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Published on: November 11, 2013
Hunger Strikes After Restricted Housing Reform
Anthony Tamburello1, Kerri Edelman2, Rusty Reeves2
1Dr. Tamburello is Associate Director of Psychiatry and Dr. Reeves is Director of Psychiatry, University Correctional Health Care, Trenton, NJ. Dr. Tamburello is a Clinical Professor of Psychiatry and Dr. Reeves is a Clinical Professor of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, NJ. Dr. Edelman is a staff psychologist, Garden State Youth Correctional Facility, University Correctional Health Care, Yardville, NJ. tamburac@ubhc.rutgers.edu.
New Jersey's Isolated Confinement Restriction Act (ICRA) did not change hunger strike frequency in prisons but significantly reduced their duration. This reform lessened health risks and costs associated with these protests.
Area of Science:
- Criminology
- Public Health
- Prison Reform
Background:
- Hunger strikes are prevalent in carceral settings, posing significant health risks and increasing healthcare utilization.
- A 2017 study indicated hunger strikes in New Jersey prisons often occurred in disciplinary settings.
- The Isolated Confinement Restriction Act (ICRA) was enacted to improve confinement conditions, including reducing disciplinary housing.
Purpose of the Study:
- To evaluate the impact of the Isolated Confinement Restriction Act (ICRA) on the frequency and duration of hunger strikes in New Jersey correctional facilities.
- To determine if reforms to conditions of confinement influenced hunger strike behavior.
Main Methods:
- A comparative study analyzing hunger strike data before and after the implementation of the ICRA.
- Statistical analysis to compare strike frequency, mean duration, median duration, and the rate of prolonged strikes (greater than three days).
Main Results:
- The overall frequency of hunger strikes remained unchanged post-ICRA.
- The mean duration of hunger strikes significantly decreased from 28.9 to 9.7 days (p = .034).
- The median strike duration reduced from four to three days, and the rate of strikes exceeding three days declined (60.3% to 45.2%; p = .049).
Conclusions:
- While ICRA did not alter the frequency of hunger strikes, it was associated with a significant reduction in their duration.
- These findings suggest that reforms improving conditions of confinement can mitigate the health dangers and associated healthcare costs of hunger strikes.
- Hunger strikes continue as a protest method, but their reduced duration may indicate a positive impact of confinement reforms on associated risks.
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