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Published on: February 16, 2011
Nursing in the American Justice System
Deborah Shelton1, Annette T Maruca2, Raneé Wright3
1University of Connnecticut, School of Nursing, Storrs, CT, United States of America; University of North Carolina-Chapel Hill, School of Nursing, Chapel Hill, NC, United States of America; Shelton Consulting Services LLC, Hendersonville, NC, United States of America.
The criminal justice system is overburdened with mentally ill individuals due to insufficient community mental health resources. Correctional nursing faces unique challenges at the intersection of justice and public health.
Area of Science:
- Public Health
- Criminal Justice
- Nursing
Background:
- Community-based mental health services are insufficient for individuals interacting with the criminal justice system.
- The criminal justice system acts as an unintended safety net for public mental health, leading to mass incarceration of mentally ill individuals.
- Current challenges for correctional nursing remain inadequately articulated despite advances in nursing's role.
Purpose of the Study:
- To enhance awareness of Correctional Nursing.
- To discuss the challenges faced by nurses working at the intersection of justice and public health.
- To respond to the Future of Nursing report by highlighting issues in correctional/custody settings.
Main Methods:
- Literature review and discussion of challenges.
- Analysis of the intersection of public health and the criminal justice system.
- Examination of the role of nurses in prisons, jails, detention centers, and community supervision.
Main Results:
- Massive numbers of mentally ill individuals are funneled into the prison system.
- Warehousing of mentally ill individuals in correctional facilities is reminiscent of past inhumane practices.
- Specific challenges for correctional/custody nursing require greater articulation and attention.
Conclusions:
- The criminal justice system is ill-equipped to manage the public mental health crisis.
- Correctional nursing is a critical but under-recognized field facing significant obstacles.
- Further attention to the needs and challenges of correctional nurses is essential for improving care.
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