine
  • Correctional Healthcare
  • Palliative Care

Background:

  • Increasing number of aging prisoners with chronic/terminal conditions in American correctional systems.
  • Sentencing reforms and compassionate release programs have not significantly reduced elderly/seriously ill inmate populations.
  • Correctional mental health services are increasingly involved in end-of-life prisoner care.

Purpose of the Study:

  • To present common elements of prison hospice programs.
  • To define the role of psychiatry in multidisciplinary end-of-life care for prisoners.
  • To examine the implications of the right-to-die movement for correctional mental health.

Main Methods:

  • Review of common elements in existing prison hospice programs.
Keywords:
Prisonassisted suicidebereavementdecisional capacityend of lifehospicemental illnesspalliative careprisonerright to die

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  • Analysis of the role of psychiatry within these multidisciplinary teams.
  • Examination of historical and legal background of the right-to-die movement, including landmark cases and statutes relevant to institutionalized patients.
  • Main Results:

    • Identification of key components and challenges in establishing and maintaining prison hospice care.
    • Clarification of psychiatric contributions to patient comfort, decision-making, and family support.
    • Overview of legal precedents and ethical considerations surrounding end-of-life choices for incarcerated individuals.

    Conclusions:

    • Prison hospice programs require a multidisciplinary approach, with significant contributions from psychiatry.
    • Correctional mental health professionals must be prepared for evolving ethical and legal landscapes concerning patient autonomy and end-of-life decisions.
    • Effective end-of-life care for aging prisoners necessitates tailored strategies addressing both medical and psychosocial needs.