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[CUFFING PRISONERS AND DETAINEES IN ISRAELI HOSPITALS - A MULTI-CENTER STUDY]
Nitai Bar1, Efrat Naaman2, Amit Asa3,4
1Department of Radiology, Rambam Health Care campus, Haifa.
Harefuah
|April 25, 2022
Summary
Prisoner cuffing in Israeli hospitals is widespread (95.4%) and often done in a restrictive cross-position, violating legal guidelines. This practice impairs mobility and necessitates routine documentation due to medical and ethical concerns.
Area of Science:
- Medical ethics
- Public health
- Legal medicine
Background:
- Thousands of prisoners and detainees receive medical care in Israeli hospitals annually.
- Israeli law mandates cuffing as an exceptional measure for prisoners during hospitalization, requiring individual risk assessment.
- There is a lack of data on the prevalence of cuffing within hospital settings.
Purpose of the Study:
- To determine the extent of prisoner/detainee cuffing in Israeli hospitals.
- To characterize the methods used for cuffing prisoners/detainees during hospitalization.
Main Methods:
- A multi-center study was conducted across 12 Israeli hospitals between 2020 and 2021.
- Data on cuffing practices were collected through prospective observation and retrospective review of security records.
Main Results:
- A high rate of cuffing was observed, with 96.6% of all documented prisoners/detainees and 95.4% of hospitalized patients being cuffed.
- Among hospitalized patients, 68% were cuffed to the bed in a cross-body position, significantly impairing mobility.
- Despite medical limitations, 85.9% of patients with impaired mobility were still cuffed.
Conclusions:
- Cuffing of prisoners/detainees in Israeli hospitals is prevalent and non-selective, contravening legal requirements.
- The common cross-body cuffing method severely restricts patient mobility.
- Routine documentation of cuffing is essential due to its medical implications and ethical considerations for healthcare providers.
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