Health Soc Work. 2020 Aug 1;45(3):195-201. doi: 10.1093/hsw/hlaa008.
The mass incarceration of pregnant and parenting women is a serious problem in the United States. African American women and other women of color are most burdened by mass incarceration. This article outlines the problems with health care delivery in correctional facilities. It is argued that correctional facilities are not the place for pregnant and parenting women. A policy focus is needed that takes a public health approach. There are promising alternative policies that integrate a public health approach, improve treatment outcomes for women, and provide an alternative to incarceration. This problem is discussed through the lens of the Grand Challenges for Social Work. Alternative policies and programs are recommended that align with a public health approach and directly target the pathways for imprisonment. This issue requires a call for policy action to challenge the inequality and social justices inherent in this problem. The grand challenges offer a blueprint in which to develop effective policy approaches.
美国存在大规模监禁孕妇和哺乳期妇女的严重问题。非裔美国妇女和其他少数族裔妇女受到的影响最大。本文概述了惩教设施提供医疗服务方面存在的问题。有人认为,惩教设施不适合孕妇和哺乳期妇女。需要制定以公共卫生为重点的政策。有一些很有前途的替代政策,它们结合了公共卫生方法,改善了妇女的治疗效果,并为监禁提供了替代方案。通过社会工作的重大挑战视角来讨论这个问题。建议采取替代政策和方案,采取公共卫生方法,并直接针对监禁途径。这个问题需要呼吁采取政策行动,以应对这一问题中固有的不平等和社会不公正。大挑战为制定有效的政策方法提供了蓝图。