Cooley Chelsea
New Mexico State University, Las Cruces, NM, USA.
Health Promot Pract. 2019 Nov;20(6):798-800. doi: 10.1177/1524839919869924. Epub 2019 Aug 21.
People in prison are disproportionately affected by health problems, some of which lead to imprisonment and some of which are caused by imprisonment. Mental illness and substance use disorders fall into both of these categories, but they are not the only ailments affiliated with incarceration. Prior to their incarceration, many people in prison did not have safe housing or stable employment and job security, and institutional policies and/or budgetary concerns prevent many inmates from receiving adequate health care while in prison. Prison inmates in the United States are both victims and perpetrators of violence while incarcerated. In all cases, acts of violence have negative psychological consequences for the victim, including depression and shame. Mindfulness meditation training for prison inmates might be among the most effective of interventions, helping to prevent violence, improve quality of life, and reduce recidivism. Research and evaluation of data suggest that mindfulness-based nonviolence programs are transferable to other inmate populations, and the author recommends that both the private and public prison systems implement such programs nationwide, with the support of state and federal governments.
监狱中的人群受健康问题的影响尤为严重,其中一些问题导致了监禁,而另一些则是由监禁造成的。精神疾病和物质使用障碍属于这两类情况,但它们并不是与监禁相关的唯一疾病。在入狱之前,许多监狱中的人没有安全的住房或稳定的就业及工作保障,而机构政策和/或预算问题使许多囚犯在狱中无法获得足够的医疗保健。美国的监狱囚犯在监禁期间既是暴力的受害者,也是施暴者。在所有情况下,暴力行为都会给受害者带来负面的心理影响,包括抑郁和羞耻感。对监狱囚犯进行正念冥想训练可能是最有效的干预措施之一,有助于预防暴力、提高生活质量并减少累犯。对数据的研究和评估表明,基于正念的非暴力项目可推广至其他囚犯群体,作者建议在州和联邦政府的支持下,私立和公立监狱系统在全国范围内实施此类项目。