P.S. Bedell is research coordinator II, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, doctoral student, Warner School of Education and Human Development, and Diversity and Inclusive Climate Leadership Fellowship Fellow 2018-2020, University of Rochester, Rochester, New York. M. So is research assistant, Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia; ORCID: https://orcid.org/0000-0002-3639-0472. D.S. Morse is associate professor of psychiatry and medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. S.A. Kinner is National Health and Medical Research Council Research Fellow and Group Leader, Justice Health, Centre for Adolescent Health, Murdoch Children's Research Institute, and head, Justice Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia; ORCID: https://orcid.org/0000-0003-3956-5343. W.J. Ferguson is professor of family medicine and community health and director of academic programs, Health and Criminal Justice Program, University of Massachusetts Medical School, Worcester, Massachusetts. A.C. Spaulding is associate professor of epidemiology, Rollins School of Public Health, and medicine (joint), Emory University School of Medicine, and adjunct associate professor of medicine, Morehouse School of Medicine, Atlanta, Georgia.
Acad Med. 2019 Feb;94(2):172-175. doi: 10.1097/ACM.0000000000002501.
This Invited Commentary addresses the use of labels and their impact on people involved in the criminal justice system. There are 2.2 million adults incarcerated in the United States and close to 6.6 million under correctional supervision on any day. Many of these people experience health inequalities and inadequate health care both in and out of correctional facilities. These numbers are reason enough to raise alarm among health care providers and criminal justice researchers about the need to conceptualize better ways to administer health care for these individuals. Using terms like "convict," "prisoner," "parolee," and "offender" to describe these individuals increases the stigma that they already face. The authors propose that employing person-first language for justice-involved individuals would help to reduce the stigma they face during incarceration and after they are released. Coordinated, dignified, and multidisciplinary care is essential for this population given the high rates of morbidity and mortality they experience both in and out of custody and the many barriers that impede their successful integration with families and communities. Academic medicine can begin to address the mistrust that formerly incarcerated individuals often have toward the health care system by using the humanizing labels recommended in this Invited Commentary.
这篇特邀评论探讨了标签的使用及其对参与刑事司法系统的人员的影响。美国有 220 万成年人被监禁,每天有近 660 万人在监管下服刑。这些人中的许多人在监禁中和监禁外都面临健康不平等和医疗保健不足的问题。这些数字足以引起医疗保健提供者和刑事司法研究人员的警惕,需要思考如何更好地为这些人提供医疗保健。使用“罪犯”、“囚犯”、“假释犯”和“罪犯”等术语来描述这些人会增加他们已经面临的耻辱感。作者建议,对参与司法的个人使用“以人为本”的语言,将有助于减少他们在监禁期间和获释后所面临的耻辱。鉴于这些人在监禁中和监禁外的发病率和死亡率都很高,而且有许多障碍阻碍他们成功融入家庭和社区,为这一人群提供协调、有尊严和多学科的护理至关重要。学术医学可以通过使用本特邀评论中推荐的人性化标签,开始解决以前被监禁的个人对医疗保健系统常常存在的不信任问题。