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Healthcare-induced trauma in correctional facilities: a qualitative exploration
Johanna E Elumn1, Layne Keating2, Amy B Smoyer3
1SEICHE Center for Health and Justice, General Internal Medicine, Yale School of Medicine, New Haven, USA. johanna.elumn@yale.edu.
Health & Justice
|June 21, 2021
Summary
Correctional healthcare can cause trauma, even for non-life-threatening conditions. This study reveals how healthcare systems and environments within correctional facilities contribute to fear and trauma among incarcerated individuals.
Area of Science:
- Public Health
- Medical Sociology
- Criminology
Background:
- Incarcerated populations experience higher trauma rates than the general population.
- The contribution of correctional health systems to trauma is understudied.
Purpose of the Study:
- To explore incarcerated men's experiences with healthcare during their time in correctional facilities.
- To understand how correctional healthcare systems may contribute to trauma.
Main Methods:
- Conducted 20 semi-structured qualitative interviews with recently released men.
- Employed reflexive thematic analysis within a critical realist framework.
- Iteratively coded and analyzed data to identify emerging themes.
Main Results:
- Identified healthcare-induced trauma as an emergent theme.
- Themes included: fear of serious illness/death from healthcare, fear of people (providers, staff, inmates), and fear of the correctional environment (place).
Conclusions:
- Correctional healthcare has the potential to induce trauma, irrespective of medical condition severity.
- Further research is needed to identify contributing factors and develop preventive interventions for healthcare-induced trauma in correctional settings.
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